Registered Nurse - Admissions (Hospital Based) (PRN - as needed)

Hospice & Community Care; York (York County); On-site; USD 65,000 - 90,000; Full time

Job summary

Hospice & Community Care seeks an experienced RN for Admissions/Care Transitions in a hospital-based setting serving Lancaster, York, and surrounding counties. This PRN role involves 8- or 12-hour shifts with full orientation for 1–2 months.

You will perform admissions visits, conduct comprehensive RN assessments, interface with physicians and care teams, and coordinate discharge plans with hospital staff and community facilities. PA license and hospice experience preferred.

Qualifications

• Graduate of an accredited school of registered nursing.
• Maintains current Pennsylvania license.
• One year of nursing experience as a registered nurse within last four years required.
• Hospice experience preferred.

Responsibilities

• Provides accurate and timely information regarding hospice services to anyone inquiring about Hospice care.
• Completes admission visits for routine, general inpatient (GIP) and Hospice Response Team (HRT) patients.
• Performs RN comprehensive assessments and focused skilled nursing visits on GIP/HRT per discipline frequencies.
• Follows up on hospice waiting patients to assure a smooth hospital discharge.
• Documents in both the hospital EHR and hospice EMR in an accurate and concise manner at the time the service is provided.
• Obtains accurate patient related data including initial needs assessment, medical history, insurance information and resources available to patient and caregiver.
• Immediately communicates assessment information and proposed plan and level of care to the attending physician, hospital care/case manager, and access team, requesting additional information, orders, or follow up as needed.
• Collaborates with community residential facility staff to develop an effective and safe discharge plan.
• Provides ongoing communication and updates with organizational staff, hospice physicians, patients, families, hospital staff including care/case management staff and physicians, community palliative care providers, community partners such as skilled or assisted living facility staff and admissions planners.
• Assists with hospital transition/discharge planning process, working with case/care management departments, nursing staff and caregivers to facilitate admission to hospice services.
• As appropriate, completes hospice enrollment including informed consent.
• Assists with outreach to referral sources to coordinate care and facilitate referral process.
• Anticipates, assesses, and responds to pain and other symptoms of physical, emotional, and spiritual suffering.
• Demonstrates thorough knowledge and application of current palliative care protocols for symptom management.
• Provides direct nursing care and interventions as prescribed by the physician and/or symptom management orders.
• Works independently and effectively throughout all care settings as required.
• Understands reimbursement and payer source implications to the plan of care and utilizes resources wisely and effectively.
• Assists with the orientation of new staff and visiting professionals.

Education

Registered Nurse (RN) degree / licensure

Job description

Your Career at Hospice…

Hospice & Community Care provides quality care to thousands of patients and families every year so they can live better at end of life. We are able to support hundreds of individuals in our community each day because of our incredible staff. Whether in a clinical role or supporting the organization behind the scenes, your career at Hospice & Community Care makes a meaningful difference to patients and families.

RN- Admissions/Care Transitions

Hospital Based

PRN- as needed

Option: 8 or 12 hr. shifts

Days

Mostly working in a hospital setting. This position covers Lancaster, York and surrounding counties.

Full time orientation for 1-2 months required

PRN Requirements

2 shifts/month.

1 weekend per quarter

1 holiday every 2 years

Essential Functions

Provides accurate and timely information regarding hospice services to anyone inquiring about Hospice care.

Completes admission visits for routine, general inpatient (GIP) and Hospice Response Team (HRT) patients.

Performs RN comprehensive assessments and focused skilled nursing visits on GIP/HRT per discipline frequencies.

Follows up on hospice waiting patients to assure a smooth hospital discharge.

Documents in both the hospital EHR and hospice EMR in an accurate and concise manner at the time the service is provided. Documentation supports the limited prognosis, the level of care, changes to the plan of care, disease progression and care needs.

Obtains accurate patient related data including initial needs assessment, medical history, insurance information and resources available to patient and caregiver.

Immediately communicates assessment information and proposed plan and level of care to the attending physician, hospital care/case manager, and access team, requesting additional information, orders, or follow up as needed.

Collaborates with community residential facility staff (including senior living and other congregate living settings) to develop an effective and safe discharge plan.

Provides ongoing communication and updates with organizational staff, hospice physicians, patients, families, hospital staff including but not limited to care/case management staff and physicians, community palliative care providers, community partners such as skilled or assisted living facility staff and admissions planners.

Assists with hospital transition/discharge planning process, working with case/care management departments, nursing staff and caregivers to facilitate admission to hospice services.

As appropriate, completes hospice enrollment including informed consent.

Assists with outreach to referral sources to coordinate care and facilitate referral process.

Anticipates, assesses, and responds to pain and other symptoms of physical, emotional, and spiritual suffering.

Demonstrates thorough knowledge and application of current palliative care protocols for symptom management.

Provides direct nursing care and interventions as prescribed by the physician and/or symptom management orders.

Works independently and effectively throughout all care settings as required.

Understands reimbursement and payer source implications to the plan of care and utilizes resources wisely and effectively.

Assists with the orientation of new staff and visiting professionals.

Qualifications

Graduate of an accredited school of registered nursing.

Maintains current Pennsylvania license.

One year of nursing experience as a registered nurse within last four years required.

Hospice experience preferred

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