Hospice Home Care Nurse (RN) - Nights

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Hospice Nurse, RN (Admissions)
Full-Time Smithfield, NC, US
3HC Home Health and Hospice
Hospice Nurse, RN
Full-time

Compassionate Care is our Calling!
3HC has provided compassionate care to North Carolinians since 1981. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best.
The Hospice Nurse, RN is responsible for the coordination of all Hospice services in counties assigned in accordance with the Hospice philosophy, Agency goals, objectives, and policies.
Registered Nurse currently licensed to practice nursing in the state of North Carolina
Minimum of one-year experience as a professional nurse in an acute care setting preferred
Evidence of leadership qualities
Ability to understand and communicate well with patients, family, staff, physicians, and the public
Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized plan of care
Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Provides comfort to patient/family to facilitate quality of life and death with dignity: (a) provides skilled nursing care as outlined in the physician's plan of care, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. State Board of Nursing; (b) responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit. (c) Plans, coordinates, provides and directs the delivery of compassionate, quality patient care. (d) actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education. (e) Provides continuity of care to all hospice patients. (f) Assist the interdisciplinary team in the development and implementation of the patient/family care plan (g) Refers hospice patients to other services as needed. (h) Provides end of life care as outlined in plan of care and policy and procedures. i) Participates in QAPI and QI projects as requested. (Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need.
a) ensures complete documentation on an ongoing basis supporting Hospice guidelines & COPs. (Ensures that the physician and/or Hospice Medical Director is involved ongoing with the patient's care: (a) reports to the physician/or Hospice Medical Director and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician and/or Hospice Medical Director concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order/plan of treatment will sign orders.
Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act, (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed (b) supervises and evaluates the care given at least every 14 days, and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
Rotates weekday, weekend, and holiday "on-call" and "back-up call". During low hospice census: (a) covers visits in other offices as assigned by supervisor (b) makes home health visits, (c) visits referring hospice physicians for marketing, and (d) visits nursing homes and talks with administrators, (e) acts as a resource person for the community on the Hospice Program if needed, and (f) ensures referrals are evaluated timely with a NPU rate of less than 6%.
a) communicates problems of the patient(s) on a timely basis following chain of command, (b) communicates information using current process and technology available to 3HC, (c) coordinates hospice care with Director of Clinical Practice/Assistant Clinical Director and the IDG team.
b) obtains verbal orders from Hospital, MD and attending within 48 hours of SOC; and (c) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care and management, including preauthorization and re-authorizations for insurance.
Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, hospice's quality assessment and performance improvement program, the intra-disciplinary team in the development and implementation of the patient/family care plan, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (c) attends agency mandatory in-services, hospice sponsored in-service training/continuing education seminars, IDG and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
Notify attending physicians, staff members and family members of patient deaths when they occur.
The hospice nurse floater is not required to take on call hours.
Hospice, RN FLOATERS : On-call for base office per office need/rotation
HH&HOSPICE NURSE, RN BAYLOR: (a) is responsible for working from 5pm Friday - 8am Monday; (b) provide specialized hospice training to other staff, family members and informal caregivers to insure adequate care; (c) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR (d) ensures complete documentation on an ongoing basis supporting hospice guidelines and COPs; (e) provides regular supervision to Licensed Practical Nurses and paraprofessional who are providing services to the patient according to CMS/HOSPICE guidelines; (f) turns in all paperwork to designated person in the office by 5:00pm on Monday and communicates laptop daily Saturday and Sunday. Makes verbal/written report of new admissions and ER visits to primary nurse Sunday night or Monday morning between 8am-9am; (HH&HOSPICE NURSE, RN EVENING: (b) covers on-call for clinical office Monday-Thursday and (c) visits done after 11pm will be paid at over quota rate and not considered part of quota.
Hospice Admissions Nurse: Provide hospice admissions or tuck-ins; (a) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR; (b) ensures complete documentation on an ongoing basis supporting HH/hospice guidelines and COPs; (c) turns in all paperwork to designated person in the office next day as needed and communicates ipaddaily. Makes verbal/written report of new admissions and ER visits to primary nurseas needed completed(d) collaborates with supervisor to meet assigned productivity standard; (f) on-call per needs of the office.
Demonstrates an interest in personal and professional growth for self and staff: (Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.
All applicants will be considered for employment without attention to race, color, religion, sex or sexual orientation, age, marital status, gender identity, national veteran or disability status.
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