Day Shift Hospice Visit Nurse (RN)

Hosparus Group•Louisville, KY

8h•Onsite

About The Position

The Visit Nurse (RN) is responsible for conducting and documenting thorough nursing assessments, identifying variations from baseline patient status, and evaluating care, treatment, and services. This role involves identifying patient and family educational needs, utilizing knowledge of Hosparus Health Patient Care Guidelines and Clinical Protocols, and collaborating with physicians regarding care and treatment. The nurse develops and revises the Plan of Care, initiates and revises CNA plans, and supervises CNA care. Key responsibilities include demonstrating clinical competency in symptom and pain control, palliative care, preparing patients and caregivers for discharge and the dying process, and evaluating medical eligibility criteria. The role also requires clear communication with team members, coordination of care with support staff and interdisciplinary teams, and effective problem-solving. The nurse will communicate with community partners and referral sources, participate in on-call rotations, and work towards effective, cost-efficient care. Responsibilities include assuming responsibility for preauthorization of external services, completing medication reconciliation, collaborating with management on duties and coverage, and timely point-of-service documentation. The nurse must achieve organizational standards for visits per week, visit length, and documentation timeliness. Additionally, the role requires knowledge of hospice admission criteria, the ability to communicate the hospice philosophy, and conducting admission visits to assess patient needs and medical eligibility. The Visit RN serves as a professional role model and may act as a nurse preceptor.

Requirements

RN with current RN licensure in the state of Kentucky and/or Indiana as required by designated position, or the ability to obtain required license/s upon offer of position.
Must have a valid driver’s license.

Nice To Haves

BSN desired.
Certification in hospice/palliative care preferred.
One year of nursing experience preferred.
Knowledge of palliative care helpful.
Use of technology-based tools, including electronic medical record, strongly preferred.

Responsibilities

Conducts/documents a thorough nursing assessment that identifies variations from baseline in patient status including risk factors.
Assesses the need for, and evaluates all care, treatment, and services.
Identifies educational needs of the patient and family.
Utilizes knowledge of Hosparus Health Patient Care Guidelines and Clinical Protocols in the development of nursing interventions.
Communicates and collaborates with the patient’s attending physician if applicable, regarding care and treatment.
Develops initial Plan of Care for the interdisciplinary team and/or reviews/revises POC as patient status changes and/or per regulatory requirements, driven by needs identified as significant by patient and family.
Initiates, reviews, and revises CNA plan of care based on patient status.
Supervises the delivery of CNA care.
Demonstrates clinical competency in principles of symptom control, pain control, and palliative care.
Prepares patients and caregivers adequately for discharge from hospice care when appropriate.
Prepares family and caregiver for the dying process, including signs and symptoms of impending death and notification of Hosparus Health at the time of death.
Consistently evaluates medical eligibility criteria of patient as well as goals and related interventions to the plan of care.
Communicates clearly, concisely and in a timely manner with team members.
Coordinates care of patient/family with support staff as well as other team members as necessary.
Collaborates with team members, including Hosparus Inpatient Care Center staff, Bereavement staff and others, to assure coordination in delivery of care.
Demonstrates collaborative and collegial relationships with interdisciplinary teams, support departments such as Customer Support and Scheduling, Preauthorization team, and others to assure coordination and continuity of care and services.
Mediates and solves problems effectively.
Communicates with all community partners and referral sources, as well as with families in a positive manner, consistently seeking win-win solutions.
Demonstrates commitment to patient care by participating in on call, weekend, evening, and holiday rotations.
Works with interdisciplinary teams to assure effective, cost efficient care.
Participates in the evaluation of department functions, identifying trends and areas for improvement as appropriate.
Assumes responsibility for preauthorization of all patient care, treatment and services delivered by external providers.
Completes medication reconciliation at all visits comparing EMR profile to pharmacy profile and medications present in the home or facility.
Collaborates with the Clinical Supervisor/Manager/Director to assure completion of duties, on-call as applicable, scheduling and arranging coverage for all areas of nursing service.
Completes point of service documentation in a timely manner.
Consults with manager for questions and concerns regarding urgent needs/issues that arise.
Achieves organizational standards for individual measures of success as defined by community leaders (visits per week, length of visit and timeliness of documentation).
Demonstrates knowledge of hospice admission criteria and is able to communicate the hospice philosophy in providing information to patients and families, referral sources and the public.
When conducting admission visit meets with patient/family to identify needs and offer hospice solutions, assesses the patient to ensure medical eligibility for hospice care, reviews relevant medical records, assessing for the documentation to support medical eligibility.
Serves as a professional role model by providing individual expertise, knowledge and skills.
Assumes the role of nurse preceptor.