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The Hospice Registered Nurse is responsible for pain management, symptom control in the delivery of care to hospice patients, as established by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director.
Territory: Cobb
Schedule: Full time M-F 8AM-5PM and on-call rotation
Essential Job Functions:
- Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family, operating within the plan of care as established by the hospice team and attending physician.
• Assesses the total needs of the patient/family during regularly scheduled and after hour home visits; Documents: assessment, identified problems, nursing interventions, goals, and outcomes of interventions.
• Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other providers; documents such coordination.
• Collaborates with the interdisciplinary team in the development, review and revision of the clinical component of patient/family plan of care, including exchange of information, review of problems, assessing effectiveness of interventions and documenting outcomes.
• Ensures continuity of care between patient/family, team members, ancillary providers, long term and inpatient care facilities, and the attending physician.
• Communicates patient/family/caregiver needs, ongoing nursing assessment, interventions, goals and outcomes through the interdisciplinary process.
• Provides and documents continuing education of the hospice concept of care to patients and their families/caregivers.
• Supervises the delivery of patient care provided by Hospice Aides, Licensed Practical Nurses; ensuring compliance with the established plan of care and completing required documentation of supervision.
• Facilitates the delivery of hospice services to patients residing in long term care facilities, documenting joint coordination of care with facility professional staff, and attending facility care plan meetings as appropriate.
• Participates in on-call rotation for delivery of care after office hours, on weekends, and holidays.
• Provides ongoing monitoring of patient appropriateness for hospice services and completes required documentation for certification and recertification.
Why Join Our Team?
- Our clinical team is a family of clinicians who work together to meet the needs of each patient
- Nationwide career opportunities where our leaders encourage advancements
- Our clinicians enjoy the flexibility of getting to build rapport with patients to produce the best clinical outcomes
- We know that our clinicians make or break the organization’s success
- We work with new grads that want to make a difference in patient’s lives
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits for employees at 30+ hours
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- An active RN License in the state of application
- Valid CPR
Preferred:
- At least 1 year of experience in a hospice setting
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
· 21 Pulmonary, 3 Sleep and 1 Allergy Physician
· Over 15 Advanced Practice Clinicians
· Pulmonary Call: 1 in 21 nights and 1 in 7 weekends
· In-house administration, billing office and call center
· Clinical research department
· Remote patient monitoring programs
*Comprehensive benefits package to include Benefits:*
· Company paid medical insurance.
· Competitive Hourly Rate
· Weekly payments via direct deposit
· 401(k)
· Dental insurance
· Employee assistance program
· Employee discount
· Flexible spending accounts
· Employee referral program
· Short-term and long-term disability insurance
· Accidental disability & dismemberment Insurance
· Critical Illness
· Continuing Medical Education (CME) allowance
· Life insurance
· Retirement plan
· Vision insurance
· Professional Development
*Key Responsibilities*
* Evaluate, diagnose, and manage allergic and immunologic disorders, including asthma, allergic rhinitis, food allergies, eczema, urticaria, and anaphylaxis.
* Perform and interpret diagnostic tests such as skin prick testing, patch testing, spirometry, and pulmonary function tests.
* Develop individualized treatment plans, including immunotherapy (allergy shots), biologic therapies, and patient education.
* Manage acute allergic reactions and provide emergency treatment when necessary.
* Monitor patient progress and adjust treatment plans accordingly.
* Educate patients and families on allergen avoidance, medication use, and disease management.
* Maintain accurate, timely medical records in compliance with regulatory standards.
* Collaborate with primary care providers, pulmonologists, dermatologists, and other specialists.
* Stay current with advancements in allergy and immunology through continuing medical education.
*Qualifications*
* Medical degree (MD or DO) from an accredited institution.
* Board certification in Allergy and Immunology
* Strong clinical, diagnostic, and interpersonal skills
* Commitment to patient-centered, high-quality care
* Demonstrated experience in a health care or clinical setting.
