RN Admissions

Job Details Level: Experienced

Job Location:

Stockton Main Office
- Stockton, CA 95204

Position Type:
Full Time Salary Range: $58.70 - $61.07 Hourly

Job Shift: Swing Job Category:
Health Care Hospice of San Joaquinis the oldest not-for-profit hospice of 40 years. We serve all ofSan Joaquin and Stanislaus Counties . We are committed to continuing to be the leader in ensuring the quality of the journey, from aserious illness to the end of life, and to honor our mission by honoring life by ensuring patients and their Caregivers are the focus of everything we do.

We are seeking aDynamic skilled, self-motivated RN
- Admissions who thrives in a fast-paced environment and to support our mission. This is a Full-Time position,

• Evaluate patients for appropriateness for Hospice Medicare Benefit.
• Provide skilled nursing assessment/delivery of direct care.
• Work with IDT to develop plan of care.
• Provide direction for social services, home health aides, and all contracted clinical care providers.

• Using clinical assessment skills, completes the initial nursing assessment; identifies the physical, practical, physiological needs of the patient. Assess patients within regulatory requirements. Perform admission visits and follow up visits in a thorough and complete manner.
• Works with social services to identify the emotional, psychological and spiritual needs of the patient.
• Develops Plan of Care based on identified needs;
  Plan of Care reflects a problem solving approach with defined, measurable outcomes. Ensures quality, continuity of care as well as identifying patients goals.
  
  Plan of Care will be shared with assigned RN Case Manager and Home Health Aide Coordinator.
• Makes recommendations to IDT for action/follow-up of newly referred patients.
• Maintains up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and kept in accordance with Medicare, Medi Cal, State home health Agency and Joint Commission standards.
• Collaborates with physicians to determine need for a change of level of care (continuous home care,respite, attendant care, in-patient admission, or discharge from the Hospice Program).
• Interventions reflect an advanced level of nursing practice and commitment to execution of IDT Plan ofCare.
• Follows universal precautions in delivering patient care.
• Provides support to families in anticipation of patients expected death with coordination of services with administrative staff, physician, mortuary, pharmacy and DME supplier.
• Prepares family to plan transition from care giving to bereavement, in coordination with IDT members.
• Demonstrates creativity in meeting and teaching patient/family needs in the home environment.
• Uses expert nursing judgment and functions as patient advocate in collaboration with IDT and primary physician, when seeking a change in optimal care setting for the patient, incorporating patient safety andfamily care giving ability.

• Documents that all required forms have been explained and signed by patient or patient representative.
  
  Documents all care provided, teaching, and supplies ordered/delivered. Documents telephone conversations related to patient’s admission. Documentation completed within require time frame.
• Communicates needs of “crisis” patients/families to the CCO to facilitate team discussion for necessary changes in patient’s Plan of Care.
• Collaborates with MSW, HHA,MD, DME suppliers and other health care providers for patient’scare.
• Refers additional services when indicated by patient condition.
• Remains sensitive to caregiver ability to provide care and offers additional services as appropriate.
• Supports and teaches patient/family/caregiver to facilitate the IDT Plan…