Centene Aca Guidelines Jobs in Usa

Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting.

• 
  
• Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy; observes, collects, and documents new information on patient; informs RN or practitioners regarding incomplete data, new observation or abnormal/unusual data.
  
• Implements basic nursing procedures per plan of care; administers treatments, immunizations, and medications as prescribed by practitioner; prepares medications for practitioners to use; performs point of care testing as authorized; provides laboratory, x-ray, and other reports to practitioner for review; notifies patients of normal results as directed by practitioner; considers special needs of different age groups when providing care; sets priorities of care based on acuity of patients.
  
• Documents implementation of orders/interventions; records findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards.Observes patients/familys responses to plan of care; reports unexpected responses to RN or practitioners; collaborates with RN/Practitioner to revise care plan when needed. Demonstrates and applies competency in basic nursing skills and use of equipment; maintains current knowledge and skills needed to perform position; attends and participates in staff meetings as needed; participates in projects as requested.
  
• Performs efficiently in emergency patient care/clinic situation; follows established procedures; informs appropriate practitioner/RN. Assigns basic nursing tasks to und nel as appropriate and according to department/unit standards; provides clear directions; acts as resource to und staff; follows-up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines.
  
• Follows discharge plan developed by Practitioner or RN; processes and/or follows-up with referrals as directed by practitioners; provides instruction and pre-printed information to patients as directed by RN and/or Practitioners, observes and documents patient/family response to instructions and reports any concerns.
  
• Manages all patient vaccine data, including updating Hawaii Immunization Registry System (HIR), Electronic Health Records (I), and all patient and/or external records at each patient visit. Readies any available immunization information prior to the time of visit with the provider. Stores and administers immunizations according to Health plan and VFC guidelines.
  
• Identifies patient immunization requirements in accordance with age specific guidelines per CDC. Fills out appropriate immunization paperwork for recording purposes. Facilitates vaccine Health Plan and VFC inventory control at assigned clinic. Ordering vaccine and maintaining appropriate vaccine inventories.
  
• Utilizes file maintenance to ensure newly arrived vaccines are entered in the I lot manager system as needed. Assures immunization clinics comply per health plan, federal and state guidelines - i.e., compliance with Health department site visits. Complete annual VFC enrollment training requirements and forms. Maintain all records related to the VFC program per program guidelines.
  
• Trains new and existing LPNs on emergency vaccine storage procedures.Serves as a liaison with the state to coordinate VFC (vaccines for children) inventory. Generates reports on patients and contacts them for immunization compliance and updates as needed.
  
• Assists in ensuring compliance with infection control policies and protocols and follows medication administration, storage procedures, Health plan CDC, State and federal VFC program guidelines. Provides educational materials to patients and reviews printed instructions with patients; collaborates with RN/Practitioner to revise teaching plan when needed.
  
• Participates in orientation of new nel. Demonstrates sufficient knowledge, skills, and abilities in area of specialization. Performs clean/sterile technique, sets up for procedures, assists with clinical procedure within department scope. Follow the recommended process for handling point of use instruments as outlined by the High-Level Disinfection Committee.
  
• Maintain, order, organize, rotate, and stock supplies. Schedule patients for routine care, acute care, and addressing care gaps. Prepares and processes patient forms .
  
• OHS only: Certification in Spirometry, Hearing Conservation, & Substance Abuse Specimen Collection or acquire certification within one year of hire.
  
• Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served.
  
• Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.
  
• Performs other duties and accepts responsibility as assigned within scope.
  

• 
  
• N/A
  

• Hawaii State Board of Nursing approved curriculum for LPN licensure.

• Licensed Practical Nurse (Hawaii) required at hire

• Basic Life Support from American Heart Association

• Demonstrated knowledge of and skill in conflict resolution, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication.
• Talking to co-workers, customers, outside vendors, and on the telephone.
• Reading, writing, speaking and understanding English.
• Training/giving and receiving instructions.
• Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration and alertness.

• Previous nursing experience.
• Previous clinic experience.
• Demonstrated knowledge of and skill in word processing and spreadsheet PC applications.

Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In addition, orients and serves as a resource to LPN Clinic/Meds I as needed.

• 
  
• Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy; observes, collects, and documents new information on patient; informs RN or practitioners regarding incomplete data, new observation, or abnormal/unusual data.
  
