Benefits
- 401(k)
- Dental insurance
- Free uniforms
- Paid time off
- Vision insurance
Job Title: Registered Nurse - After Hours
Job Description Summary: Reports to Clinical Manager or Director of Clinical Services (if Clinical Manager is not yet established). The Registered After-Hours Nurse is responsible for providing direct patient care during evening and designated coverage hours. Responsibilities include rapid response to patient, family, facility, and caregiver needs in alignment with the hospice plan of care and organizational standards.
Roles & Responsibilities
- Provide direct patient care during evening and designated coverage hours as permitted by the State Nurse Practice Act, including specialized duties related to end-of-life care.
- Respond promptly to patient, family, and facility requests occurring primarily during evening or after-hours periods.
- Coordinate with the Director of Clinical Services (DCS) or RN Case Managers regarding needed nursing services during coverage hours.
- Immediately notify DCS or Administration of any service concerns or issues.
- Contact the Hospice Medical Director for physician orders related to medications, treatments, or symptom changes. When required, perform pronouncement of death:
- Provide support, empathy, and guidance to families and facilities at the time of death.
- Complete all required documentation for death visits.
- Document all occurrences such as falls, medication errors, infections, and complaints with the EMR.
- Implement nursing interventions in alignment with current standards, the comprehensive assessment, and the established plan of care.
- Provide accurate, timely documentation to reflect care provided and changes in condition.
- Educate patients and families/caregivers regarding diagnosis, symptom management, and care strategies appropriate to their needs.
- Coordinate with the interdisciplinary group and report identified needs that may require involvement from other disciplines such as hospice aide, OT, PT, SW, ST, Dietician, or Director of Clinical Services.
- Use and prepare equipment and supplies properly, following aseptic technique.
- Provide appropriate pain and symptom management and evaluate patient responses to interventions and medications.
- Participate in personal and professional development and take part in quality assessment and performance improvement (QAPI) activities.
- Perform additional duties as assigned by the RN, including:
- Assisting with processing and completing assigned clinical audits.
- Completing after-hours admissions when required.
Qualifications
- Graduate of an accredited Registered Nurse or vocational nursing program.
- Three years of nursing experience preferred; hospice or medical-surgical experience strongly preferred.
- Currently licensed as Registered Nurse in the state.
- Complies with accepted professional nursing standards and practices.
- Demonstrates strong verbal and written communication and organizational skills.
- Must be a licensed driver with a reliable automobile that is insured according to the state and organizational requirements.
- Possesses and maintains current CPR certification.
- Understands hospice philosophy and the unique needs of the terminally ill.
Flexible work from home options available.