RNII After Hours Nurse

Hospice Registered Nurse

This position is open to internal applications only.

Hospice of the East Bay (HEB) is a community-based nonprofit hospice and palliative care organization that has been serving patients and families with compassion and dignity for nearly 50 years. We provide hospice and palliative care in patients' homes and in our six-bed inpatient hospice facility, ensuring every patient receives exceptional care wherever they are most comfortable. Our interdisciplinary team works together to support not only our patients but also their loved ones, offering bereavement services for a minimum of one year after a loss. Through our sponsored care program, we remain committed to providing care regardless of a patient's ability to pay.

At Hospice of the East Bay, our employees are at the heart of everything we do. We are proud to have been certified as a Great Place to Work for the past six consecutive years, reflecting our supportive culture, collaborative teams, and shared commitment to making a meaningful difference every day.

Position Summary:

Under the direction of the attending physician and Medical Director (or Hospice Physician, Nurse Practitioner) and in conjunction with the interdisciplinary group, the main role of a Registered Nurse (RN) is providing direct nursing care and coordinating related assistance for patients and families. Although the RN reports to a primary manager, HEB expects the RN may work in more than one program or department. Assignments are given that best meets the needs of our patients.

After Hours: Reporting to the Team Manager, the RN is responsible for making home visits, identifying, and coordinating patient/family care needs during weeknights and weekends. Participate in Triage Nurse Rotation in the absence of Lead Triage Nurse.

Hospice nursing services include:

• Assessing all aspects of the patient's pain and developing an individualized pain management plan.
• Anticipating, preventing and treating undesirable symptoms or secondary symptoms
• Identifying and addressing comfort care needs.
• Supporting, instructing and educating the patient, family and caregiver. Coordinating all patient and family services and community resources as needed.
• Documenting problems, nursing assessments, appropriate goals, care provided, care interventions and patient and family outcomes achieved from intervention and care provided.
• Maintaining the dignity, confidentiality and privacy of the dying patient.
• Supporting the patient's unique spiritual and cultural beliefs.
• Providing holistic, family-centered care across treatment settings to improve the quality of life.
• Consulting and collaborating with the interdisciplinary team and others involved in the patient's care.
• Attending and presenting appropriate patient-related information at the Interdisciplinary Team Meetings that focuses on open care plan problems.
• Updating the comprehensive assessment and patient's progress towards desired outcomes at least every 15 days.
• Reassesses patient's response to care.
• Completing patient-related documentation within 2 hours of the shift worked.
• Adhering to and complies with state and federal regulations, as well as accreditation standards.
• Providing patient and primary caregiver education/training, as appropriate, for care and services identified in the plan of care.
• Adhering to evidence based standards of practice that are endorsed by the agency.

Other Case Management Responsibilities:

• Communicating with Team Manager as appropriate regarding patient acuity, scheduling, workload, and difficult situations.
• Completing necessary records, reports and documentation in a timely manner according to agency requirements.
• Following the agency's process for effective "hand off" communication.
• Participating in educating new staff members as assigned by the Team Manager.
• Supervising performance of Home Health Aide.
• Overseeing Volunteers in the home.
• Attending appropriate in-services held for Hospice East Bay staff.
• Participating, as requested, in QAPI activities.
• Initiating and ongoing monitoring of medication reconciliation processes according to Medicare and accreditation standards.

Position Requirements:

Must have the ability to perform a complete nursing physical assessment, develop a comprehensive care plan and respond to the needs of patients and families in the home setting, which include SNF, RCFE/Board & Care. Must be able to cope with patient/family emotional stress and be tolerant of individual lifestyles without judgment. Must have ability to establish professional boundaries and maintain cooperative relationships with professionals. Must demonstrate excellent interpersonal communication skills, customer service skills, initiative, dependability, and good judgment. Must be able to work collaboratively as part of an interdisciplinary team, as well as independently, and problem solve in a crisis situation. Must take (and pass with 85% or more) a medication calculation competency exam annually. Demonstrates clinical competency as observed during supervisory visit.

Experience and Education:

• Current California Registered Nurse License required
• A minimum of one year of experience working as a licensed nurse
• CPR certification required
• Must have current California Driver's License and a car in good working condition
• Prior experience in hospice and/or home care preferred
• Hospice and Palliative Care Nurse Certification highly desirable

Employee Benefits:

• 403(b) retirement plan with generous company match
• Medical, dental, and vision coverage, with HSA-eligible plans available
• Up to 27 days of PTO and paid holidays
• Mileage reimbursement at the IRS rate
• Tuition reimbursement
• Life insurance
• Pet insurance and employee discount programs
• Employee Assistance Program (EAP)
• A collaborative, mission-driven team that truly cares

4:00pm-12:30am 5 shifts per week; every other weekend.