Hospice Weekend Night Triage Registered Nurse

Registered Nurse Case Manager

Patriot Hospice is a rapidly growing, quality focused, family owned and operated local home health hospice network looking for a Registered Nurse Case Manager to join our team! Territory: We are looking to fill roles in Mahoning, Trumbull, and Columbiana counties. Business hours: M-F, 8am-4:30pm. Working hours for this role: Saturday 8:00pm-Sunday 8:00am / Sunday 8:00pm-Monday 8:00am (24 hours per week). Patriot is veteran owned and family operated.

Why Patriot?

• Patriot At Home is a place where you can directly make an impact in your community while also thriving personally and professionally! We recognize family as the cornerstone of our company, and want you to be part of a team that values your contributions and well-being.

We value our families and community:

• On call not mandated
• Flexible schedule
• Paid time off
• Burnout time
• Hardship program- program to support staff during challenging times
• Patriot Cares- nonprofit for community outreach

How we support you professionally:

• This position is paid at a competitive hourly rate, with additional earning potential available through opportunities to pick up visits at our Per Diem rate
• Mileage reimbursement for any company travel
• Company 401K with 4% company matching

As a Hospice Triage Registered Nurse, you will:

• Answer incoming calls from hospice answering service, families, caregivers, facilities, physicians, and field staff.
• Perform comprehensive telephone triage and assess changes in patient condition, symptoms, pain, medication concerns, and psychosocial needs.
• Determine the appropriate level and urgency of care based on the patient's condition and hospice plan of care.
• Provide education, reassurance, and clinical guidance to patients and caregivers within the scope of hospice practice.
• Escalate urgent or complex clinical concerns to the hospice medical director, provider, or appropriate clinical administrator on call.
• Recognize situations requiring an in-person visit, increased level of care, emergency intervention, or other appropriate action.
• Document all triage calls, assessments, interventions, and follow-up recommendations accurately and timely.
• Serve as a clinical resource and support for nurses and other field clinicians throughout the shift.
• Direct field nurses to patient visits based on acuity, geographic considerations, staffing, and patient needs.
• Coordinate PRN, urgent, and symptom-management visits.
• Communicate changes in patient status and care priorities to the appropriate members of the interdisciplinary team.
• Assist field staff with clinical questions, symptom management, medication concerns, and care-plan interventions.
• Receive and coordinate new hospice referrals from hospitals, physicians, facilities, agencies, and other referral sources.
• Obtain and review clinical information to determine appropriateness for hospice evaluation in collaboration with the appropriate clinical leadership and/or medical director.
• Coordinate hospice evaluations and admissions with patients, families, facilities, referral sources, and field clinicians.
• Communicate referral information and patient needs to the appropriate admissions/evaluation nurse.
• Ensure necessary clinical documentation and information are obtained for timely processing of referrals.
• Track referrals and follow up on pending admissions to support timely conversion and continuity of care.
• Ability to work independently and make appropriate clinical decisions within the scope of practice.
• Strong organizational skills and attention to detail.
• Proficiency with electronic medical records and standard computer systems.
• Compassionate, professional, and patient-centered approach to end-of-life care.
• All other duties as assigned.

Qualifications:

• Must be a graduate from an accredited School of Nursing
• Must be licensed in the State as a Registered Nurse
• One or more years of experience in hospice preferred
• Must have knowledge of Medicare and Medicaid guidelines
• Must have a criminal background check
• Must have a current CPR (BLS) certification

Job Conditions:

• Must have a driver's license and be willing and able to drive to patient's residences
• The ability to access patients' homes which may not be routinely wheelchair accessible is required. Hearing, eyesight, and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care
• Physical activities will include walking, sitting, stooping, and standing and minimal to maximum lifting of patients and turning of patients
• Second and third back up RN available while working

*This position is paid at a competitive hourly rate with the opportunity to earn extra money by picking up visits at our Per Diem rate*

We cannot wait for you to join our team! Patriot Homecare is an Equal Opportunity Employer.