Job Summary: 

• Accountable to the Hospice/Palliative Care Director for consults
• Management of PC patients in the community and face-to-face visits for Hospice patients. 
• Provides medical expertise on pain and symptom management to clinical staff
• Interacts with attending physicians for collaboration on patient care regarding pain and symptom management issues and updates to the patient's plan of care
• Maintains documentation of patient visits and assigns appropriate billing codes that will support the level of service per the regulation. 
• Acts as a liaison to the community in the capacity of educational sessions by the Hospice/Palliative Care Director. 
• Remains current on clinical standards of practice in hospice and palliative care, promotes evidence-based practice. 
• Assists the Hospice/Palliative Director in review of patient referrals and patient's appropriateness for services, identifies home care patients for appropriateness for home care or hospice services 

Skills on Resume: 

• Consultation Skills (Soft Skills)
• Pain Management (Hard Skills)
• Clinical Documentation (Hard Skills)
• Care Planning (Hard Skills)
• Team Communication (Soft Skills)
• Community Education (Soft Skills)
• Standards Knowledge (Hard Skills)
• Referral Evaluation (Hard Skills)

Job Summary: 

• Administer comprehensive palliative and end-of-life care
• Develop and update a patient-specific plan of care
• Monitor and report changes in patient symptoms or behavior
• Communicate with collaborating physicians or specialists regarding patient care
• Educate patients about the disease and the dying process
• Collaborate with other healthcare professionals and medical facilities
• Maintain accurate patient medical records
• Provide advice and emotional support to patients and their family members
• Be responsible for back-up on-call periodically
• Maintain positive relationships with care partners and facility staff
• Maintain a reasonable caseload

Skills on Resume: 

• Palliative Care (Hard Skills)
• Care Planning (Hard Skills)
• Symptom Monitoring (Hard Skills)
• Physician Communication (Soft Skills)
• Patient Education (Soft Skills)
• Team Collaboration (Soft Skills)
• Record Keeping (Hard Skills)
• Emotional Support (Soft Skills)

Job Summary: 

• Determine the specialty needs of people living with serious, advancing illness and facilitate the development of a care plan and interventions aligning patient goals, preferences, and values with care received. 
• Expert clinical practitioner, using an evidence-based approach and in collaboration with key stakeholders, ensures safe and effective care and care coordination. 
• Partners with care team members to coordinate care, resources, and ensure transitions of care are realistic, safe, and attainable. 
• Participates in data gathering, analysis, and provides recommendations for improving the overall quality of care based on outcomes. 
• Serves as a resource, expert, educator, and role model in the care and management of those living with serious advanced illness. 
• Functions as a member of the Interdisciplinary Team, coordinating care with various team members. 
• Provides innovative solutions for patients transitioning from the hospital to home. 
• Created to empower people to manage their care, providing them with the knowledge, skills, and resources needed to manage their health, even when their illness 
• Assists patients with advancing illness to take control of their health by establishing their own unique goals of care and utilizes an inter-professional approach to care. 
• Interdisciplinary collaboration resulting in extraordinary health management outcomes.
• Provides home-based palliative care for those with advanced chronic illness.
• Be responsible for programs in heart care, orthopedics, rehabilitation, robotic surgery, mental health, stroke care, and women’s health. 

Skills on Resume: 

• Needs Assessment (Hard Skills)
• Care Coordination (Soft Skills)
• Clinical Expertise (Hard Skills)
• Data Analysis (Hard Skills)
• Team Collaboration (Soft Skills)
• Patient Education (Soft Skills)
• Innovative Solutions (Soft Skills)
• Health Empowerment (Soft Skills)

Job Summary: 

• Assesses the appropriateness of patients and families for entry into the Hospice/Palliative Care Program.
• Provides direct nursing care to appropriate patients/families.
• Ensures appropriate assessment, planning, implementation, and evaluation of patient and family services in conjunction with the hospice/palliative care team members under the direction of the Hospice Program Manager.
• Treats the patient as an individual by striving to meet physical, psychological, emotional, spiritual, and social needs
• Addresses child growth and developmental issues.
• Collaborates with the interdisciplinary team and the family in the development of appropriate family-centered care plans following the Medicare Conditions of Participation and other regulatory guidelines.
• Attends and participates in the biweekly Interdisciplinary Team (IDT) meetings to assist in the evaluation and review of services being provided to each patient and family according to Medicare/Medicaid Hospice Conditions of Participation (COP) and state licensure requirements.
• Assists patients and families in establishing appropriate/attainable goals and developing plans to meet those goals before their discharge from the hospital to home. 
• Reviews goals to ensure they remain appropriate.
• Participates in planning patient visits with the interdisciplinary team (i.e., RN, Social Worker, Chaplain, etc.).
• Implements home infusion and nursing care per established policies and procedures and physicians' written orders.
• Provides supervision of the home health or hospice aide when utilized in the care of the palliative/hospice patient.

