RN jobs in Phillipsburg, NJ

RN Jobs in Phillipsburg, NJ

Hospice Admissions RN

Swan Hospice is actively seeking Admissions (RN) to join our team in Central New Jersey. We provide quality hospice care to patients in skilled nursing facilities, assisted living facilities and in private homes. Job Description A. BASIC PURPOSE Oversees primary caseload of Hospice patients and provides skilled professional nursing care to them, their families and caregivers as prescribed by the physician and in compliance with the Hospice Medicare Conditions of Participation, New Jersey Hospice licensure laws, accrediting body standards and agency policies and procedures. Provides the initial assessment and comprehensive nursing assessment and identification of problems of each patient; reassessment of nursing needs and collaborates to develop the Hospice Interdisciplinary Team (IDT) plan of care. Implements the plan of care and reevaluates and revises the plan of care relative to the patient’s nursing needs to provide appropriate, comprehensive and responsive goals and interventions. Teaches, supervises, and counsels the patient, family members, and staff regarding nursing care and the patient's needs, including other related problems of the patient at home Works closely with other members of the IDT to ensure all patient and family care needs are being met. Provides supervision to Hospice Aides/Homemakers. In the temporary absence or vacancy of the Nursing Supervisor, the RN/Alternate Nursing Supervisor is authorized per the Managing Member to assume the role of the Nursing Supervisor and is responsible to perform the duties as outlined in the Nursing Supervisor’s Job Description (copy attached). B. PRIMARY RESPONSIBILITIES Nursing Process As a member of the IDT, the Registered Nurse (RN) utilizes the nursing process to contribute to each patient’s total plan of care. Assessing and Planning 1. Seek and obtain sufficient information necessary to function effectively in the Hospice setting where the patient/family/caregiver is receiving care. 2. Conduct initial assessment, including physical, emotional and psychosocial aspects, of patient/family/caregiver in a thorough, accurate, compassionate and timely fashion. 3. Utilize the nursing body of knowledge to provide leadership and guidance to the IDT in formulating and individualizing the interdisciplinary plan of care to include problem identification, interventions and goals to address palliative comfort measures for the terminally ill patient, family and caregiver. 4. Contribute to identifying both active and potential needs of the patient and his/her family, which may affect the plan of care. 5. Consistently collaborate with the physician to plan and implement the medical and nursing plan of care. 6. Review the nursing component of the comprehensive interdisciplinary plan of care with the IDT. Communicate in writing in the clinical record and verbally with the IDT to coordinate interventions and ensure continuity of care. 7. Facilitate and participate in the IDT care conference and contribute to patient care planning. Implementing and Evaluating Provide nursing interventions and appropriate preventative and therapeutic nursing procedures. Nursing staff shall administer medications in accordance with all Federal and State laws and rules. Collaborates with IDT members to provide continuous assessment of assigned patients, interprets findings, initiates appropriate therapeutic actions and evaluates the results of these actions. Accepts responsibility of assignment to perform a specialized procedure only when qualified with specialty training, proven competency, clinical background and expertise in the specialty area. Works in cooperation with family/caregiver and IDT members to meet the physical and emotional needs of the patient/family/caregiver. Provides appropriate information and explanation to the patient and patient’s family. Facilitates patient and family education to promote continuity of care and optimal patient/family outcomes for quality of life as defined by the patient/family/caregiver. Demonstrates expertise in the utilization of all IDT members including volunteers and community resources. Fulfills productivity requirements on an average daily census basis as determined by acuity level and Administrator. Documents accurate, complete and relevant clinical notes regarding patient’s condition and care given. Maintains documentation a on a timely basis. Assesses the dietary/nutritional needs of Hospice patient and provides appropriate interventions relative to nutritional intake as the patient’s condition progresses. Education The RN is a mentor who is able to provide educational experiences and communicate knowledge of patient care to members of the IDT including, but not limited to, volunteers, hospice aide/homemaker, patient and family/caregivers, health care professionals and the general community. Acts as a mentor to other personnel by participating in orientation and assisting with field training and in-service education to contractors and referral sources, as needed. Participates in formal and informal in-services, and patient care conferences to promote professional growth of all interdisciplinary team members. Teaches the patient, family and/or caregiver regarding the progression of the disease process and self-care techniques as appropriate, which includes providing medication, dietary/nutritional counseling support and other instructions as ordered by physician, recognizing and utilizing opportunities for health counseling. Supervises Hospice Aides/Homemakers every fourteen (14) days per Medicare Conditions of Participation. Evaluates effectiveness of educational experiences and teaching methods in order to promote ongoing professional development of Hospice staff and quality patient outcomes for patients, families and caregivers. Case Management The RN is responsible for managing all patients assigned to his/her primary caseload by utilizing the following methods: Efficiency 1. Manages daily visits and assignments for maximum efficiency. 