RN - Hospice (per diem)

Beth Israel Lahey Health; Plymouth (MA); Sur place; USD 51 000 - 105 000; Temps partiel

Résumé du poste

Beth Israel Lahey Health seeks a per diem Hospice RN to support evening and night care management across home and facility settings. You will access the Hospice EMR, triage calls, and perform proactive visits to ensure symptom management and continuity of care.

The role requires knowledge of end-of-life pain and symptom management, strong organizational and communication skills, and the ability to coordinate with physicians, social workers, and chaplains. English proficiency is necessary.

Qualifications

• Knowledge of pain and symptom management at end-of-life.

Responsabilités

• Assist in implementing patient/caregiver plan of care during evening/night hours.
• Access Hospice EMR for all pertinent information.
• Triages calls, makes pro-active visits, addresses symptom management.
• Maintain the same level of service during night shift as during routine hours.
• Coordinate equipment and medication procurement as needed.
• Collaborate with patient’s primary MD and Hospice Medical Director as needed.
• Understand care in skilled nursing facilities, assisted living facilities and group homes.
• Access psychosocial information that may impact care delivery.
• Communicate with Administrator On-Call to report issues or request resources.
• Communicate with social work and chaplain, initiate Vigil Volunteer as needed.
• Perform RN pronouncement in all settings except acute care hospitals.
• Provide support to families at the time of death in all settings.
• Make pro-active visits to high-risk patients or those new to hospice.
• Maintain timely documentation in Hospice EMR (PTCT).
• Provide RN visits during regular hours on a rotating basis to improve continuity.
• Complete Admissions to hospice as needed.
• Provide coverage for Intake/Referral as needed.
• Supervise Hospice Aides in SNFs between 7AM and 8AM when assigned.
• Assist in preparing the visit schedule for the next business day.
• Complete chart audits and data extraction and medication reconciliation per shift.
• Other duties as assigned by the Clinical Director.

Connaissances

Pain management

Hospice philosophy

Assess needs

Crisis management

Organizational skills

Communication skills

Transportation evenings/nights

Formation

BS degree or BSN in progress

Hospice/home care experience preferred

Outils

Hospice EMR

Description du poste

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

Job Description:

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.

Equal Opportunity Employer/Veterans/Disabled

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. 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.