• Implements basic nursing procedures per plan of care; administers treatments, immunizations and medications as prescribed by practitioner; prepares medications for practitioner to use; performs point of care testing as authorized; provides laboratory, x-ray, and other reports to practitioner for review; notifies patients of normal results as directed by practitioner; considers special needs of different age groups when providing care; sets priorities of care based on acuity of patients.
  
• Documents implementation of orders/interventions; records findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards.Observes patients/familys responses to plan of care; reports unexpected responses to RN or practitioners; collaborates with RN/Practitioner to revise care plan when needed.
  
• Demonstrates and applies competency in basic nursing skills and use of equipment; maintains current knowledge and skills needed to perform position; attends and participates in staff meetings as needed; participates in projects as requested. In addition, coordinates projects as requested.
  
• Performs efficiently in emergency patient care/clinic situation; follows established procedures; informs appropriate practitioner/RN.
  
• Assigns basic nursing ks to unlicensed personnel as appropriate and according to department/unit standards; provides clear directions; acts as resource person to unlicensed staff; follows-up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines.
  
• Follows discharge plan developed by Practitioner or RN; processes and/or follows-up with referrals as directed by practitioners; provides instruction and pre-printed information to patients as directed by RN and/or Practitioners, observes and documents patient/family response to instructions and reports any concerns.
  
• Manages all patient vaccine data, including updating Hawaii Immunization Registry System (HIR), Electronic Health Records (EHR), and all patient and/or external records at each patient visit. Readies any available immunization information prior to the time of visit with the provider.
  
• Stores and administers immunizations according to Health plan and VFC guidelines. Identifies patient immunization requirements in accordance with age specific guidelines per CDC.Fills out appropriate immunization paperwork for recording purposes. Facilitates vaccine Health Plan and VFC inventory control at assigned clinic. Ordering vaccine and maintaining appropriate vaccine inventories.
  
• Utilizes file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system as needed. Assures immunization clinics comply per health plan, federal and state guidelines - i.e., compliance with Health department site visits. Complete annual VFC enrollment training requirements and forms.Maintain all records related to the VFC program per program guidelines.
  
• Trains new and existing LPNs on emergency vaccine storage procedures. Serves as a liaison with the state to coordinate VFC (vaccines for children) inventory. Generates reports on patients and contacts them for immunization compliance and updates as needed.
  
• Assists in ensuring compliance with infection control policies and protocols and follows medication administration, storage procedures, Health plan CDC, State and federal VFC program guidelines.Provides educational materials to patients and reviews printed instructions with patients; collaborates with RN/Practitioner to revise teaching plan when needed.
  
• Participates in orientation of new personnel. Orients and serves as a resource to LPNs and unlicensed personnel as needed; demonstrates and instructs other team members in use of vendor specific products and /or department/unit standards and procedures. Demonstrates sufficient knowledge, skills, and abilities in area of specialization. Performs clean/sterile technique, sets up for procedures, assists with clinical procedure within department scope.
  
• Follow the recommended process for handling point of use instruments as outlined by the High-Level Disinfection Committee.
  
• Maintain, order, organize, rotate, and stock supplies. Schedule patients for routine care, acute care, and addressing care gaps. Prepares and processes patient forms.
  
• OHS only: Certification in Spirometry, Hearing Conservation, & Substance Abuse Specimen Collection or acquire certification within one year of .
  
• Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served.
  
• Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.
  
• Performs other duties and accepts responsibility as assigned within scope.
  

• 
  
• Twelve (12) months (2080 hours) LPN experience.
  

• Hawaii State Board of Nursing approved curriculum for LPN licensure.

• Licensed Practical Nurse (Hawaii) required at hire

• Basic Life Support from American Heart Association

• Demonstrated knowledge of and skill in conflict resolution, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication.
• Talking to co-workers, customers, outside vendors, and on the telephone.
• Reading, writing, speaking and understanding English.
• Training/giving and receiving instructions.
• Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration and alertness.

• Acute care nursing experience.
• Demonstrated knowledge of and skill in word processing and spreadsheet PC applications.

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates 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.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    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/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates 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.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    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/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates 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.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    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/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

PRIMARY JOB DUTIES

Hour of Operations: Friday, Saturday, Sunday - 8am-8pm

1.     Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.

2.     Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team, and performs follow up visits when necessary.

3.     Appropriately communicates 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.     Organizes and performs work effectively and efficiently.

6.     Maintains and adjusts schedule to enhance agency performance.

7.     Demonstrates a daily commitment to the values of the agency.

8.     Demonstrates positive interpersonal relations in dealing with all

members of the agency.

