Hospice RN

Job Title/Position Hospice RN Registered Nurse Case Manager Reports To Director of Clinical Services Location Helena, Montana Compensation and Benefits $5,000 sign‑on bonus. Pay rate: $35–$41 per hour with additional on‑call pay. Benefits, PTO, and a flexible schedule. Health Insurance Dental Insurance 401(k) Retirement Plan 100% match up to 4% No vesting period Paid Time Off (PTO) Accrual of PTO starts immediately Flexible Work Schedule with Work/Life Balance Stillwater University for learning and development Job Description Summary The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education and experience. The professional nurse builds from community resources to plan and direct services to meet the needs of individuals and families within their homes and communities. Essential Job Functions / Responsibilities Patient Care Completes an initial, comprehensive, and ongoing assessment of patient and family to determine hospice needs, providing full physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of the nursing process as defined in the state Nurse Practice Act. Assesses and evaluates patient status by writing and initiating a plan of care, regularly re‑evaluating patient and family/caregiver needs, and participating in revising the plan of care as necessary. Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals based on nursing diagnosis and incorporates palliative nursing actions, including the patient and family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures and administers medications and treatments as prescribed by the physician. Counsels the patient and family to meet nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with activities of daily living and facilitates the patient’s efforts toward self‑sufficiency and optional comfort care. Acts as case manager when assigned by the clinical supervisor and assumes responsibility to coordinate patient care for the assigned caseload. Communication Completes, maintains, and submits accurate and relevant clinical notes regarding patient condition and care given, recording pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains and receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self‑care techniques as appropriate, provides medication, diet, and other instructions as ordered by the physician, and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Additional Duties Participates in on‑call duties as defined by the on‑call policy. Ensures arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in‑service classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. Position Qualifications Graduate of an accredited school of nursing. One to two years of recent acute care experience in an institutional setting, and one to two years of recent experience in home care. Current licensure in the state. Must be a licensed driver with an insured automobile in good working order. Bachelor’s degree, with one year of hospice care experience preferred. Management experience not required. Responsible for supervising hospice aides. Excellent observation, verbal, and written communication skills, problem‑solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing; able to lift, position, and/or transfer patients; able to lift supplies and equipment; considerable reaching, stooping, bending, kneeling, and/or crouching; visual acuity and hearing to perform required nursing skills. #J-18808-Ljbffr