* Familiarity with biologic therapies and advanced immunologic treatments
*For consideration: *Send your current resume/CV to
Benefits:
* Dental insurance
* Employee assistance program
* Employee discount
* Flexible schedule
* Flexible spending account
* Health insurance
* Health savings account
* Life insurance
* Malpractice insurance
* Paid time off
* Parental leave
* Professional development assistance
* Referral program
* Retirement plan
* Travel reimbursement
* Vision insurance
Work Location: In person
Allergist
- Clinician-Educator TrackChildrens Hospital at Montefiore/Albert Einstein College of Medicine Bronx, New YorkThe Division of Allergy and Immunology in the Department of Pediatrics at The Childrens Hospital at Montefiore (CHAM) and the Albert Einstein College of Medicine (Einstein) is seeking candidates to join our dynamic and growing faculty.
CHAM is a quaternary care, academic childrens hospital in New York City, serving the diverse patient population of the Bronx, Westchester County, and the Hudson Valley.
Our division is seeking an American Board of Allergy and Immunology (ABAI) Certified or Eligible Allergist/Immunologist to join our faculty.
The Division currently includes five full time physicians, four fellows, one nurse practitioner, three nurses, and other support staff to service a very active clinical program with over 6,000 outpatient visits per year at three office settings.
We manage the spectrum of allergic and immunologic diseases including but not limited to food allergy, asthma, primary/secondary immunodeficiency, allergic rhinitis, and atopic dermatitis while maintaining academic appointments at the Albert Einstein College of Medicine, a leader in medical education and a resource for translation or basic science research.
The successful candidate will be an energetic and enthusiastic clinician, work effectively as part of a team, participate in fellow, resident and medical student education and engage in scholarly activity as well as research.Leadership opportunities are available for qualified candidates.
Scholarly productivity expectations will be aligned with the candidates interests and the divisions mission.
In addition to a competitive salary of $200,000-$300,000 commensurate with academic rank, we offer the opportunity to enhance compensation with clinical productivity incentives and bonuses.
We offer a generous benefits package including 403b retirement plan with employer match, 457 plan, tuition reimbursement, long term disability, short term disability, life insurance, paid malpractice, health, dental and vision benefits, and funds for CME activities.To apply or to learn more, please send your CV and cover letter to Recruiting Manager, John C.
Pinto at The Albert Einstein College of Medicine/Montefiore () is an equal employment opportunity employer.
Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
Our Culture: Inspire hope. Build your legacy: Discover a rewarding, fulfilling, well-balanced career at Florida Digestive Health Specialist, LLP. With providers and locations across Florida, FDHS is one of the largest single-specialty, physician-owned GI practices in the state. FDHS was established in 2011 to provide comprehensive, high-quality gastroenterology services and foster advanced research for digestive health problems. With a growing team of nationally acclaimed care centers, providers, and staff, we continue to expand our reach to communities that need our care.
We are seeking a Sub-Investigator at our Florida Research Institute (FRI), a global leader in gastroenterology and hepatology research, with a team of more than 20 highly trained clinical research experts. The role of the Sub-Investigator is to apply medical knowledge and experience, under the direction of the Principal Investigator to oversee and direct clinical course of research participants in clinical trials. The Sub-Investigator will assess physical health and administer treatments throughout the study aligned with scope of practice delegated responsibilities. He/she will oversee study conduct and assure study participant safety. The Sub-Investigator will coordinate and manage care for participants enrolled in a clinical research trial. The sub investigator will also be responsible for overseeing the execution of study protocols, delegating study related duties to site staff and ensuring site compliance with study protocols, study-specific laboratory procedures, standard operating procedures, standards of Good Clinical Practice (GCP), adhering to OSHA guidelines and other state and local regulations as applicable.
