Triage On Call LPN or RN

Ohio Living•Toledo, OH

About The Position

The On Call/After Hours LPN or RN responds to clinical and non-clinical situations outside normal business hours, including evenings, nights, weekends, and holidays. The role provides skilled nursing assessment, interventions, and supportive care for hospice and home health patients and their families, following each patient’s plan of care and applicable company, federal, state, and local standards and regulations. The position triages calls from patients and caregivers, assesses and communicates patient needs and changes in condition, and makes timely home or facility visits. It collaborates with nurses, physicians, and care teams; supports symptom and pain management; provides education to patients and families; and helps ensure timely medication administration and delivery within the LPN scope of practice. The role also documents care, maintains regulatory and HIPAA compliance, supports chart audits and quarterly measures, and contributes to coordinated patient and family care.

Requirements

  • Current, unencumbered Ohio license to practice as an LPN or RN.
  • Three years of experience in acute care, medical-surgical, oncology, or geriatric nursing.
  • Proficiency with Windows, Microsoft Office (Word, Excel, and PowerPoint), and the internet.
  • Ability to read, write, speak, and understand English.
  • Valid driver’s license and acceptable driving record.
  • Must be insurable under professional liability and crime coverage policies according to insurance carrier underwriting standards.

Nice To Haves

  • Experience in a Medicare-certified home health and hospice agency.
  • Proficiency with electronic medical records (EMR).

Responsibilities

  • Triage calls to the hospice and home health agencies from patients and caregivers; identify patient needs and follow the comprehensive care plan and approved protocols.
  • Make timely home or facility visits to observe and report changes in patient condition, review and contribute to the plan of care, and collaborate with an RN or physician on plan modifications.
  • Communicate changes in patient condition and care needs to healthcare providers, families, and the appropriate hospice or home health team in a timely manner.
  • Apply knowledge of pain management and symptom control; educate patients and families about care, disease processes, symptoms, pain management, and signs and symptoms of death.
  • Administer and evaluate medications, manage medication orders, and arrange timely medication delivery within the LPN scope of practice.
  • Attend Hospice Interdisciplinary Group meetings and communicate triage and patient-care information to the hospice and home health teams.
  • Provide excellent service to internal and external customers and promptly inform clinical supervisors, the Administrator, and/or Executive Director of high-risk or critical issues.
  • Document patient and family care and treatment in electronic devices and paper or chart records, following applicable standards and regulations.
  • Maintain knowledge of and comply with regulatory, accreditation, payer, and HIPAA requirements; stay current with home health, hospice, and palliative care standards.
  • Conduct chart audits and compile quarterly measures.
  • Collaborate with hospice and home health teams and physicians to address the comprehensive needs of patients, caregivers, and families.
  • Collaborate with other disciplines and direct caregivers or family members in carrying out plan-of-care changes based on RN delegation.
  • Perform other duties as assigned.
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