9.     Maintains and promotes customer satisfaction.

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

1.0 40% QUALITY OF WORK:

1.1 15%

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

• Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
• Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
• In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
• Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
• Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
• Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.

1.2 12%

Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.

• Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
• Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
• Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
• Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
• Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
• Provides scheduled and PRN visits to patients when requested by the Management Team.

1.3 8%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:

• Completes all forms accurately and in accordance with agency guidelines/policies.
• Appropriately describes the patient’s functional limitations to justify hospice eligibility.
• Documents all verbal orders for new or changed orders according to agency guidelines.
• Completes clinical notes in accordance with agency guidelines and time frames.
• Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
• Documents involvement of the patient and family in the development of the plan of care.

1.4 5%

Contributes to program effectiveness as evidenced by:

• Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
• Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
• Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
• Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
• Promoting change and being proactive in suggesting ideas and new ways of doing things.
• Demonstrating ability to prioritize and enhance services during fluctuating patient census.

2.0 20% PRODUCTIVITY/USE OF TIME:

2.1 10%

Organizes and performs work effectively and efficiently as evidenced by:

• Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
• Recognizing and performing duties in an independent manner.
• Accepting personal responsibility for the completion and quality of work outcomes.
• Meeting assigned deadlines.
• Maintaining a clean and safe environment.

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/unit operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.

3.0 20% TEAM WORK:

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

• Communicating in a positive and productive manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team.
• Maintaining positive attitude about assignments and team members.
• Promoting professional / personal growth of co-workers by sharing knowledge and resources.
• Working collaboratively and cooperating with other agencys / units.

4.0 20% MISSION, VISION, VALUES:

4.1 10%

Maintains and promotes customer satisfaction.

• Responding to all customers in a courteous, sensitive and respectful manner.
• Abiding by the confidentiality and ethics policies of Well Care Hospice.
  • Participates in community outreach activities that promotes goals and objectives of the agency.

4.2 10%

Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

• Practicing personal cost containment by responsible use of equipment, supplies, and resources.
• Completing the review period without a formal disciplinary action.*
• Presenting a clean and neat appearance in personal attire and one’s work area.
• Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*

* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.

JOB SPECIFICATIONS

  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requir

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates 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.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    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/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates 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.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    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/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates 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.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%            Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by:
•    Completes all forms accurately and in accordance with agency guidelines/policies.
•    Appropriately describes the patient’s functional limitations to justify hospice eligibility.
•    Documents all verbal orders for new or changed orders according to agency guidelines.
•    Completes clinical notes in accordance with agency guidelines and time frames.
•    Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.
•    Documents involvement of the patient and family in the development of the plan of care.
                  
    1.4        5%            Contributes to program effectiveness as evidenced by:
•    Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission.
•    Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
•    Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
•    Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
•    Promoting change and being proactive in suggesting ideas and new ways of doing things.
•    Demonstrating ability to prioritize and enhance services during fluctuating patient census.
         
    2.0        20%        PRODUCTIVITY/USE OF TIME:
                    
    2.1        10%        Organizes and performs work effectively and efficiently as evidenced by:
•    Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
•    Recognizing and performing duties in an independent manner.
•    Accepting personal responsibility for the completion and quality of work outcomes.
•    Meeting assigned deadlines.
•    Maintaining a clean and safe environment.
                 
    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/unit operations.
•    Assisting other team members to ensure completion of all work assignments.
•    Demonstrating flexibility with changing workload/assignments.
                
    3.0        20%        TEAM WORK:
 Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:
    
•    Communicating in a positive and productive manner.
•    Demonstrating respect for team members.
•    Managing stress and personal feelings without a negative impact on the team.
•    Maintaining positive attitude about assignments and team members.
•    Promoting professional / personal growth of co-workers by sharing knowledge and resources.
•    Working collaboratively and cooperating with other agencys / units.

     
4.0    20%    MISSION, VISION, VALUES:
        
4.1       10%    Maintains and promotes customer satisfaction.

•    Responding to all customers in a courteous, sensitive and respectful manner.
•    Abiding by the confidentiality and ethics policies of Well Care Hospice.
•    Participates in community outreach activities that promotes goals and objectives of the agency.
        
4.2    10%    Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

•    Practicing personal cost containment by responsible use of equipment, supplies, and resources.
•    Completing the review period without a formal disciplinary action.*
•    Presenting a clean and neat appearance in personal attire and one’s work area.
•    Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.*
* Not exceedable.

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.
 
JOB SPECIFICATIONS
  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  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:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reac