Under the direction of the Director and the Principal Investigator, responsibilities will include, identify and recruitment of participants, participate in study visits, communicate with families, participants, referring physicians and other health care providers, Educating and guidance to participants and families to ensure compliance and retention of study participants, tracking and recording of adverse events, perform physical exams to ensure enrollment criteria and to track for any changes during study participation, diagnose and treat medical conditions such as allergic reactions and anaphylaxis during study drug administration, exacerbations of illness, formulate and evaluate treatment plans, manage common conditions such as allergic rhinitis, asthma and eczema, review home diaries and be available for on call advice and emergencies between clinic visits, administer rescue medications based on clinical judgment.
Essential Duties:
- Ensure the safety of study participants, and maintain communication with patients, FRI team members, and clinicians
- Provide clinical and medical support and oversight for research clinical trials based on scope of practice; obtain complete study participant history, conduct physical exams, review medical charts, assess findings, prescribe and re-fill medication, and perform designated procedures according to written protocols.
- Collaborate with clinical staff, researchers, outside vendors, and other staff to administer treatment and study protocols
- Assess, grade, and document adverse events; apply triage and judgment to determine course of action
- Oversee and as needed, administer medications and treatments per study protocol and scope of practice
- Comply with institutional policies, standard operating procedures, and guidelines; prepare and submit documentation as required by the study protocol and study sponsor; interpret complex protocols. Coordinate and collaborate with principal investigator to review study protocol.
- Identify, recruit, and enroll study participants, as well as maintain study participant records; determine study participant criteria
- Support sponsor investigator research with investigational new drug/investigational device exemption applications
- Communicate with FDHS partner when indicated
- Guidance of medical assistance team
- Management of patient medical and scheduling issues when indicated
- Other duties as assigned: Please note that the duties and responsibilities outlined in this job description are not exhaustive and may be subject to change at any time to meet the evolving needs of the company. In addition to the responsibilities listed above, employees may be required to perform additional tasks or duties as assigned by management.
- Duties are subject to change or be modified by Principal Investigator or Director of Site Operations
Qualifications:
- Medical degree with current medical licensure in the state of Florida is required
- Requires a thorough knowledge of the: Drug development process, Clinical trial management, study team management, Clinical monitoring, FDA regulations, ICH Good Clinical Practice, and Good Documentation Practice, HIPAA
- Current Basic CPR certification
- Team player - Effective participant as a team member and team leader. Can demonstrate significant positive participation on successful teams
- Professionalism and integrity - Able to adapt to a changing environment and demonstrates a “make it happen” attitude. Exhibits professionalism in negotiating sensitive issues. Exhibits professionalism in negotiating sensitive issues
- Problem solving techniques
- Managing study team members to maintain clinic workflow and study organization
- Interpersonal interaction - Demonstrates excellent people skills and a positive attitude
- Communication - Effective verbal communication and presentation skills. Ability to write clear, concise and convincing memos, letters and articles using original or innovative techniques or style
- Ability to prioritize and to manage multiple tasks as necessary
- Attention to detail - Produces high-quality, accurate work with minimal supervision
- Flexibility - Ability to adapt and be willing to assist with achieving Company goals in the area of responsibility and time
Working Conditions:
- May be required to work with, take specific precautions against, and/or be immunized against potentially hazardous agents
- May be exposed to blood borne pathogens
- Available for call 24 hours/day
- Frequent travel possible for IM meetings and assistance with FRI growth projects and satellites
- Attend national congress when indicated
- Considerations for AASLD fellowship
- Manage study team members
Benefits:
- Competitive salary commensurate with experience.
- Comprehensive benefits package including health insurance, free telehealth, retirement plan, paid time off and paid holidays.
- Professional development opportunities
- Positive and collaborative work environment
EEO Statement:
It is the policy of Florida Digestive Health Specialists to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
When you join FDHS, you become part of a premier team striving to deliver unparalleled, personalized care while treating patients like family. And at FDHS, our patients are at the heart of everything we do. Join our team at FDHS and make a difference in the lives of our patients and employees alike!
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
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