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Registered Nurse (RN)

$38 - $49 / hour

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! Part-time (2 shifts/week) split shift RN, 10am-6pm with rotating holidays and every other weekend rotation. Primary responsibilities admissions/discharges. Backup charge RN. Patient assignment as needed. Our Inpatient Unit on the Mitchell Campus in Cheektowaga, NY, provides a relaxing home-like setting for select patients and their families. Our unique unit is only offered to patients whose pain or symptoms cannot be managed at home or are approaching their final stage. Hospice patients can also be admitted to the unit for short-term respite care. A Hospice Inpatient Unit Registered Nurse renders professional nursing services, in accordance with physicians' orders, for individualized patient care and psychosocial/spiritual interventions for assigned patients/families. Provides nursing care in accordance with Hospice objectives and follows policies and procedures of the organization and the State Nurse Practice Act. Essential Duties and Responsibilities for a Hospice Inpatient Unit Registered Nurse: Demonstrates ability to perform comprehensive assessments to identify all physical, psychosocial, environmental, safety, emotional and spiritual needs related to the terminal illness that must be addressed in order to promote the patient's well-being, comfort, and dignity throughout the dying process and documents findings on all appropriate forms and on the plan of care. Performs pain assessments using Edmonton Scale, adhering to pain protocols, knowledgeable in equi-analgesic dosing and assures optimal pain relief using an interdisciplinary focus and timely appropriate interventions. Organizes and prioritizes assignments to consistently meet productivity standards and complete documentation requirements within identified time parameters. Appropriately explains duties and functions of the interdisciplinary team; articulates disease progression of cancer(s), lung disease, heart disease, liver disease, dementia, and other neurologic disease states. Able to articulate etiologies of symptom manifestation (nausea, vomiting, anorexia, fluid and electrolyte imbalance, diarrhea, constipation, mucositis, weakness/fatigue, dysphasia, edema, dyspnea, cognitive impairment, urinary retention, depression, delirium) related to a disease process. Modifies the plan of care timely and appropriately with a demonstrated skill in anticipating problems that may cause or create a threat to patient safety or lack of symptom control. Demonstrates knowledge in usage, indication, adverse side effects, contraindications and negative interactions of most commonly used steroids, NSAIDs, benzodiazepines, antidepressants, anticonvulsants, narcotics, antifungals, and diuretics. Documents to agency standards, timely completion, timely signatures, and documents care using A-I-R protocol to support hospice stay in program and level of care. Elicited no founded patient/family complaints or unusual occurrences (i.e. reportable incidents). Demonstrates proper sharps disposal, hand hygiene, waste disposal, use of personal protective equipment. Adheres to requirements of both CHPC and Hospice Buffalo policies and procedures that are both patient focused (clinical) and organizational focused (administrative); Adheres to HIPPA regulations and policies. Maintains the security of patient electronic/written records. Incorporates computer documentation into patient visit and/or as much as appropriately possible without compromising the quality of care and/or communication. Assures the timely completion and return of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance. Qualifications for a Hospice Inpatient Unit Registered Nurse: Education/Certification Graduate of an accredited school of nursing with current RN licensure in the State of New York. Certification in Hospice and Palliative Care Nursing preferred. Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call. Experience Year of nursing practice as a professional nurse is preferred.

