Hospice Registered Nurse

Now Offering a 15K Sign-On Bonus

Primary Service Areas: Northern Oakland County, Oxford/Lake Orion area

Schedule: Friday - Sunday, 8am - 9pm

Work 36 hours a week and be paid for 40 hours a week

The Hospice RN Case Manager provides professional nursing care to the organization’s hospice clients as prescribed by the physician, and/or requested by the client/family, and in compliance with the state’s Nurse Practice Act, any applicable licensure/certification requirements, and the organization’s policies and procedures. The RN is fully responsible for the client assessment, care planning, therapeutic intervention, and overall supervision of client care and outcomes, and is designated as the case manager for hospice patients.

The Hospice RN, in collaboration with the physician and other hospice team members, anticipates and manages patient’s symptoms, assists in identifying patient/family/caregiver grief/loss issues, and assists in implementing the hospice plan of care. Provides functional support to hospice aides and LPN/LVNs as needed.

• Informs the client/caregiver about the agency, care/services available, client obligation for payment, and other responsibilities and rights, before care is initiated. Accurately explains/understands the hospice benefit.
• Develops and implements an individualized plan of care that incorporates realistic, attainable goals and is outcome‑focused so that the services provided will improve the patient’s quality of life and promote dignity.
• Makes appropriate referrals for evaluation/care to other disciplines and services, and coordinates care with others to ensure effective and efficient care is provided.
• Utilizes interview, observation, and evaluation in assessing clients and applies nursing judgment, practice standards, to formulate nursing interventions and make recommendations to the physician, client/family and IDT/IDG.
• Reports changes in client condition as appropriate and in a timely manner to the client’s physician and/or Case Manager/designee and obtains orders for changes in the plan of treatment to respond to the client’s condition.
• Re‑evaluates and updates patient’s plan of care based on patient goals and progress toward outcomes.
• Assesses patient and family learning styles and needs for teaching regarding disease process, self‑care, end‑of‑life care, and dealing with ethical concerns as well as patient goals as part of plan of care.
• Responds appropriately to changes in patient’s physical, psychological, or spiritual conditions.
• Models teamwork to accomplish organizational goals and provide quality patient care.
• Demonstrates respect for cultural diversity in all care delivery and communication with co‑workers, patients, and families.
• Maintains and enhances knowledge of pain and symptom management in hospice and palliative care patients, utilizing evidence‑based protocols and standing guidelines per policy.
• Adequately prepares patients and families regarding the expected disease process.
• Provides anticipatory education and guidance to patients and families regarding the death and dying process.
• Accurately documents observations, interventions and evaluations pertaining to client care management and services in accordance with agency policy and procedure utilizing the point-of-care information system. This includes assessments, visit reports, medication information, treatments, coordination of services, client progress or lack of progress toward goals, and contacts with physicians and agency and community providers.
• Takes appropriate steps to assure timely submission of client data to the office for inclusion in the client record (by timely electronic transmission of data, or when appropriate by fax or mail).
• Documentation reflects progress toward patient/family goals.
• Documents all collaborative contact with physicians and other members of the IDT/IDG team.
• Assures that documentation and orders are up to date and completed in a timely manner.

• Graduate of an approved nursing education program.
• Current registered nurse licensure in the state of practice.
• Must have a minimum of one (1) year experience as a professional…