Hospice Admissions Registered Nurse

Well Care Health; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

Well Care Health is hiring an Admissions Registered Nurse responsible for initiating hospice services and educating patients and families. The role includes conducting initial assessments, collaborating with interdisciplinary teams, and providing direct nursing services in accordance with personalized care plans.

The ideal candidate will have a current RN license in the state, one year of clinical experience, and strong assessment and patient education skills. Opportunities for professional growth and development are available.

Qualifications

• Minimum one year clinical experience required, hospice experience preferred.
• Current Registered Nurse license in North Carolina is mandatory.
• Ability to work independently and as part of an interdisciplinary team.

Responsibilities

• Initiate hospice services and educate patients and families.
• Complete initial assessments and provide nursing services according to the plan of care.
• Collaborate with the interdisciplinary team to develop individual care plans.

Skills

Patient education

Assessment skills

Interdisciplinary collaboration

Customer service skills

Education

Graduate of an NLN accredited school of nursing

Bachelor's degree preferred

Tools

Word

Email

Job description

The Admissions Registered Nurse is primarily responsible for initiating hospice services with patients, educating patients and families about hospice services, and completing the initial assessments of the patient’s needs, initiating the patient specific plan of care, and ensuring interdisciplinary collaboration in the development of a patient specific plan of care based on identified needs. The Admission RN is responsible for the provision of direct nursing services in accordance with the plan of care.

Responsibilities

• Provide education to patient and family about hospice benefits, including admission forms, regulatory requirements, disease‑specific prognosis and hospice plan of care.
• Complete the initial assessment of patient and family/caregiver needs and provide direct or supervised nursing services in compliance with the patient’s developed plan of care.
• Develop and initiate an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.
• Communicate with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
• Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
• Demonstrate positive interpersonal relations in dealing with all members of the agency.
• Effectively demonstrate the mission, vision and values of the Agency on a daily basis.
• 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively initiate and carry out the Plan of Care for each patient (assessing the patients’ and family/caregivers’ physical, psychosocial, bereavement, environmental, safety, and developmental needs; implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the interdisciplinary group; revising the Plan of Care as patients’ needs change; providing care and evaluation; managing all aspects to anticipate, prevent, treat, and manage pain and other undesirable symptoms; offering support, instruction, and education to the patient, family and caregivers regarding disease process, medications, pain, symptoms, oxygen safety, hospice philosophy, and care of the terminally ill).
• 1.2 15% Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team. Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team; performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members; performs and reports on assessment findings of the patient’s pain and other undesirable symptoms to the Hospice Physician in a timely manner; maintains an accurate and updated medical record; provides supervision of patient assigned LPN and CNA; ensures arrangements for equipment and other necessary items and services are available; reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure.
• 1.3 10% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record; documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion; completes, maintains, and submits accurate and relevant notes regarding patient’s condition and care given; records pain/symptom management changes/outcomes as appropriate; documents all physician orders received within the EMR; consults and collaborates with the hospice interdisciplinary team and others involved in the patient’s care; maintains close contact with the patient’s family/caregiver to provide information, support, and continuity of care; maintains collaborative relationships with long‑term care facility personnel to support patient care and ensure quality symptom management.
• 1.4 5% Contributes to program effectiveness as evidenced by providing holistic, patient/family‑centered care across treatment settings; provides medication review and reconciliation of medication list within the EMR; ensures medications necessary to ensure patient comfort are available; maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process; participates in the provision of 24/7 on‑call nursing services; assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance of continuing education and in‑service classes; actively participates in quality assessment, performance improvement teams and activities.
• 2.1 20% Organizes and performs work effectively and efficiently (scheduling self to reduce driving time and mileage; ordering only needed supplies; ensuring DME proritized delivery; minimizing on‑hand inventory; practicing personal cost containment by responsible use of equipment, supplies, and resources).
• 2.2 10% Maintains and adjusts schedule to enhance team performance: reporting to work on time; managing personal work schedule and time off; assisting other team members to ensure completion of all work assignments; demonstrating flexibility with changing workload/assignments; not exceeding accrued PTO or qualified leave of absence.
• 3.1 25% Demonstrates positive interpersonal relations in dealing with all members of the team: responding to all customers in a courteous, sensitive, and respectful manner; demonstrating respect for team members; managing stress and personal feelings without a negative impact on the team; working collaboratively and cooperating with other departments; completing the review period without any formal disciplinary action; presenting a clean and neat appearance.

Job Specifications

• Education: Graduate of an NLN accredited school of nursing and current license to practice professional nursing as a Registered Nurse in the state; bachelor’s degree preferred.
• Licensure / Certifications: Must have current Registered Nurse license in NC, active legal driver’s license with an insured automobile, and a current American Heart Association CPR certification.
• Experience: Minimum one year clinical experience required; hospice experience preferred.
• Essential Technical/Motor Skills: Working knowledge of Word, E‑mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements; advanced customer service skills to respond with simple answers.
• Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team.
• Essential Physical Requirements: Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients.
• Essential Mental Abilities: Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently; emotional/mental stability and stamina.
• Essential Sensory Requirements: Keen observation skills.
• Exposure to Hazards: May be exposed to virus, disease and infection from patients and specimens in working environment.
• Hours of Work: To be determined with Supervisor; some on‑call required in rotation, including weekends and holidays.