Registered Nurse (RN) Manager - Admissions

Hospice Buffalo Cheektowaga, NY

$100,000 - $108,000 / year

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! Full time, 8am-4pm with on call rotation. A Registered Nurse (RN) Manager is responsible for the overall management of daily operations for the intake and admissions department of Hospice. Promotes and sets standards for timely admission into the appropriate hospice or palliative care program. Provides clinical direction and support for the intake office and clinical staff. This responsibility includes ensuring compliance with Hospice criteria and state and federal regulations as they apply to the Hospice program. Assures that the patients and families receive quality care in accordance with recognized standards of practice, Hospice criteria, policies and procedures, and both state and federal regulation. Acts as community liaison when dealing with patients, families, medical staff, and institutions for all referrals. Demonstrates the ability to increase referrals, the conversion rate of referrals, and the average length of stay for admitted patients. Essential Duties and Responsibilities for a Registered Nurse (RN) Manager: Assists with recruiting, hiring, mentoring, evaluating, and separating staff. Responsible for staff scheduling to ensure appropriate staffing levels to meet referral demand, admission visits, and liaison visits. Maintains working knowledge of state and federal regulations as they apply to hospice and palliative care services. Responsible for both new and revised policy and procedure development and demonstrates ability to operationalize to assure high quality and regulatory compliance standards. Assists in the preparation of the annual budget and promotes cost containment within area of oversight including budget variance analysis. Assists in the implementation of an agency wide Continuous Quality Improvement Program and assists in multiple monitoring activities that are both patient and organizational focused to promote clinical quality and corporate compliance. Uses leadership position to set positive, attainable expectations, objectives and goals for staff development. Provides guidance and support to staff in the planning of patient care to ensure that care is rendered as components of an interdisciplinary team and handles any patient care problems that arise including appropriate risk management interventions. Acts as the first administrative responder to patient/family complaints, unusual occurrences and risk management issues in the intake and admissions department. Works collaboratively to promote a department culture of patient centered services and customer service focus in all interactions. Participates in 24 hour, 7 day per week Supervisory on call for intake and admissions department. Must be able to perform informational visits and admit patients into the Hospice program on an as needed basis. Responsible for review and prioritization of all incoming referrals. Qualifications for a Registered Nurse (RN) Manager: Education/ Certification Graduate of an accredited school of nursing with current RN licensure in NYS. BSN preferred. Certification in Hospice and Palliative Care Nursing Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call Experience: Minimum of three (3) years of clinical nursing experience Minimum of two (2) years of management experience required; two (2) years of supervision Experience working in various healthcare settings helpful; Hospice & Palliative Care preferred. Experience with electronic documentation (EMR) helpful

Registered Nurse (RN)- Charge

Hospice Buffalo Cheektowaga, NY

$40 - $51 / year

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high deductible plan (FT status) HSA with high deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! Every other weekend 8pm-8am. Holiday rotation. The Charge Registered Nurse (RN) position is responsible for the day to day coordination of patient care within the scope of the services of the after-hours team. The Charge RN provides leadership and direction to the clinical staff for their designated shift in collaboration with management to promote high quality, timely, safe patient care. Serves as staff liaison to the On Call providers, management, and patient care team. Essential Duties and Responsibilities for a Charge Registered Nurse (RN): As a leader on their shift, the Charge RN sets the tone for staff by demonstrating a consistently positive attitude and proactive problem solving. Keeps managers informed of concerns from staff on their designated shift and participates in collaborative problem solving to promote teamwork and job satisfaction. Must be able to competently perform all functions of the office RN/LPN Coordinator duties, inclusive of all platforms and documentation requirements. Assists to process HCHB workflow timely and accurately. Demonstrates ability to identify all physical, psychosocial, environmental, safety, emotional and spiritual needs related to the terminal illness to promote the patient's well-being, comfort, and dignity throughout the dying process and documents findings on all appropriate forms and on the plan of care. Responsible for triaging patient assignments on the designated shift, considering staffing and patient acuity to promote high quality, timely scheduling, and safe patient care. Demonstrates clinical competency and ability to mentor newly hired and existing staff and participates in the onboarding of new after-hours staff. Executes patient/family/caregiver teaching in all given situations including disease progression and etiologies of common symptoms (i.e. pain, anxiety, delirium, SOB, edema, nausea & vomiting etc.). Acts as first responder on their shift relative to any patient or caregiver/family complaint or care concern and keeps management informed as issues arise. Anticipates patient/family needs or problems and makes recommendations for changes in the POC in collaboration with the IDT and attending MD. Adheres to requirements of both CHPC and Hospice Buffalo policies and procedures that are both patient focused (clinical) and organizational focused (administrative); Adheres to HIPPA regulations and policies. Participates in the after-hours shifts as defined and holiday schedule rotation. Qualifications for a Charge Registered Nurse (RN): Education/Certification Graduate of an accredited school of nursing with current RN licensure in the State of New York. Certification in Hospice and Palliative Care Nursing preferred. Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call. Experience Minimum of (2) Years of nursing practice as a professional nurse is required. Hospice or palliative care experience preferred. Charge Nurse experience preferred.

Intake Licensed Practical Nurse (LPN)

