Hospice RN

The On Call/After Hours RN is responsible for responding to clinical and non-clinical situations after normal business hours during the evenings, nights, weekends, and holidays by providing skilled nursing assessment, interventions, and supportive care for hospice and home health patients and their families to meet the plan of care for each patient and deliver quality care, ensuring compliance in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

• Triages calls to hospice and home health agency from patients and caregivers. Ensures an accurate evaluation of patient needs and develops and implements a comprehensive care plan that addresses those needs. Follows current hospice and home health nursing professional standards of practice and agency approved protocols.
• Makes timely home/facility visits to provide, evaluate and/or change plan of care based on effective and timely triage assessment of patient and family needs.
• Communicates with other health care providers and families about changes in condition and patient needs.
• Demonstrates knowledge of pain management and symptom control, educates patient/family on physical, emotional and psychosocial aspects of care, disease process, symptom and pain management, and signs and symptoms of death.
• Provides for accurate administration and evaluation of medication, management of medication orders, and delivery of medication to patient in a timely manner.
• Completes hospice admission assessments, home health admission assessment (OASIS) and develops patient’s initial plan of care.
• Communicates response to triage and patient care information in a timely manner to hospice team and attends Hospice Interdisciplinary Group meetings. Communicates response to triage and patient care information to home health team in a timely manner.
• Commitment to excellent customer service for internal and external customers.
• Informs Clinical Supervisors, Administrator and/or Executive Director of any high risk or critical issues in a timely manner.

• Documents patient and family care and necessary changes made in plan of care to provide current and accurate patient records through use of laptop computers and paper/chart documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations.
• Maintains knowledge of and compliance with requirements of regulatory agencies, accrediting bodies, third party payers, and HIPAA standards.
• Remains current in knowledge and practice of hospice and palliative care standards and regulations.
• Responsible for chart audits and compiling of quarterly measures.

• Collaborates with the hospice team, home health team, and physicians to meet the comprehensive needs of patients and their caregivers and families.

• Supervises hospice aides, home health aides, coordinates other disciplines and directs patient caregivers/family members in carrying out necessary changes in patient’s plan of care based on assessment of needs and/or evaluation of effectiveness of plan of care.

All other duties as assigned

• Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required.
• Bachelor’s of Science in Nursing (BSN) preferred.

• Three years experience in acute care, medical-surgical, oncology, or geriatric nursing required.
• Experience in a Medicare-certified home health agency preferred.
• Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
• Proficiency with electronic medical records (EMR) preferred.

• Must be able to read, write, speak, and understand the English language.
• Must possess a valid driver's license and acceptable driving record. Must be insurable under professional liability and crime coverage policies as specified by insurance carrier underwriting standards.

• Sitting – Up to 4 hours/day.
• Standing – Up to 8 hours/day.
• Walking – Up to 6 hours/day.
• Lifting, transferring, pushing or pulling patients or equipment/supplies – Up to 50 pounds.
• Driving – Up to 6 hours/day.
• Work weekends, evenings, and holidays – Required.
• On-call availability – Required - 7 days on, 7 days off.
• Subject to falls, burns from equipment, odors, and cuts – Work day.
• Subject to patients with various disease processes – Occasional.
• May be exposed to infectious waste, disease, conditions, etc. including exposure to the AIDS and Hepatitis B viruses – Work day.
• Risk Category for Exposure to Bloodborne Diseases – I.