2. Visit frequencies are according to individual patient needs and acuity. 3. Visit frequencies are reviewed at least weekly and altered to meet patient needs and acuity. 4. Patient care visits are coordinated with all IDT members in order to utilize manpower resources and provide optimal patient care. Operations 1. Ensures adequate and appropriate inventory of supplies and equipment for the provision of patient services and promotes the efficient use of equipment and supplies. 2. Maintains confidentiality in patient related matters. Leadership 1. Demonstrates behavior appropriate as a role model and leader including adhering to the agency code of conduct. 2. Demonstrates creativity and critical thinking ability when participating in IDT conferences, developing patient care plans or completing assigned projects. 3. Assumes leadership role to facilitate interdisciplinary care coordination and collaboration. 4. Functions without supervision, utilizing time constructively and organizing assignments for maximum productivity. Communication 1. Introduces self and clarifies role to patient/family/caregiver, physicians, nursing facility staff and other referral sources. 2. Recognizes and responds appropriately to verbal and non-verbal cues. 3. Communicates effectively with all members of the IDT by: i. Defending and supporting peer/team decisions and actions. ii. Asserting self with tact. iii. Supporting collaboration and team decisions/plans. iv. Maintaining open communication. v. Offering suggestions and criticisms constructively. vi. Asking questions and sharing information during IDT conferences and nursing facility care conferences. 4. Relates complete and pertinent information in verbal and written communication. Maintains clinical records, statistics, and reports as prescribed and in compliance with local, state and federal laws. 5. Initiates and maintains open and effective communication with supervisor as well as members of the IDT as evidenced by improved patient outcomes. Resource Utilization Coordinates travel time for visits and manages a caseload to deliver care in a cost-effective manner that demonstrates an understanding of Hospice reimbursement methodologies. Assures proper maintenance of records per agency guidelines. Participates in evening/weekend on-call as required, conducting on-call services in a clinically competent and responsive manner. Functions independently, but seeks and accepts guidance from other members of the IDT and members of the community, as deemed necessary and appropriate. Complies with local, state and federal laws, Medicare Hospice Conditions of Participation and agency policies and procedures. Conducts all business activities in a professional and ethical manner. Customer Service Demonstrates the highest degree of customer awareness by seeking out opportunities to identify and meet the needs of internal and external customers. Is receptive to questions and criticism, and willing to offer assistance. Maintains accountability for patient satisfaction throughout the episode of care. Quality Assessment/Performance Improvement (QAPI) Participates in the QAPI process by finding opportunities for continuous monitoring and identification of patient outcomes, intra/interdepartmental and environmental concerns. Displays a willingness to utilize problem solving techniques to insure appropriate interventions and resolutions. Participates in clinical record review. Assists and serves on committees and projects as requested. Secondary Duties 1. Participates in staff meetings, department meetings, Hospice IDT meetings, in-services, committees and other related activities as required. 2. Completes a minimum of twelve (12) hours of in-services per year. 3. Performs other duties as assigned. C. HUMAN RELATIONS 1. Must maintain a professional attitude and demeanor and is be able to communicate effectively and relate courteously and cooperatively with patients, caregivers, colleagues, supervisors, co-workers and all others. 2. Must be able to demonstrate optimism, enthusiasm and willingness to work constructively with other health care team members and reflect concern for the well being of patients and employees. 3. Interacts with all staff in a positive fashion supporting the mission and vision of the organization. D. PHYSICAL REQUIPMENTS (See Attached Physical Requirements Form.) 1. Visual/hearing ability must be sufficient to comprehend written/verbal communication. 2. Excellent verbal communication skills are needed. 3. Able to effectively manage stress. 4. Manual dexterity sufficient for writing, keyboarding and telephone operation. 5. Able to work in a variety of settings and conditions in patient’s homes and facilities. E. EDUCATION AND EXPERIENCE 1. Education a. Graduate of an accredited registered nursing program. b. Bachelor’s degree in Nursing preferred. c. Certified Hospice and Palliative Nurse (CHPN) certification preferred. 2. Experience a. Has minimum of one (1) year general nursing preferred with current hospice, home health, medical, surgical or critical care experience. b. Experience with pain and symptom management interventions preferred. c. Ability to work within an interdisciplinary setting. d. Understanding of Hospice philosophy, principles of death/dying. 3. Licensure, Registration, and/or Certification a. Registered Nurse licensed by the New Jersey State Board of Nursing in accordance with N.J.S.A. 45:11-23 et seq. and N.J.A.C 13:37. b. Valid driver’s license and reliable transportation that is insured in accordance with New Jersey state requirements. c. Satisfactory references from employers and/or professional peers. d. Satisfactory criminal background check.