Hospice Buffalo Cheektowaga, NY

$28 - $33 / hour

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program Full-time, 10am-6pm with weekend and holiday rotation. An Intake Licensed Practical Nurse (LPN) is responsible for coordinating the intake, scheduling, and care delivery process for patients. Conducts interviews with patients to compile intake information. Makes referrals to service providers based on patient needs and assessment. Works under the general supervision of the Admission Team Manager. Essential Duties and Responsibilities for an Intake Licensed Practical Nurse (LPN): Receives intake and informational calls. Directs department calls to the appropriate party; assists with phone calls to non-admitted patients to facilitate admissions. Assists in the day to day coordination of team clinical functions, facilitates, and schedules assessments. Obtains complete demographic and insurance information from appropriate source. Obtains medical certification and less than six-month prognosis for Hospice patients from the attending physician prior to assessment visit. Obtains and retrieves medical information pertinent to referral, prior to nursing assessment when possible. Notifies Team Manager or Director of scheduling concerns, documentation/ insurance requirements. Ensures nursing staff has current and accurate patient information attached to the patient chart. Understands and applies local coverage Determination Policies in order to assist in the identification of the best system of care for the prospect and assure eligibility for Hospice. Understands and applies Medicare, Medicaid, and third party requirements for eligibility and informs referral sources, as necessary. Participates in verification of insurance benefits. Follows up on third party insurance authorization when necessary. Acts as resource person for insurance information to all staff. Participates in special projects, statistical reporting, and analysis, as necessary. Demonstrates bias for action, acts on what is important, is proactive and creative, possesses a can-do attitude, ability to multi-task, has the ability to work under pressure and keep difficult situations in perspective. Performs necessary clerical tasks to include filing, mailing, record keeping, copying, and other tasks assigned to assure professionally organized medical and statistical records and to facilitate referral processing. Enters all patient information, telephone calls, prospect disposition into EMR System. Specific to Intake LPN: triage assistance. Qualifications for an Intake Licensed Practical Nurse (LPN): Education/Certification High School Diploma/GED preferred Specific to Intake LPN: Graduate of an accredited School of Practical Nursing with current LPN licensure in the State of NY Experience Experience in a healthcare environment preferred. Experience in Hospice & Palliative Care helpful. Specific to Intake LPN: 1 year of nursing practice as a Licensed Practical Nurse preferred.

Nurse Practitioner

Hospice Buffalo Cheektowaga, NY

$120,000 - $130,000 / year

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! This Nurse Practitioner position is for our home-based palliative care program, Home Connections. Full-time day shift with On Call rotation. A Nurse Practitioner serves as an advanced practice clinician providing primary level of care in collaboration with physicians and other members of the health care team. Essential Duties and Responsibilities for a Nurse Practitioner: Effectively identifies, evaluates, and addresses disease progression and symptom management, under the direction of a physician. Works in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, or referral. Responsible for the management of acute and chronic conditions related to the primary diagnosis identified for hospice eligibility. Provides palliative medicine consults for symptoms and psychosocial needs associated with chronic, serious illness, as appropriate Educates patients and families about disease progression and treatments. Performs physical examinations and health measures within prescribed guidelines and instructions of physicians. Orders, interprets and evaluates diagnostic tests to identify and assess patient's clinical problems and health care needs. Records physical findings, and formulates plan and prognosis, based on patient's condition. Discusses case with physician and other health professionals to prepare comprehensive patient care plan. May prescribe or recommend drugs (as allowed by license) or other forms of treatment, as necessary. Develops and maintains knowledge of pertinent hospice regulations as they pertain to the provision of medical care and IDG collaboration to maintain compliant documentation. Participates in the provider call schedule and cross-coverage responsibilities. Qualifications for a Nurse Practitioner: Education/Certification Graduate of an accredited school with current NP licensure in the State of New York. Board Certification Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call. Experience Minimum three (3) years of clinical nursing experience required. Prior acute care experience preferred Hospice and palliative care experience helpful

Licensed Practical Nurse (LPN) Coordinator

Hospice Buffalo Cheektowaga, NY

$28 - $33 / hour

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! This is a part time position in the Admissions Department. 8am-4pm every Saturday and Sunday. Holiday rotation. A Licensed Practical Nurse (LPN) Coordinator handles the day to day coordination of the team clinical functions, assists in implementing the patient plan of care with staff, volunteers, and outside agencies. Communicates as a liaison between staff, patients, and outside agencies. Assists with maintaining records. May involve direct patient care. Essential Duties and Responsibilities for a Licensed Practical Nurse (LPN Coordinator): Assists in coordination and implementation of the patient plan of care. Handles phone calls from the patient, primary care giver, or designee regarding any questions or concerns. Collaborates with the interdisciplinary teams, RNs, or Team Manager. Coordinates and schedules patient visits. Provide timely documentation/data entry per Hospice time frames and deadlines. Communicates current health status and needs of patients to appropriate team professionals. Assists the team and Team Manager with other administrative functions, as necessary. Qualifications for a Licensed Practical Nurse (LPN) Coordinator: Education/Certification Graduate of an accredited School of Practical Nursing with current LPN licensure in the State of New York. Experience 1 year of nursing practice as a Licensed Practical Nurse preferred.

