Per Diem RN

Job Profile Summary

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. It involves assessing, planning, implementing, and evaluating the care needs of a designated group of patients or providing nursing care and clinical support tasks within the scope of practice to achieve the patient’s plan of care. Requires a nursing license. This is a professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs.

The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of the job area typically obtained through advanced education and work experience. Responsibilities may include managing projects/processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, and resolving difficult and sometimes complex problems.

The Hospice RN Community serves as support RN for the interdisciplinary team (IDT) and is responsible for delivering quality hospice nursing care for each patient assigned. This position will not manage a case load.

Minimum Qualifications:

• Massachusetts RN Licensure.
• New Hampshire RN Licensure.
• Basic Life Support (BLS) certification.
• One (1) year hospice and home health experience.

Preferred Qualifications:

• Two (2) years of hospice and home health experience.

Duties and Responsibilities: The duties and responsibilities listed below describe the general nature of work and are not intended to be all-inclusive. Other duties may be assigned.

• Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes.
• Coordinates care in a cost-efficient manner.
• Collaborates effectively with other members of the Interdisciplinary Team.
• Utilizes nursing process and current standards of nursing practice in providing hospice care.
• Remains competent in technical nursing skills (e.g., IVs, G-tubes).
• Provides effective patient and family teaching.
• Communicates with physicians and Tufts Medicine Care at Home staff regarding changes in patient condition.
• Understands family dynamics and works effectively within various family systems.
• Provides peers with support and mentoring if appropriate.
• Acts as a patient and family advocate. Provides information to families about all available resources.
• Accurately addresses need for additional services.
• Performs an adequate number of nursing visits and on-call/triage as necessary to provide superior hospice care under Tufts Medicine Care at Home standards.
• Communicates patient reports and status changes concisely and effectively.
• Updates Care Plan, Medication Profile, and HHA Treatment Plan routinely and as patient condition changes.
• Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.
• Involves Clinical Manager and Medical Director in appropriate situations.
• Works with Clinical Manager to identify opportunities for improvement in performance and address them.
• Proactive in increasing knowledge of hospice care and standards of practice.
• Assists in hospice education in the community.

• Standing, walking, sitting; using hands to finger, handle, or feel objects, tools or controls; reaching with hands and arms; climbing stairs; balancing; stooping, kneeling, crouching or crawling; talking or hearing; tasting or smelling.
• Regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs.
• Must regularly communicate internally and externally; able to exchange accurate information via phone, email and/or in person.
• Specific vision abilities include close vision, distance vision and ability to adjust focus.
• Noise level is usually moderate; may be exposed to weather conditions.

• Ability to work both autonomously and as a team member.
• Strong assessment and prioritization skills.
• Excellent interpersonal skills.
• Ability to function well in busy situations.
• Responsible and reliable; good organizational skills.

The compensation information provided below reflects the minimum qualifications for the role. Individual offers are determined using a comprehensive approach taking into account relevant experience, certifications, education, skills, and internal equity to ensure fairness and alignment with our business goals. Tufts Medicine offers a comprehensive Total Rewards package that supports health, financial security, and career growth.