Registered Nurse Supervisor (RN)

The Gardens for Memory Care at Easton PA

The Gardens for Memory Care at Easton is seeking a Registered Nurse Supervisor (RN) for our skilled nursing facilities in Easton, PA. The Registered Nurse will direct the performance of nursing personnel as well as administer nursing care, in a nursing home environment, under the direction of the Director of Nursing Services. Available Shifts: PT Weekend Days FT Evenings 2:45pm-11:15PM FT Nights 10:45pm-7:15am Qualifications: Registered Nurse of this state Benefits: We strive to provide our employees with a comprehensive and affordable benefits package including: Medical and Prescription Drug, Dental, Vision Care, Telemedicine Program, Company-Paid Group Life Insurance, Voluntary Term Life Insurance and Short-Term Disability, 401(k) Savings Plan, Employee Assistance Program (EAP), Commuter Benefits, Paid time off (vacation, personal, sick, and state sick). Daily pay: The ability to freely view your paycheck as it accrues daily, with the option to withdraw it daily for a nominal fee ***New*** Now offering Education Assistance: Get up to $5,250 per year towards tuition* or Get up to $2,625 per year towards paying off a Non-Federal Nursing Student Loan!* Benefits, as well as bonuses and variable compensation plans, are based on applicable state law and factors such as pay classification (full-time, part-time, or casual), job grade, location, and length of service. #INDNURSEMGMT

Outpatient

Part-time

1 month ago

Outpatient Registered Nurse (RN) Care Manager, Part Time

St. Luke's University Health Network Allentown, PA

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Outpatient Care Manager, Registered Nurse, is responsible for providing care management services to outpatients and their families as directed by the policies and procedures of the entity and Outpatient Care Management Department. The OP CM RN provides professionally established methods of assessing a patient's status of chronic and acute illnesses and assists patients and families in resolving problem areas and connects them with other members of the care team with a goal of assisting patients with self-management. Responsible for the medical complexity of patient care as it relates to medical stability and wellness, the OP CM RN collaborates with both health care and community partners to address and promote self-management of care needs. The OP CM RN also collaborates with the Outpatient Care Manager SW, and other members of the Care Management team as needed to address the social needs of the medically complex patient. The OP CM RN works on a hybrid schedule and may need to see patients in an office setting as needed. JOB DUTIES AND RESPONSIBILITIES: Provides assessment, care planning and intervention to patients and caregivers, including care planning, advocacy, as well as clinical intervention as appropriate. Follows the care management process including patient identification, engagement/enrollment, assessment, care planning, and case closure. Manages a caseload of patients and prioritizes new referrals with patients who require follow up to complete care plan goals. Appropriately refers to other care manager disciplines within the department to meet the patient's holistic health care needs. Appropriately delegates tasks to the Care Manager Outreach Coordinator (CMOC) as needed. Practices motivational interviewing skills and teach-back skills when interviewing/assessment of patients. Consults with providers, nurses, and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination. Maintains awareness of insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement. Organizes individual patient care meetings with internal and as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome. Ensures accurate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system. Demonstrates competency in the assessment, range of treatment, knowledge of growth and development, and communication appropriate to the age of the patient treated. Participates in quality and/or performance improvement projects/pilots. Participates in orientation of new Care Management staff as assigned. Facilitates follow-up primary care visits within 48 hours of ED visit, urgent care appointment, or hospital discharge. Responsible for working with the patient and patient care team to develop an individualized treatment care plan – including follow-up appointments, labs and other care coordination. Tracks follow-up visits with appropriate specialists for complex patients. Communicates with and coaches’ patients to ensure that they are aware of discharge instructions; have necessary prescriptions; have access to medications and understand how to take the necessary medications, including what to look for regarding adverse events as per their care givers’ instructions. Facilitates the information flow between hospitals, long-term care facilities, home health representatives, and the patient’ s primary care team. Works with providers, clinical staff members, and clerical staff members to help identify high risk, high need patients. Assists physicians and other care team members in implementing processes for best practices in preventive services, chronic care and disease management. Utilizes electronic health record, chronic disease registry, and other quality reporting software to capably manage the care of individual patients and populations. Works collaboratively with providers and the care team to ensure patient adherence to medical plan of care, including all appropriate preventive and disease-specific screenings, interventions, and treatment goals – including self-management goals. Identifies, utilizes, and properly directs patients to cultural and community resources. Verifies that practices have necessary behavioral health screening tools. Compliant with annual network or department competencies focusing on health coaching patients on self-management tools related to chronic illnesses and appropriate health coaching. Maintain timely, accurate, complete, and consistent documentation appropriate to role in the electronic medical record. Maintains expertise in telehealth procedures, participates in staff meetings, participates in network and/or department committees or special projects as assigned. Participates in peer educational presentations. Supports Network and department goals and objectives. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes, and practices. Complies with Network and departmental policies regarding attendance and dress code. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Occasionally firmly grasp, twist and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds. Requires continual use of fingers for patient care, EMR documentation. Routine use of upper extremities: occasional requirement to lift items up to 25 pounds. Regularly requires the ability to stoop, bend, reach above shoulder level, and climb stairs. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard. EDUCATION: RN degree and license for the appropriate state (PA & NJ) required. BSN preferred. TRAINING AND EXPERIENCE: 3+ years of direct patient care experience. Prior care management experience preferred. Proficient in Epic Clinical EMR, Window applications preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.