Certified Nurse Assistant (CNA)

Hospice Buffalo Cheektowaga, NY

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! TRAVELING CNA POSITION. 7am-3pm or 8am-4pm. Weekends prn. Holiday rotation. A Certified Nurse Assistant (CNA) functions in a supportive relationship to professional disciplines and may function as an extension of these professional services with appropriate supervision and guidance assisting in the care of individuals in the long term care and assisted living/developmentally disabled facilities. Under the supervision of the nurse, or other professional personnel, performs personal care procedures, health related tasks, and other homemaking and housekeeping activities to maintain or achieve the patient's optimal level of health. Serves as a mentor to new Aides. Essential Duties and Responsibilities for a Certified Nurse Assistant (CNA): Assists with appropriate hygiene and grooming inclusive of bathing, hair shampoo, nail & skin care; oral hygiene; toileting/assistance with elimination; taking vital signs, and weights. Assists with health related tasks and personal care procedures. Assists with activities of daily living. Feeding the patient if necessary. Understands adequate nutrition and fluid intake. Demonstrates effective observation and reporting skills. Maintains high level of confidentiality in compliance with HIPPA law and policy. Identifies and reports patient clinical changes and/or body function changes appropriately to RN Case Manager. Demonstrates appropriate hand hygiene; waste disposal; use of Personal Protective Equipment; Bag (supply/tote) technique and knowledge of Standard Precautions, inclusive of basic infection control procedures. Appropriately explains duties and functions of the Interdisciplinary Team including the role of the Certified Nurse Assistant. Documents to agency standards. Displays the ability to establish priorities and organize work and time appropriately. Anticipates problems and modifies plans and procedures to provide solutions. Adheres to requirements of policies and procedures that are both patient focused (clinical) and organizational focused (administrative). Maintains the security of patient records. Elicited no founded patient/family complaints, staff complaints or unusual occurrences (i.e., reportable incidents). Demonstrates ability to communicate with patients and families in a supportive manner that is understandable and culturally appropriate. Maintains a clean, safe environment; provides assistance with safe transfer techniques, positioning and ambulation. Demonstrates normal range of motion. Able to read and record temperature, pulse, and respiration. Recognizes emergencies and is knowledgeable in applying emergency procedures. Is respectful of the patient, his or her privacy, and his or her property. Demonstrates understanding of basic knowledge of nursing home and ALF/DD care issues and the ability to carry out assignments. Qualifications for a Certified Nurse Assistant (CNA): Education/Certification Completion of a NY State approved Certified Nurse Aide training program with CNA Certificate. High school diploma, GED preferred. Certification in Hospice and Palliative Care encouraged. Must have current Driver's License, free of any serious violations, and vehicle required for position. Experience One (1) year of experience in a clinical setting and nursing assistant experience preferred.

Registered Nurse (RN)

Hospice Buffalo Cheektowaga, NY

$40 - $51 / year

New Pay Range! What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! 8am-4pm Monday-Friday. Holiday rotation. The majority of our patients prefer to receive hospice and palliative care at home to maintain their independence and live their lives to the best of their ability. Symptoms are managed so that the patient can live a full life with the support of family and friends and the comforts of home. A Hospice Home Care Registered Nurse renders professional nursing services, in accordance with physicians' orders, for individualized patient care and psychosocial/ spiritual interventions for assigned patients/families. Provides nursing care in accordance with Hospice objectives, as well as, policies and procedures of the organization and the State Nurse Practice Act. Essential Duties and Responsibilities for a Hospice Home Care Registered Nurse: Demonstrates ability to perform comprehensive assessments to identify all physical, psychosocial, environmental, safety, emotional and spiritual needs related to the terminal illness that must be addressed in order to promote the patient's well-being, comfort, and dignity throughout the dying process and documents findings on all appropriate forms and on the plan of care. Performs pain assessments using Edmonton Scale, adhering to pain protocols, knowledgeable in equi-analgesic dosing and assures optimal pain relief using an interdisciplinary focus and timely appropriate interventions. Organizes and prioritizes assignments to consistently meet productivity standards and complete documentation requirements within identified time parameters. Appropriately explains duties and functions of the interdisciplinary team; articulates disease progression of cancer(s), lung disease, heart disease, liver disease, dementia, and other neurologic disease states. Able to articulate etiologies of symptom manifestation (nausea, vomiting, anorexia, fluid and electrolyte imbalance, diarrhea, constipation, mucositis, weakness/fatigue, dysphasia, edema, dyspnea, cognitive impairment, urinary retention, depression, delirium) related to a disease process. Modifies the plan of care timely and appropriately with a demonstrated skill in anticipating problems that may cause or create a threat to patient safety or lack of symptom control. Demonstrates knowledge in usage, indication, adverse side effects, contraindications and negative interactions of most commonly used steroids, NSAIDs, benzodiazepines, antidepressants, anticonvulsants, narcotics, antifungals, and diuretics. Documents to agency standards, timely completion, timely signatures, and documents care using A-I-R protocol to support hospice stay in program and level of care. Elicited no founded patient/family complaints or unusual occurrences (i.e. reportable incidents). Demonstrates proper sharps disposal, hand hygiene, waste disposal, use of personal protective equipment. Adheres to requirements of both CHPC and Hospice Buffalo policies and procedures that are both patient focused (clinical) and organizational focused (administrative); Adheres to HIPPA regulations and policies. Maintains the security of patient electronic/written records. Incorporates computer documentation into patient visit and/or as much as appropriately possible without compromising the quality of care and/or communication. Assures the timely completion and return of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance. Expected to perform additional duties as requested. Qualifications for a Hospice Home Care Registered Nurse: Education/Certification Graduate of an accredited school of nursing with current RN licensure in the State of New York. Certification in Hospice and Palliative Care Nursing preferred. Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call. Experience Year of nursing practice as a professional nurse is preferred.