Skills on Resume:

• Patient Assessment (Hard Skills)
• Nursing Care (Hard Skills)
• Care Planning (Hard Skills)
• Holistic Care (Soft Skills)
• Child Development (Hard Skills)
• Team Collaboration (Soft Skills)
• Goal Setting (Soft Skills)
• Supervision Skills (Soft Skills)

Job Summary: 

• Fosters patient/parent/caregiver, payer, provider, and other community relationships through using effective communication and collaboration skills, and openly and willingly provides staff and managers with customer feedback in an appropriate and goal-oriented way.
• Actively participates in NCHH continuous quality and performance improvement activities under the direction of the QI Manager and respective managers, including event tracking and reporting, patient case conferences, performance improvement teams, customer satisfaction surveys, utilization review activities, etc.
• Supports good patient relations and projects a professional image consistent with NCH and NCHH standards.
• Maintains at all times the rights of the patient/family regarding confidentiality of the medical record, according to policy.
• Supports the philosophy, mission, policies, procedures, standards, and strategic goals. 
• Participates in short and long-range planning and Homecare strategic goal development, implementation, and evaluation.
• Manages own learning and skills related to existing and new computer systems, including becoming proficient in NT/Outlook and Microsoft Office.
• Participates in general and department staff meetings, committee work, and other related activities
• Participates in marketing efforts and community endeavors, providing education regarding Hospice/Palliative Care and Homecare services
• Balances cost, quality, and mission in all decision-making.

Skills on Resume: 

• Relationship Building (Soft Skills)
• Quality Improvement (Hard Skills)
• Professionalism (Soft Skills)
• Confidentiality (Hard Skills)
• Strategic Planning (Soft Skills)
• Computer Proficiency (Hard Skills)
• Team Participation (Soft Skills)
• Community Education (Soft Skills)

Job Summary: 

• Oversees orientation, as part of the onboarding process, to ensure that new hire/transfer employees have the knowledge and skills to safely practice independently in their role. 
• Develops, coordinates, manages, facilitates, conducts, and evaluates orientation programs for nursing and other healthcare personnel.
• Collaborates with operational leaders to address deficits in employees’ knowledge and skills.
• Designs and develops educational opportunities to achieve specific outcomes related to identified deficits or opportunities for improvement in knowledge, skills, and practice, including obtaining continuing education approval.
• Fosters interprofessional learning and enables effective collaboration to improve practice outcomes for the nurse and other health care personnel. 
• Functions as a mentor, coach, and resource in the development of nursing and other clinical support roles as the employee transitions throughout their career life cycle.
• Applies research, evidence-based practice, and quality improvement principles in education, professional role development, orientation, and competency.

Skills on Resume: 

• Orientation Management (Hard Skills)
• Program Development (Hard Skills)
• Competency Evaluation (Hard Skills)
• Skill Assessment (Hard Skills)
• Education Design (Hard Skills)
• Interprofessional Learning (Soft Skills)
• Mentoring Skills (Soft Skills)
• Evidence Application (Hard Skills)

Job Summary: 

• Supports the interdisciplinary team by monitoring the standards of care provided to clients and acts as a clinical nurse resource to staff
• Assesses, demonstrates, and directs the provision of care provided to the client by screening, assessing, and prioritizing hospice palliative clients' referrals to meet the client's 
• Role models, coaches, and/or mentors the interdisciplinary team members in the use of therapeutic communication skills and interaction with the client, client’s family members, and/or caregiver.
• Coordinates and prioritizes client care activities by providing formal clinical consultations to nurses, interdisciplinary team members, and students in assessing, planning, implementing and evaluating nursing care provided to clients and their families across the continuum of care
• Reviews client needs and/or progress, troubleshoot, and provides clinical guidance in the care management of the client by evaluating and modifying the client’s care plan to better meet expected clinical outcomes
• Consults with staff regarding referral options to other healthcare professionals to better meet the clinical needs of the client/client’s family.
• Consults with the interdisciplinary team and other healthcare providers in the resolution of client care issues
• Provides feedback and assists nursing staff and interdisciplinary team members with critical thinking skills to better respond to client variances from established clinical guidelines/pathways

Skills on Resume: 

• Care Standards (Hard Skills)
• Referral Assessment (Hard Skills)
• Therapeutic Communication (Soft Skills)
• Care Coordination (Soft Skills)
• Care Plan Review (Hard Skills)
• Clinical Consultation (Hard Skills)
• Issue Resolution (Soft Skills)
• Critical Thinking (Soft Skills)

Job Summary: 

• Supports the interdisciplinary team by monitoring the standards of care provided to clients and acts as a clinical nurse resource to staff
• Assesses, demonstrates, and directs the provision of care to the client by screening, assessing, and prioritizing hospice palliative clients' referrals to meet the client's 
• Role models, coaches, and/or mentors the interdisciplinary team members in the use of therapeutic communication skills and interaction with the client, client’s family members, and/or caregiver.
• Coordinates and prioritizes client care activities by providing formal clinical consultations to nurses, interdisciplinary team members, and students in assessing, planning, implementing, and evaluating nursing care provided to clients and their families across the continuum of care
• Reviews client needs and/or progress, troubleshoots, and provides clinical guidance in the care management of the client by evaluating and modifying the client’s care plan to better meet expected clinical outcomes
• Consults with staff regarding referral options to other healthcare professionals to better meet the clinical needs of the client/client’s family.
• Consults with the interdisciplinary team and other healthcare providers in the resolution of client care issues
• Provides feedback and assists nursing staff and interdisciplinary team members with critical thinking skills to better respond to client variances from established clinical guidelines/pathways

