RN - Hospice (per diem)

Beth Israel Lahey Health; Plymouth (MA); On-site; USD 51,164 - 104,807; Full time

Job summary

Beth Israel Lahey Health (BILH) seeks a compassionate Hospice Nurse with evening/night coverage to join a multidisciplinary team dedicated to quality end-of-life care. You will implement patient and caregiver plans, perform RN pronouncements where appropriate, and collaborate with physicians, social workers, chaplains, and Hospice Aides to ensure comfort and dignity.

The role emphasizes coordination across skilled nursing facilities and home settings, meticulous documentation in the Hospice EMR,

Qualifications

• Knowledge of pain and symptom management at end-of-life.
• Demonstrated ability to manage terminal care in hospice philosophy.
• Read, write and speak English.

Responsibilities

• Implement patient/caregiver plan of care during evening/night hours.
• Access Hospice EMR and triage calls and visits for symptom management.
• Provide RN visits and admissions to hospice, coordinating with team.
• Maintain communication with physicians, social work, and chaplain.
• Support families at time of death and coordinate resources.

Skills

RN license

Pain management

Hospice care

Communication skills

Organization

Triage

English proficiency

BS Degree or BSN in progress

Education

BS Degree or BSN in progress

Hospice/home care experience preferred

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.

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

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.

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.

Equal Opportunity Employer/Veterans/Disabled