Job Summary:

Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care.

Job Classification: Clinical

Lines of Authority: Reports to Director of Nursing/Director of Patient Services

Job Qualifications:

Education:       Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing

Licensure:       Current state licensed as a Registered Nurse, current State Driver’s License

Experience:     Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred.

Skills:              Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life.

Transportation: Reliable transportation. Valid and current auto liability insurance.

Environmental and Working Conditions:

Works in patient’s home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call.

Physical and Mental Effort:

Prolonged sitting and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psychosocial needs. Requires hand-eye coordination and manual dexterity.

 

Essential Functions:                                                                                                                                                        

Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,…
Implement the individualized POC and recommend revisions to the plan as necessary.
Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed.
Initiating appropriate preventive and rehabilitative nursing procedures.
Preparing clinical and progress notes that demonstrate progress toward established goals.
Coordinating all patient/family services and prioritization of needs with the members of IDT.
Use of case management approach and referring to other services as needed.
Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care.
Determining scope and frequency of services needed based on acuity and patient/family needs.
Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care.
Evaluating own needs for support and using identified systems to meet the need.
Communicating information using correct process and technology available to the organization.
Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Perform clinical tasks for patients, as needed, to follow their POC.
Perform on-call responsibilities and provide on-call service to patients/families as assigned.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Transcend Hospice

RN

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patients home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Transcend Hospice

RN Case Manager

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patients home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Transcend Hospice

RN Case manager

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patients home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Transcend Hospice

RN

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patient’s home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psychosocial needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility. Perform clinical tasks for patients, as needed, to follow their POC. Perform on-call responsibilities and provide on-call service to patients/families as assigned.
Anchor Health

HOSPICE NP

Anchor Hospice Job Title/Position: Hospice Nurse Practitioner (NP) Reports To: Clinical Director JOB DESCRIPTION SUMMARY The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinicaltraining who provides comprehensive hospice services in compliance with the state Nurse Practice Act andunder the supervision of a collaborating physician. He/She provides hospice care through the evaluation andassessment of the health history, health promotion, diagnosing medical conditions, management of healthproblems by directing and developing the plan of care, prescribing medications or treatments, coordinatingand collaborating with patients, families and other healthcare practitioners. Under the supervision of aphysician, the nurse practitioner visits patients, completes physical assessments, performs face to faceassessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The nurse practitioner builds from the resources of the community to plan and direct services to meetthe need of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Provides medical care, palliates and manages terminal illness in compliance with the state NursePractice Act under the supervision of a collaborating physician. 2. Completes history and physical examinations by evaluating the patient's medical condition and healthhistory, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosinghealth conditions and documents the findings in the patient's medical record. 3. Manages health conditions and terminal illnesses by developing an individuaiized plan of care,prescribing medications and / or treatments, obtaining consultations or making referrals andcoordinating hospice care services. 4. Completes the hospice face to face visit requirements prior to the third and subsequent hospicebenefit periods to assess hospice eligibility based on the hospice conditions of participation and thelocal coverage determinations. Provides clinical information to the hospice medical director forinterpretation for eligibility for hospice recertification. 5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospiceinterdisciplinary team and other healthcare practitioners. 7. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members. l Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with thecollaborating physician. California CHAP Hospice Human Resources/Revised April 2020 @corridor2003 215 Anchor Health LLC 9. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitionersregarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in hospice interdisciplinary group meetings. 5. Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessmentvisit notes, medical orders, collaboration notes and other documentation in the medical record. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 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 identify the goals of careand meet the care needs of the patient and tamily/caregiver. 10. Serves as a nursing resource for consultation and educations to members of the interdisciplinary team andother healthcare practitioners in the community. 11. Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 4. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. California CHAP Hospice Human Resources/Revised April 2020 ©Corridor 2003 Anchor Health LLC 5. Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge andpractice skills through attendance at seminars, conferences and participation in continuing education and in-service classes. 6. Fulfills the obligation of requested and/or accepted assignments. 7. Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues. POSITION QUALIFICATIONS 1. Graduation from an accredited School of Nursing 2. Has a current DEA license 3. Completion of an accredited Nurse Practitioner Program which conforms with the Board's educational standardsset forth in the California Code of Regulations Section 1484 or certification by a national organization/associationwhose standards are equivalent to those set forth in the California Code of Regulations Section 1484 or aregistered nurse who has not completed a nurse practitioner program of study which meets the Board ofRegistered Nursing's educational standards as specified in the California Code of Regulations Section 1484. 4. Current nursing licensure in State and CPR certification. 5. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 6. Accreditation from an approved certifying body for advanced practice nursing as required by State. 7. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) 8. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 9. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to liftsupplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 10. Must be a licensed driver with an automobile that is insured in accordance with state/or organizationrequirements and is in good working order.