Per Diem RN Daytime

Chapters Health•Glen Allen, VA

About The Position

The Per Diem RN assesses and identifies patient and family needs, uses the nursing process, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care. The role delivers and manages direct patient and family care, incorporating psychosocial, spiritual, cultural, physical, and biological needs and appropriate nursing interventions and follow-up. The RN completes clinical admissions across Company services, explaining services and admission requirements, addressing concerns and barriers, completing consents and initial assessments, obtaining medical information and physician orders, initiating the Plan of Care and skilled nursing interventions, and documenting according to policy. The RN acts as a Company representative at assigned facilities, coordinates referrals and follow-up with Admissions and other service lines, communicates clinical information using SBAR, and arranges safe discharges. The RN also provides care for general inpatient hospice patients in hospitals, including visits, professional management, documentation, and discharge coordination. The position requires communication and collaboration with patients, families, physicians, facilities, case managers, Admissions, Professional Relations Representatives, and IDG members. It includes educating patients, families, caregivers, and health professionals; reporting changes in condition; supervising other nursing team members; attending patient deaths; and providing bereavement support in coordination with psychosocial staff. During emergencies, the Triage RN may be required to report to a designated location earlier than scheduled and stay overnight as needed to maintain continuity of services. The role may involve cross-training to hospice house or field positions at some locations. Employees working at PACE must complete the specified Alzheimer’s disease and related dementias training. The position requires a flexible schedule to meet Hospice House patient needs and the ability to perform the physical demands of the job, with or without reasonable accommodation.

Requirements

Current RN license in the state where the employee will work.
Active BLS certification for healthcare professionals from the American Heart Association or Red Cross.
Previous experience working with an EMR/EHR system.
Valid driver’s license and automobile insurance in accordance with Company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Flexible schedule to meet the needs of Hospice House patients.
Ability to manage the emotional stress of caring for terminally ill patients and their families.
Ability to physically access patient rooms and other areas of Hospice Houses, hospitals, assisted living facilities, and homes, including navigating stairs and narrow spaces and tolerating heat or lack of air conditioning.
Ability to perform the essential functions and physical requirements of the job, including lifting patients or equipment, bending, pushing, pulling, and kneeling, with or without reasonable accommodation.
Ability to see, hear, talk, walk, and use hands to finger, handle, or feel; frequently stand, sit, reach, lift, bend, and balance; and occasionally pull, push, stoop or crouch, kneel, and climb stairs.
Employees working at PACE must have completed Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
Eligibility verification through the Florida Care Provider Background Screening Clearinghouse for employees performing services for Florida affiliates, after a conditional offer and on an ongoing basis.

Nice To Haves

Minimum one year of nursing experience; hospice or hospital experience is preferred.

Responsibilities

Assess and identify patient and family needs using the nursing process, and provide palliative and supportive care.
Provide and manage direct patient and family care as part of the IDG, incorporating relevant psychosocial, spiritual, cultural, physical, and biological components.
Coordinate and update an individualized Plan of Care to reflect the patient’s evolving needs.
Complete clinical admissions, including explaining services, addressing concerns and barriers, educating patients and families, obtaining consents and physician orders, completing initial assessments, and documenting according to policy.
Initiate skilled nursing interventions to prevent complications, alleviate symptoms, and maximize physical and emotional comfort.
Act as the Company representative at assigned facilities and facilitate referrals to Company service lines; communicate with Admissions to ensure timely follow-up and prepare for subsequent assignments.
Provide timely clinical communication using SBAR and discuss potential needs with after-hours staff.
Obtain medical record information for referrals and arrange safe, efficient discharges for referred and eligible patients.
Build relationships with facility case managers, physicians, and others; work with Professional Relations Representatives to provide education about available services.
Provide care for general inpatient hospice patients in hospitals, including daily visits, professional management, documentation, and efficient discharge.
Educate patients, families, caregivers, and other health professionals about disease progression, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patient condition to appropriate IDG members or other health professionals and participate in evaluating referral and admission level-of-care appropriateness.
Attend patient deaths, prepare bodies for transport, oversee medication disposal, and provide appropriate bereavement interventions with psychosocial staff.
Present concise oral and written reports to the IDG, encourage input from all disciplines, and communicate accurately with physicians, staff, patients, families, and supervisors.
Supervise care delivered by other nursing team members, including LPNs, Hospice Aides, and contract nurses.
During emergencies, report to a company-designated location as required, potentially ahead of schedule and with overnight stays.
Meet competency requirements and perform other duties as assigned.
Represent the Company professionally; comply with applicable regulations and Company policies; maintain confidentiality; observe health, safety, and security practices; and use resources responsibly.
Participate in community and professional organizations, performance improvement, Quality Assessment and Performance Improvement activities as appropriate, research and educational activities, and ongoing professional and electronic media skill development; share expertise with coworkers.