Hospice Registered Nurse; Admissions

Status:
Full-Time, 4 weekly 10hr day shifts

Coverage:
Oakland and Macomb County

Responsible for all aspects related to the initial patient assessment and plan of care upon admission for patients across the life span (perinatal, pediatrics, and adults) according to established standards and practice. Responsible for providing information about hospice services to potential patients, referral sources, and providing education to the community as needed. Responsible for skilled nursing assessment and hospice plan of care in order to maximize the comfort of patients and families consistent with agency standards.

Collaboratively works with the Hospice physician, Medical Director and Interdisciplinary Team to ensure continuity of care for every patient.

• Performs visits as needed:
• Assists with discharges from facilities to the site of Hospice care.
• Performs Admissions at the site of Hospice Care.
• Assists the Liaison Team to meet the needs within the hospitals/facilities as needed.
• Other Hospice nursing visits as assigned.
• Effectively manages time to meet department expectations in regards to admissions.
• Responsible for the direction of care provided by LPN in accordance with patient’s plan of care.
• Responsible for the supervision of services provided by the LPN per agency policy and regulatory requirements.
• Assess and evaluate every patient to determine the appropriate plan of care (POC).
• Obtain relevant information and supporting documentation to include medical records, vital signs, and patient functional status to support clinical eligibility.
• Independently assess patient/family immediate care/symptom management needs in a timely manner.
• Consult with attending MD and other required medical personnel to include all relevant information and supporting documentation.
• Provides hospice MD with information to foster identification of related and non-related services, items, and medications, as well as opportunities to discuss polypharmacy and deprescribing as appropriate.
• Develop Admissions POC and communicate initial assessment, admission information, financial information, plan of care, and changes to the plan of care to the IDT on all assigned cases.
• Provides appropriate follow-up to outside case managers in regards to insurance and authorizations.
• Reviews borderline/complex cases per protocol. Adheres to the Non-Admit Policy by contacting Admissions Manager or Supervisor to discuss case prior to leaving patient’s home.
• Coordinate admission to hospice with other facilities, assisting with implementation and coordination of services.
• Effectively manages symptoms.
• Completes all components of admission documentation within policy timeframe.
• Participates in training and mentoring of new staff.
• Keeps current with all department policies and procedures.
• Adhering to agency standards is a requirement in performing all job duties.
• Completes all assigned continuing education by assigned completion date.
• Other job duties as assigned.

• Demonstrates organizational awareness and commitment.
• Understands and appropriately applies the chain of command in relation to job position and supervision.
• Knows and understands the agency mission in relation to own job description.
• Observes confidentiality policy at all times.
• Protects and honors patient and coworker confidentiality.
• Respects patients’ and coworkers’ right to privacy.
• Observes attendance and attire policies.
• Meets attendance and punctuality expectations.
• Demonstrates cooperation with scheduling requests to meet agency and/or department needs.
• Consistently adheres to agency and/or department dress code.
• Complies with all other policies, procedures and requests.
• Recommends and/or supports changes to policies and procedures.
• Demonstrates knowledge of policies and procedures applicable to own job description.
• Adheres to policies and procedures. Honors requests of management for interim rules.
• Supports and complies with agency policy regarding the acceptance of gifts.
• Conserves agency resources.
• Maintains agency property, supplies and equipment in a manner that demonstrates ownership and accountability.
• Maintains the work area to reduce the likelihood of safety hazards and to enhance its general appearance.
• Manages time and resources effectively.

• Demonstrates interpersonal understanding and utilizes effective communication skills.
• Considers effects of words and actions on others.
• Utilizes listening skills that indicate understanding and promotes accurate interpretation of others’ concerns, motivations and feelings.
• Recognizes the influence of beliefs and cultures on behaviors and accepts strengths and limitations in others.
• Works toward resolution of interpersonal conflicts as they arise.
• Recognizes when others are in need of information, assistance or direction, and consistently offers and provides help.
• Attends and participates positively in meetings.
• Regularly reads and appropriately applies information to practice.
• Uses words that express respect, patience and…