Jobs in Climax North Carolina

Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11)

SAME MISSION, NEW DRIVE!

You love protecting your community and doing your part to keep our nation safe. But maybe you’re looking for a change of scenery?

USBP is hiring immediately for full-time, career positions, where your prior law enforcement officer (LEO) experience may qualify you for higher-graded Border Patrol Agent (BPA) opportunities. Continue making a difference with the nation's premier federal agency charged with securing our borders and protecting our country. 

Whether you gained this experience as part of a military police unit or as a member of a state or local law enforcement organization, you have an opportunity to work with highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission.

Check out the duties and responsibilities section below, along with the qualifications section to see if you are eligible. Now is the time to make your move, along with excellent base pay, location pay, exceptional benefits, and job stability, USBP is offering up to $60,000 in additional incentives to newly appointed Agents (see details below).

DON’T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.   

U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates’ first-choice preferences. Relocation may be required.

U.S. Customs and Border Protection (CBP) is hiring immediately for these full-time, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits:

Salary for newly appointed law enforcement Border Patrol Agents varies from:

Base Salary: GL-9/GS-11, $63,148 - $120,145 per year

Locality Pay: Varies by duty location.

              Overtime Pay: Up to 25%

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression from GL-9 to GS-11 to GS-12. You will be eligible for a promotion to the next higher grade level (without re-applying) once you successfully complete 52 weeks in the lower grade level.

All Border Patrol Agents may select from an array of federal employment benefits that include health and insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan that is similar to traditional and ROTH 401(k) offerings.

*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102) will be offered up to a $20,000 incentive. The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location.  Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duty Locations: You will be asked to select your preferred location for one of the following mission critical locations:

• 
  
• Big Bend Sector Stations - *Presidio, Van Horn, *Sanderson, Alpine, *Sierra Blanca, Marfa
  
• Buffalo Sector Stations - Wellesley Island
  
• Del Rio Sector Stations - Del Rio, Brackettville, *Comstock, Eagle Pass North, Eagle Pass South, Carrizo Springs, Uvalde
  
• El Paso Sector Stations - Alamogordo, Clint, Deming, El Paso, Fort Hancock, Las Cruces, *Lordsburg, Santa Teresa, Ysleta
  
• El Centro Sector Stations - El Centro, Indio, Calexico
  
• Grand Forks Sector Stations - Pembina
  
• Havre Sector Stations - Havre, Malta, Plentywood, Scobey, Sweetgrass
  
• Houlton Sector Stations - Calais, Fort Fairfield, Jackman, Rangeley, Van Buren
  
• Laredo Sector Stations - Laredo South, Cotulla, *Hebbronville, Laredo West, *Freer, Laredo North, Zapata
  
• Rio Grande Valley Sector Stations - Rio Grande City, Fort Brown, McAllen, Brownsville, Falfurrias, Weslaco, Kingsville, Harlingen
  
• San Diego Sector Stations - Boulevard, Brownfield, Campo, Chula Vista, Imperial Beach, Murrieta, San Clemente
  
• Spokane Sector Stations - Colville, Curlew, Metaline Falls, Oroville
  
• Swanton Sector Stations - Beecher Falls, Burke, Champlain, Newport, Richford
  
• Tucson Sector Stations - *Ajo, Tucson, Nogales, Douglas, Brian A Terry, Sonoita, Casa Grande, Three Points Substation, Willcox
  
• Yuma Sector Stations - Blythe, Yuma, Wellton
  

Duties and Responsibilities:

As a BPA, you will be part of our 60,000+ workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation’s economic prosperity. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• 
  
• Detecting and questioning people suspected of violating immigration and customs laws and inspecting documents and possessions to determine citizenship or violations.
  
• Preventing and apprehending aliens and smugglers of aliens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations.
  
• Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband.
  
• Performing farm checks, building checks, traffic checks, city patrols, and transportation checks.
  
• Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.
  

Qualifications:

GL-9: You qualify for the GL-9 grade level if you possess one (1) year of specialized experience, equivalent to at least the next lower grade level, performing duties such as:

• 
  
• Performing physical searches of detained individuals, their vehicles, and their immediate surroundings for weapons, contraband, currency, and other evidence.
  
• Apprehending, physically restraining, or working with law enforcement officials to identify or apprehend violators of state, federal, or immigration laws.
  
• Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants, subpoenas, etc.), and gathering evidence for criminal cases prosecuted through the court system.
  

If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GS-11 grade level.

GS-11: You qualify for the GS-11 grade level if you possess one year of specialized experience equivalent to at least the next lower grade level, with the authority granted by the state or government to enforce laws, make arrests, and investigate crimes, performing primary duties in an official law enforcement capacity such as:

• 
  
• Utilizing intelligence information to track illegal operations, criminal activity, threats to our nation, and/or contraband while serving as a state, federal, or military law enforcement official.
  
• Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or illegal operations to determine sources and patterns while serving as a state, federal, or military law enforcement official.
  
• Apprehending violators of state, federal, or immigration laws by utilizing various forms of complex technology that include surveillance, detection, situation awareness systems, and/or communications equipment.
  

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

There are no education substitutions for the GL-9 or GS-11 grade-level Border Patrol Agent opportunities.

Other Requirements:

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (including protectorates as declared under international law) for at least three of the last five years.

Age Restriction: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions. Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03. The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

Veterans’ Preference: You may also be eligible for an excepted service Veterans’ Recruitment Appointment (VRA). The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training: After you are hired, you will be detailed to the U.S. Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement, and USBP-specific operations, driver training, physical techniques, firearms, and other courses. Border Patrol work requires the ability to speak and read Spanish, as well as English. Border Patrol Agents will be provided training to become proficient in the Spanish language at the Academy.

How to Apply:

Click the Apply button on this site. You will be linked to the CBP Talent Network registration page. For Position of Interest, select Border Patrol Agent, and then complete the pre-screening questions.

You’ll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government’s official employment site, to complete your application. Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit. You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam.

If you have questions about the application process, contact a recruiter through the U.S. Border Patrol page: /s/usbp.

NOTE: As a subscriber to the CBP Talent Network, you’ll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.

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Make $230,000 - $240,000/yearly.

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PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin

PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin

PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin

PRIMARY JOB DUTIES

  1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.             

  2.  Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.

  3.  Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
 

  4.  Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
 

  5.  Demonstrates positive interpersonal relations in dealing with all members of the agency.
 

  6.  Effectively demonstrates the mission, vision and values of the Agency on a daily basis.

1.0 45% QUALITY OF WORK

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by:

• Assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs.
• Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients’ needs change.
• Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care.
• Managing all aspects of the patient’s plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members.
• Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill.

1.2 15%

Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team.

• Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team.
• Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate.
• Performs and reports assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner.
• Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient’s care, and any other information pertinent to the care of the patient.
• Provides supervision of patients’ assigned LPN and CNA, in accordance with Medicare guidelines and agency policy.
• Attends and participates in regularly scheduled interdisciplinary group meetings.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.

1.3 10%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record.
• Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion.
• Completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Documents all physician orders received within the EMR.
• Consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care.
• Maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care.
• Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care.
• Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the provision of 24/7 on-call nursing services.
• Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training.
• Actively participates in quality assessment performance improvement teams and activities.

2.0      30%           EFFICIENCY AND EFFECTIVENESS:

2.1      20%            Organizes and performs work effectively and efficiently as evidenced by:

• Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area.
• Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory.
• Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost.
• Ensuring provision of medical supplies is limited to only what is needed in the home.
• Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.

2.2      10%            Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.
• Does not exceed accrued PTO or qualified leave of absence(s).* cannot exceed

3.0      25%           TEAM WORK, MISSION, VISION, VALUES:

3.1      25%            Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Responding to all customers in a courteous, sensitive and respectful manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team
• Working collaboratively and cooperating with other departments.
• Completing the review period without any formal disciplinary action.
• Presenting a clean and neat appearance in personal attire and one’s work area.

JOB SPECIFICATIONS

  1.       Education:  Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor’s Degree preferred.

  2.       Licensure / Certifications:  Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

  3.       Experience:  Minimum of one years’ clinical experience required; hospice experience preferred.
 

  4.       Essential Technical/Motor Skills:  Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.  Advanced customer service skills to respond with simple answers, etc.
 

  5.       Interpersonal Skills:  Ability to work independently as well as effectively as part of an interdisciplinary team.

  6.       Essential Physical Requirements:  Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients
 

  7.       Essential Mental Abilities:  Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina
 

  8.       Essential Sensory Requirements: Keen observation skills.
 

  9.       Exposure to Hazards:  May be exposed to virus, disease and infection from patients and specimens in workin