RN Skilled Nursing- Hospice GIP Shift Lead

The Bartlett Skilled Nursing and Assisted Living El Paso, TX 79912, US

$33.99 - $40 / hour

Job Title: RN

Job Summary:

The Bartlett Skilled Nursing and Assisted Living is seeking a dedicated and compassionate RN to join our team. As a RN, you will provide high-quality nursing care to our residents in a setting that values compassion, dignity, and respect. If you are passionate about delivering exceptional patient care and are committed to making a positive impact, we encourage you to apply for this exciting opportunity.

Responsibilities:

Provide nursing care within the scope of licensure for assigned patients according to established nursing standards and hospital policies and procedures
Administer medication, perform treatments, and patient care responsibilities as prescribed
Consult with and keep MD/NP informed of activities, symptoms, reactions, and changes in the patient condition
Provide appropriate pain management techniques and educate patients and families regarding pain management
Administer medication following the 10 rights of medication administration within scope of practice
Assist with the rehabilitation and treatment of patients in accordance with the medical plan of care
Update and revise plan of care under the supervision of MD/NP
Assist physicians with examinations, treatments, and special procedures
Perform services requiring technical and manual skills as directed by MD/NP
Treat patients and their families with respect and dignity
Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families
Interact professionally with patient/family and involve patient/family in the formation of the plan of care
Assist with admitting, discharging, and transferring of patients
Identify and address psychosocial needs of patients and family; communicate with Social Services/Discharge Planner regarding both in-hospital and post-discharge needs
Medication Administration & Management
- Administer medications per physician/NP orders
- Manage IV, SQ, SL, rectal, transdermal, and other hospice-related medication routes
- Titrate comfort medications within ordered parameters
- Monitor for side effects, adverse reactions, and effectiveness
- Ensure timely availability of emergency comfort medications
- Coordinate pharmacy needs with hospice provider
Coordination with Hospice Interdisciplinary Team (IDT)
- Communicate patient status changes to hospice physician/medical director
- Collaborate with:
  - Hospice aides
  - Social workers
  - Chaplains
  - Nurse practitioners
  - Facility nursing staff
- Participate in hospice IDT discussions and care planning
- Coordinate transfers, discharge planning, or level-of-care changes if symptoms stabilize
Documentation & Regulatory Compliance
- Document assessments, interventions, and patient response thoroughly
- Support documentation demonstrating:
  - Need for continued GIP level of care
  - Uncontrolled symptom burden
  - Frequent nursing interventions
- Complete required hospice and SNF documentation timely
- Ensure compliance with:
  - CMS hospice regulations
  - State nursing regulations
  - Facility policies
  - Hospice Conditions of Participation
Family & Patient Support
- Educate family regarding:
  - Disease progression
  - Dying process
  - Medication purpose/effects
  - Comfort-focused goals
- Provide emotional support during crisis situations
- Assist with difficult decision-making discussions
- Support cultural and spiritual preferences
- Offer bereavement-related support and referrals
Skilled Nursing Interventions
- Frequent reassessment and bedside monitoring
- Wound and skin care as appropriate
- Foley catheter management
- Oxygen therapy management
- Suctioning and secretion management
- Fall prevention and safety monitoring
- Positioning and pressure injury prevention
- Infection prevention practices

Requirements:

RN
Ability to work varying shifts, including days, nights, and weekends

Work Environment:

The Bartlett Skilled Nursing and Assisted Living is a locally owned and operated organization that values its commitment to quality care and community involvement. Our team is dedicated to providing a positive and supportive work environment that fosters growth and development.

Share this job

Related Jobs

Healthcare

Part-time

2 weeks ago

RN Skilled Nursing Sat/Sun 10PM-6 AM

The Bartlett Skilled Nursing and Assisted Living El Paso, TX

$40 - $50 / hour

Job Title: RN Job Summary: The Bartlett Skilled Nursing and Assisted Living is seeking a dedicated and compassionate RN to join our team. As a RN, you will provide high-quality nursing care to our residents in a setting that values compassion, dignity, and respect. If you are passionate about delivering exceptional patient care and are committed to making a positive impact, we encourage you to apply for this exciting opportunity. Responsibilities: Provide nursing care within the scope of licensure for assigned patients according to established nursing standards and hospital policies and procedures Administer medication, perform treatments, and patient care responsibilities as prescribed Consult with and keep MD/NP informed of activities, symptoms, reactions, and changes in the patient condition Provide appropriate pain management techniques and educate patients and families regarding pain management Administer medication following the 10 rights of medication administration within scope of practice Assist with the rehabilitation and treatment of patients in accordance with the medical plan of care Update and revise plan of care under the supervision of MD/NP Assist physicians with examinations, treatments, and special procedures Perform services requiring technical and manual skills as directed by MD/NP Treat patients and their families with respect and dignity Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families Interact professionally with patient/family and involve patient/family in the formation of the plan of care Assist with admitting, discharging, and transferring of patients Identify and address psychosocial needs of patients and family; communicate with Social Services/Discharge Planner regarding both in-hospital and post-discharge needs Medication Administration & Management Administer medications per physician/NP orders Manage IV, SQ, SL, rectal, transdermal, and other hospice-related medication routes Titrate comfort medications within ordered parameters Monitor for side effects, adverse reactions, and effectiveness Ensure timely availability of emergency comfort medications Coordinate pharmacy needs with hospice provider Coordination with Hospice Interdisciplinary Team (IDT) Communicate patient status changes to hospice physician/medical director Collaborate with: Hospice aides Social workers Chaplains Nurse practitioners Facility nursing staff Participate in hospice IDT discussions and care planning Coordinate transfers, discharge planning, or level-of-care changes if symptoms stabilize Documentation & Regulatory Compliance Document assessments, interventions, and patient response thoroughly Support documentation demonstrating: Need for continued GIP level of care Uncontrolled symptom burden Frequent nursing interventions Complete required hospice and SNF documentation timely Ensure compliance with: CMS hospice regulations State nursing regulations Facility policies Hospice Conditions of Participation Family & Patient Support Educate family regarding: Disease progression Dying process Medication purpose/effects Comfort-focused goals Provide emotional support during crisis situations Assist with difficult decision-making discussions Support cultural and spiritual preferences Offer bereavement-related support and referrals Skilled Nursing Interventions Frequent reassessment and bedside monitoring Wound and skin care as appropriate Foley catheter management Oxygen therapy management Suctioning and secretion management Fall prevention and safety monitoring Positioning and pressure injury prevention Infection prevention practices Requirements: RN Ability to work varying shifts, including days, nights, and weekends Work Environment: The Bartlett Skilled Nursing and Assisted Living is a locally owned and operated organization that values its commitment to quality care and community involvement. Our team is dedicated to providing a positive and supportive work environment that fosters growth and development.

RN Case Manager

Continuum Care of Washington South Tacoma, WA

$104,000 - $114,400 / year

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

RN Case Manager

Serenity Hospice Care Ewing Township, NJ

$45 - $48 / hour

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Mercer County areas. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

RN On-Call Pediatrics

Anchor Health Walnut Creek, CA

This is a Registered Nurse on-call position for our Pediatric Hospice Program in the East Bay Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. The registered nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. Requirements Patient Care 1. The Hospice Team Nurse provides professional nursing care to patients by utilizing all elements of nursing process. 2. . Assesses and evaluates patient’s status 3. Initiates the plan of care and makes necessary revisions as patient status and needs change. 4. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. The Hospice Team Nurse completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. POSITION QUALIFICATIONS 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 6. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 7. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

RN On-Call Pediatrics

Anchor Health Concord, CA