RN, PRN

**It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!****When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!**The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications:* Current license as RN in the state where the employee will be working* Active BLS for healthcare professionals from the American Heart Association or Red Cross.* Minimum one (1) year nursing experience in hospice or hospital experience preferred* Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system* Mobile Driver - Valid driver’s license and automobile insurance per Company policy* Reliable transportation to meet visit schedule* Ability to use equipment with visual and auditory mechanisms* Ability to effectively communicate in English (verbal and written)* Flexible schedule to meet the needs of Hospice House patients* Ability to manage the emotional stress of working with and caring for terminally ill patients and their families* Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area* Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation* Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs.Some locations may require:* Cross training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing* Completes clinical admissions for all Company services including, but not limited to: ○ Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner ○ Identifies admission objections, concerns or other entry barriers and provides responses ○ Educates patient/family on admission requirements and addresses immediate needs○ Completes informed consents and initial assessment according to regulations and Company policy ○ Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs○ Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort* Obtains Physician orders ○ Completes documentation per Company policy* Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.* Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.* Provides all necessary clinical communication timely using SBAR.* Discusses any potential needs with after-hours staff.* Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.* Obtains medical record information for the referral.* Develops strong relationships with case managers, physicians, etc. at facilities.* Works with Professional Relations Representatives (PRRs) to provide education on all available services.* Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.Competencies:* Satisfactorily complete competency requirements for this position.Responsibilities of all employees:* Represent the Company professionally at all times through care delivered and/or services provided to all clients.* Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.* Comply with Company policies, procedures and standard practices.* Observe the Company's health, safety and security practices.* Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.* Use resources in a fiscally responsible manner.* Promote the Company through participation in community and professional organizations.* Participate proactively in improving performance at the organizational, departmental and individual levels.* Improve own professional knowledge and skill level.* Advance electronic media skills.* Support Company research and educational activities.* Share expertise with co-workers both formally and informally.* Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.Job Responsibilities:* Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.* Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.* Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.* Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.* Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness.* Attends patient deaths; prepares body for transport; oversees disposal of medications.* Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.* Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines.* Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.* Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).* During times of emergencies (i.e. Hurricanes, etc.), the Triage RN may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.* Performs other duties as assigned.Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.):While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel.Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance.Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.**Compensation Pay Rate:**$47.00**This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.****All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. 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