Registered Nurse PRN Weekends Home Health/ Hospice

The position will be responsible for oversight and coordination of patient care for assigned hospice patients and for providing skilled palliative care to hospice patients. Applicants should have excellent observation, clinical and interpersonal skills and have good nursing judgment. Position will work closely with established hospice team to ensure appropriate patient care and outcomes. Under the Oklahoma Medical Marijuana and Patient Protection Act, (The Unity Bill) this position is considered a Safety-sensitive position. Safety-sensitive is defined to include any job that includes tasks or duties that could affect the safety and health of the employee performing the task or others. Employees working in safety-sensitive roles are subject to this exception and subject to disciplinary action in the event of a positive test for marijuana or its metabolites.
Delivers service/ visits to assigned patients and performs direct care in various settings, ensuring all needs and goals are being addressed.
Perform and execute the RN duties associated with hospice plan of cares.
Perform admission visits, regular skilled nursing and supervisory visits, hospice evaluations, imminent visits as well as on-call and prn visits as assigned.
Maintains and completes patients medical record in accordance with agency standards.
Participate in education programs to learn new treatments, procedures, developmental skills, etc., Perform supervisory visits to patients and re-evaluate patients nursing needs.
May be assigned to perform home health aide supervisory visits.
Performs monthly supervision of any LPNs assigned to the designated team.
Provide and/or participate in and support all levels of hospice care i.e. routine, respite, continuous, in-patient and imminent visits.
Accurate reflecting good nursing judgment, and as scheduled.
Weekend notes completed by 10:00 the following Monday.
All initial documents completed and signed.
Acceptable meeting acceptable Medicare standards as explained and documented in the Cohesive Hospice Policy and Procedure Manual.
Paints accurate picture of patient clinical presentation and documents need for ongoing hospice care and or clinical stability per Medicare requirements and initiates discharge meet expectations as defined by supervisor or management.
Attends case conferences and care coordination meetings with various healthcare partners including nursing homes, assisted living centers and hospitals to ensure avoidance of duplication of services and care coordinated to meet patient specific goals.
As a case manager, be wholly responsible for patient hospice care and support the need to work irregular hours as needed to perform nursing and case management duties.
Perform job in accordance and compliance with policies, procedures, supervisory expectations, and other directives as defined by leadership.
Provide all documents for up-to-date personnel files in a timely manner as requested by the Agency in order to continue being scheduled for visits.
Respond to emergencies and to standby until able to contact Supervisor / Manager.
Communicate effectively with care coordination team. E.g. facility staff, physicians, pharmacy, case team, supervisors, etc.
Educate patients and caregivers on disease processes, goals, and rehabilitation as outlined by Medicare and defined by Cohesive Hospices policies and procedures.
Initiate appropriate preventive and rehabilitative nursing procedures.
May be required to rotate through as visit-on-call nurse and make visits on weekends and holidays.
Teach other personnel hospice procedures.
Attend meetings involving Cohesive Hospice when requested to do so.
Abide by laws, rules and regulations which govern hospice and work environments e.g. non-discriminatory work environment.
Contact with a variety of housing conditions required.
Must be flexible to adjust to changing tasks frequently.
Able to communicate verbally and in writing to the extent required by the position.
Able to travel.
Light to moderate physical activity required, including possible lifting to 50lbs, and turning of adult clients.
Currently licensed to practice as a Registered Nurse in the State of Oklahoma.
At least 2 years hospice experience as an RN preferred.
Certification in Hospice and Palliative Nursing a huge plus.
Must be flexible to adjust to changing tasks frequently.
Must have a valid drivers license, reliable vehicle, maintain valid auto liability insurance, and be able to drive throughout service area under a variety of weather conditions.
Three to five years related experience and/or training; Hospice experience preferred
Current auto insurance verification
Currently licensed to practice as a Registered Nurse in the State of Oklahoma.
fosters high performance; Process Improvement Applies process improvement methods and techniques; assists in data collection; identifies processes for improvement in daily work; Environment Of Care Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment.
Infection Control Applies hand-washing principles during daily work; recognizes signs and symptoms of infection and complies with the employee health program; maintains personal hygiene; Information Management Enters or records data timely and accurately; protects data against loss or destruction; LANGUAGE SKILLS
English is the primary language of the facility. Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers, and the public.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals.
Ability to define and solve problems, interpret data, establish facts and draw valid conclusions.

COMPUTER SKILLS

To perform this job successfully, an individual should have knowledge of word processing software and spreadsheet software as well as Point of Care systems. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Reasonable accommodation may be provided to enable individuals with disabilities to perform the functions. Reasonable accommodation may be provided to enable individuals with disabilities to perform the functions. The employee may be exposed to some hazards such as radiation, bodily fluids that may contain disease, and fumes from laboratory chemicals. The employee may be required to travel frequently.
All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship.