RN - Hospice (per diem)

Beth Israel Deaconess Hospital Plymouth, Inc.; Iowa (LA); Remote; USD 51,000 - 105,000; Part time

Job summary

Beth Israel Lahey Health is seeking a Per Diem Hospice RN to join the mission‑driven team in Massachusetts. The role focuses on patient/family care planning, symptom management, and care coordination during evening and night hours.

You will access the Hospice EMR, triage calls, visit patients for symptom relief, and ensure consistent high‑quality care across settings. RN pronouncements and death‑related support are part of the duties, with collaboration across MDs, social work, and chaplains.

Qualifications

• Knowledge of pain and symptom management at end-of-life.
• Demonstrated ability to manage all aspects of terminal care/hospice philosophy.
• Able to assess and respond to the needs of patients and families in various settings.
• Ability to provide transportation evenings and nights.
• Ability to manage multiple crisis situations with limited resources.
• Strong organizational and communication skills.
• Ability to function independently and triage care.
• Proficient reading, writing and speaking English.

Responsibilities

• Shares in implementing patient/caregiver plan of care during evening/night hours.
• Accesses Hospice EMR for all pertinent information.
• Triages calls, makes pro-active visits for symptom management.
• Maintains the same level of service during night shifts as during hours.
• Arranges equipment and medication procurement as needed.
• Collaborates with patient’s primary MD and Hospice Medical Director as needed.
• Understands care in SNFs, ALFs and group homes.
• Accesses psychosocial information about home situations impacting care.
• Reports potential problems to Administrator On-Call; coordinates Vigil Volunteer requests.
• Performs RN Pronouncement in all settings except acute care hospitals.
• Provides support to families at time of death.
• Makes pro-active visits to high-risk or new hospice patients in hospitals or SNFs.
• Maintains communication via Hospice EMR (PTCT).
• Provides RN visits during regular hours on a rotating basis to improve continuity.
• Completes Admissions to hospice as needed.
• Provides intake/referral coverage as needed.
• Supervises Hospice Aides in SNFs between 7AM-8AM when assigned.
• Assists in preparing next day visit schedule.
• Performs chart audits, data extraction, medication reconciliation and data input.
• Other duties as assigned by Clinical Director.

Skills

Pain management

Hospice care

Communication

Triage

Care coordination

Education

BS Degree or BSN in progress

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Per Diem; Based on department needs

Duties/Responsibilities

• Shares in implementing patient/caregiver plan of care during evening/night hours.
• Accesses all pertinent information from the Hospice EMR.
• Triages all calls, makes pro-active visits, makes visits to attain symptom management in response to all patient/family calls.
• Maintains the same level of service to patients and families during the night shift as is expected during routine business hours.
• Arranges equipment and medication procurement as needed.
• Collaborates with patient’s primary MD and/or the Hospice Medical Director as needed.
• Understands the requirements and limitations of providing hospice care in skilled nursing facilities, assisted living facilities and group homes.
• Is able to access relevant psychosocial information about home situations that may impact care delivery.
• Communicates with the Administrator On-Call to report potential problems or request additional resources.
• Communicates with social work and chaplain as needed, initiates request for Vigil Volunteer as needed.
• Performs RN Pronouncement, in all settings except acute care hospitals.
• Provides support to families at the time of death in all settings.
• Makes pro-active visits to patients who are at high risk, are new to hospice, or are on GIP level of care in hospitals or skilled nursing facilities.
• Maintains regular and timely communication to other team members, by phone and through timely documentation in the Hospice EMR (PTCT).
• Provides RN visits to patients during regular business hours on a rotating basis to improve continuity in patient care and to increase team collaboration.
• Completes Admissions to hospice as needed.
• Provides coverage for Intake/Referral as needed.
• Completes supervision of Hospice Aides in Skilled Nursing Facilities between the hours of 7AM and 8AM when assigned.
• Assists in preparing the visit schedule for the next business day.
• Completes chart audits, quality data extraction, medication reconciliation and patient data input and completes documentation of those activities per shift.
• Other duties as assigned by the Clinical Director.

It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Education/Experience Required

• Knowledge of pain and symptom management at end-of-life.
• Demonstrated ability to manage all aspects of terminal care/expertise in hospice philosophy.
• Demonstrated ability to assess and respond to the needs of patients and families in a variety of settings.
• Ability to provide won transportation evenings and nights.
• Demonstrated to manage multiple crisis situations simultaneously with limited resources.
• Strong organizational and communication skills.
• Ability to function independently and triage care.
• Ability to read, write and speak English.
• BS Degree or matriculation towards a BSN recommended.
• Hospice and/or home care experience preferred.

Registration/Certification

• Current Massachusetts professional RN license.
• CHPN preferred.

Pay Range: $37.14 - $76.08. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled.

At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting your patients, we take care of you.