Registered Nurse (RN) Manager- Home Care

Hospice Buffalo Cheektowaga, NY

$100,000 - $108,000 / year

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! Full-time, Monday-Friday 7:30am-3:30pm with holiday and on-call rotation. Registered Nurse (RN) Manager Home Care oversees the daily management and coordination of the interdisciplinary team(s) involving Hospice in-home and/or facility-based care. Responsibilities include managing and planning of patient/resident care operations; ensuring all compliance standards are met. Supervises members of the IDG Team including Field RN's, LPN's, Therapists, PCA's, Social Workers, Pastoral Care, Nutrition Counselors, and contracted staff. Essential Duties and Responsibilities for the Registered Nurse (RN) Manager Home Care: Ensures compliance with organization criteria and regulations as well as state and federal regulations as they apply to the Hospice programs; communicates updates/changes to staff. Assists in the recruiting, hiring, developing and evaluating of key personnel; ensures clinically competent staffing levels are maintained. Works with the Director of Community Based Services to establish goals and objectives including cost containment efforts. Collaborates with the Director of Community Based Services, Chief Clinical Operations Officer and Director of Quality Improvement in the implementation of an agency wide Continuous Quality Improvement Program; assists in monitoring activities that are both patient and organizational focused to promote clinical quality. Handles implementation of care to meet the physical, psychosocial, environmental, safety, emotional and spiritual needs related to the terminal illness that must be addressed in order to promote the patient/family's well-being, comfort, and dignity throughout the dying process while maintaining standards of care consistent with the Hospice Philosophy which can be verified through outcome measures. Must be able to competently oversee and perform all functions of the office and field RN/LPN duties, inclusive of all platforms and documentation requirements. Prepares staffing schedules as appropriate and anticipates staffing profile needs; plans and participates in the orientation and staff development needs to assure that program personnel are current in clinical information and practices. Maintains an appropriate schedule of supervisory field visits and assures that staff adheres to yearly Department of Health mandatory requirements. Facilitates patient/family needs or problems and makes recommendations for changes in the POC in collaboration with the IDT, attending MD. Director of Community Based Services, and Patient Advocate. Assures the accuracy and policy compliance of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance. Assures timely completion of all hospice recertification's and assists the IDG Team in documenting patient's status and needs to appropriately support the Hospice programs and level of care. Completes fiscal responsibilities (i.e. pharmacy and outpatient invoice review) timely and assures that services and interventions (i.e. medications, advanced therapies) are included in the PPOC. Initiates, completes and assures clinical oversight of advanced therapies per the Clinical Case Management Review process. Assures that patient's insurance authorizations are monitored and obtained timely and any insurance changes are reviewed with the Director or Chief Clinical Officer. Adheres to HIPAA regulations and policies. Assures the security of patient electronic/written records. Participate in the on-call manager rotation, responding to clinical after-hours needs with appropriate interventions and staff guidance to ensure 24/7 oversight of Hospice operations. Qualifications for a Registered Nurse (RN) Manager Home Care: Education/Certification Graduate of an accredited school of nursing with current RN licensure in the State of New York. BSN preferred. Certification in Hospice and Palliative Care Nursing preferred. Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call. Experience Two (2) years of clinical nursing experience required; Hospice experience preferred.