Reporting to the Hospice Nurse Clinical Manager, provides professional nursing care as assigned. Coordinates care planningwith other disciplines. Serves as a liaison at Hospitals and facilities. Develops and maintains collaborative relations withreferral sources. Meets with case managers, staff providers, patients and families regarding Hospice referrals. Requirements: 1-3years directly related experience Accredited RN Program RN license ? NH or other Compact State CPR certified or within 30 days of hire Driver license ? valid Major Responsibilities:
Responsible for the care and oversight of patients on general inpatient level of care. Ensure there are physician orders prior to delivering services. Complete a comprehensive assessment including physical, psycho/social, and spiritual needs related to the terminal illness that must be addressed in order to promote the patients well being,comfort and dignity.
Provide input to the interdisciplinary team to develop and implement the plan of care for the patient. Analyze the plan on going and develop interventions/changes as necessary. Provide coordination of care to ensure continuous assessment of each patients and familys needs and implementation of the interdisciplinary plan of care.
Acts as a resource to discharge planners, physicians, patients, family members and others regarding RVNAH programs and services and provides information and patient/family education in accordance with agency standards.
Coordinates the flow of referral/patient information among the appropriate parties including agency staff, the referral source, the patient/family and physician.
Complies with medical, regulatory, educational and records management requirements (e.g. insurance authorization, consents, physicians referral, documentation) and maintains patient confidentiality in accordance with HIPAA guidelines.
Collaborates with other healthcare providers to coordinate services and maximize outcomes. Orders patient supplies in appropriate quantities and in a timely manner.
Maintains a safe and therapeutic environment for patient and caregiver(s) in accordance with Home Health standards, including assurance and support of the patients rights and responsibilities.
Completes documentation (routine notes, clinical/progress notes, medication reconciliation, discharge planning) same day as visit, per agency and regulatory requirements. Transfers laptop after each visit.
Meets agency obligations for scheduling, on call, weekend and evening coverage. Actively participates in team meetings and completes mandatory education. Understands and meets expected productivity. standards and obligations for scheduling.
Complies with professional licensure standards and code of ethics.