Registered Nurse - Hospice

Summary

The Home & Supportive Care Registered Nurse (RN) provides excellent, clinically competent care and effectively interacts with patients / families and healthcare team members, while maintaining standards of professional nursing. As a member of the healthcare team, the RN is responsible for making decisions and performing services that are in the best interest of the patient, while positively contributing to the patient's experience. The Home & Supportive RN provides education and performs assessment, planning, implementation, monitoring, and evaluation of nursing care for acutely ill, chronically ill, terminally ill, and well patients with multiple managed conditions, to ensure cost effective and efficient utilization of health services.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

• Provide clinical care management services to identified eligible patients; coordinating care and care transitions to obtain desired health outcomes.

o Foster collaboration, shared decision-making, and partnership among clinical and non-clinical care team members.

o Perform patient / family / caregiver outreach according to established protocols.

o Ensures patient eligibility for assigned Home & Supportive Care services and assists with discharge planning and coordination of admissions upon discharge to home, facility or other residence

o Co-manage a diverse population living with one or multiple chronic conditions.

o Collaborate with patient, provider, and care team to develop and implement a plan of care to ensure medically appropriate, cost-effective care

o Identify, execute, and track needed referrals to care and community resources

o Provide resource management to improve care, patient experience and collaborate with Home & Supportive Care providers to effectively implement a patient-centered care plan.

o Provide ongoing remote clinical monitoring to patients in partnership with their providers, making informed escalation and triage decisions.

o Collaborate with care team to provide remote clinical monitoring of physiological data based on outlined pathways and ensure seamless care coordination according to each patient’s individual care plan.

o Engage with patients through text and voice / video calls, remotely reviewing patient / client data and health information.

Supervisory Responsibilities

Reports to : Nurse Manager and Clinical Coordinator

Supervises : Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)

Responsibilities : May delegate / assign duties to other members of the healthcare team

Education and Experience

Minimum Required Education : Associates Degree in Nursing

Preferred Education : Bachelor of Science in Nursing

Experience : 1 year inpatient, outpatient, or home-based nursing experience is preferred.

Certificates, Licenses, Registrations

Applicants must have current licensure or be eligible for licensure as a Registered Nurse in the State of North Carolina or compact state.

BLS within 90 days.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.