Job Description

This is a full-time professional position. This position is responsible for completing the admission, initial assessment and associated documentation for new Hospice patients. These duties will be performed in a manner that is consistent with the agency’s mission statement, core values and regulatory requirements. The schedule for this position is (week 1):Mon/Tues/Sat (week 2): Sun/Thu/Fri 10am-10pm; one major and one minor or three minor holidays per year

Responsibilities what you do

• Utilizing expert level clinical decision making, assess and develop patient plan of care for all elective, urgent and emergent admissions.
• Coordinate with patient, patient’s family members, physicians, Hospice supervisors and/or clinical staff when requirements of admission are not met/authorized, requiring facilitation of alternative care arrangements, physician/administrative override, or delay in service.
• Collect accurate and viable patient insurance information, and escalate all self-pay patients through the appropriate financial screening process
• Plan, provide, supervise and document safe, competent, and compassionate hospice nursing care for patients in accordance with physician orders, TL established policies and procedures, and related regulatory guidelines.

• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings
• Provide and document appropriate end of life information and education to patients and their families relevant to the care of each patient served.
• Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
• Responsible for professionally managing time, people and technology.
• Monitors and manages the appropriate use of patients’ medical equipment, supplies and medications.
• Collaborates with other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services.
• Actively participates in the orientation and training of new employees of all disciplines.
• Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals.
• Obtain and maintain current knowledge of best practices related to end of life care.
• Performs other duties as assigned by supervisor.

Expectations how you do it

• TL Core Values are exemplified in all interactions with internal and external customers.
• Adheres to TL policies, procedures and guidelines.
• Adheres to CMS and state guidelines and nursing standards of practice.
• Adheres to NHPCO Ethical Practices and the American Nurses Association’s Code of Ethics.

Requirements what you need

• Registered Nurse with current NC license; BSN preferred
• Minimum 2 years recent clinical experience. Hospice and/or home health or nursing home experience or equivalent preferred.

• Requires expert level analysis of patient clinical information and formulation of an accurate assessment of the patient and his/her condition.
• Expert in medical terminology and clinical data interpretation.

• Hospice Nurse Certification (CHPN) preferred.
• Knowledgeable about reimbursement sources, Medicare regulations, licensing laws, and accreditation standards.
• Strong computer skills required; experience with Netsmart, Outlook, and Office 365 preferred.
• Must have reliable transportation.
• Current CPR certification.

• Must be able to travel to, enter and function in the homes/facility of any patient/family in the service area to assess and provide care to all patients.
• May be required to lift and/or carry items up to 50 pounds.
• Must have sensory abilities to complete physical assessment, communicate with patient/family care providers and physician and to complete the reporting and follow-up documentation responsibilities of the job.
• Workdays and scheduled hours with weekend and holiday commitments as outlined in Employee Information Agreement.