Skills on Resume: 

• Care Standards (Hard Skills)
• Referral Assessment (Hard Skills)
• Therapeutic Communication (Soft Skills)
• Care Coordination (Soft Skills)
• Care Plan Review (Hard Skills)
• Clinical Consultation (Hard Skills)
• Issue Resolution (Soft Skills)
• Critical Thinking (Soft Skills)

Job Summary: 

• Works with the nursing staff, client, client’s family, and caregiver to better understand, respond and minimize variances.
• Coordinates the development and implementation of clinical education, training, and/or orientation in the designated clinical area for each member of the interdisciplinary team to identify and determine learning requirements for each team member
• Reviews, measures, and updates the learning plan with staff against learning outcomes and implements applicable teaching/learning strategies consistent with the learning outcomes/objectives.
• Assesses individual and interdisciplinary team clinical skills by reviewing clinical competencies, practice changes, and quality improvement indicators
• Designs, develops, implements, and evaluates clinical education programs utilizing specialized theory and knowledge specific to hospice palliative care for individual and interdisciplinary team members, including training sessions for new team members, educational support programs for hospice Palliative care, and continuing education sessions.
• Acts as a preceptor, clinical resource, and mentor to nursing and other interdisciplinary staff by providing evidence-based teaching based on specialized knowledge and evidence-based practice in the designated clinical area
• Works with the Manager to identify and determine skill deficiencies

Skills on Resume: 

• Variance Management (Soft Skills)
• Education Coordination (Hard Skills)
• Learning Evaluation (Hard Skills)
• Skill Assessment (Hard Skills)
• Program Design (Hard Skills)
• Precepting Skills (Soft Skills)
• Evidence Teaching (Hard Skills)
• Deficiency Identification (Hard Skills)

Job Summary: 

• Provides clinical instruction/training to nursing staff who will provide training to the interdisciplinary team
• Role model client care skills and best client practices
• Observes staff, provides feedback, and implements corrective action to ensure that skills are competently demonstrated, meet learning outcomes, and are consistent with quality client care.
• Coordinates and participates in quality improvement and risk management activities for the designated clinical area by evaluating changes to client care practice, completing client incident reports, conducting client safety audits, taking corrective action, and generating recommendations/changes to ensure existing policies, procedures, and/or protocols.
• Participates in interdisciplinary rounds and care conferences with the client and/or family and assists nursing staff in adapting care plans to meet identified client issues
• Acts as an advocate for the client to protect and promote the client’s right to dignity, autonomy, respect, privacy, and access to information.
• Participates in the selection of new staff and the performance evaluation of designated staff within the designated clinical area by attending panel interviews, assessing clinical skills, and providing hiring recommendations based on a clinical evaluation of the applicant, discusses and clarifies 

Skills on Resume: 

• Clinical Instruction (Hard Skills)
• Care Role Modeling (Soft Skills)
• Feedback Delivery (Soft Skills)
• Quality Improvement (Hard Skills)
• Care Conference (Soft Skills)
• Client Advocacy (Soft Skills)
• Staff Selection (Hard Skills)
• Performance Evaluation (Hard Skills)

Job Summary: 

• Performance expectations with staff, and determines appropriate orientation/training
• Assists with conducting performance evaluations, documents, and identifies staff performance issues, and provides feedback to the Manager for follow-up action.
• Promotes the use of research in nursing by participating in related research studies/activities
• Searches for information from a variety of sources, plans, and implements applications of current research findings by established guidelines
• Promotes the use of research to support clinical practice in the designated clinical area and to keep the program content current and relevant.
• Sets measurable goals and objectives by maintaining clinical competence by updating knowledge through professional development/education activities and developing an action plan in collaboration with the Manager
• Reviews plan progress to ensure that goals are realistic and achieved within established timelines.
• Intermediate care, skilled nursing facility, inpatient hospice facilities

Skills on Resume: 

• Orientation Planning (Hard Skills)
• Performance Review (Hard Skills)
• Research Participation (Hard Skills)
• Information Sourcing (Hard Skills)
• Research Application (Hard Skills)
• Goal Setting (Soft Skills)
• Progress Monitoring (Hard Skills)
• Clinical Competence (Hard Skills)

Job Summary: 

• Coordinates, screens, and prioritizes hospice palliative client activities by assessing clients, consulting with the interdisciplinary team, and coordinating client care across the continuum of care
• Acts as a clinical resource to other nurses and team members by providing clinical guidance and/or nursing consultation based on specialized theory, knowledge, education, and practice in the designated clinical area
• Intervenes in client care provided by other nurses and/or healthcare providers, to ensure that client outcomes are consistent with client care plans and the delivery of quality client care
• Implements, evaluates, and recommends clinical education plans for nurses and other staff in the designated clinical area to ensure staff are up to date on current evidence-based practice, client care issues, and research 
• Provides nursing and clinical education/training through individual and/or group assessment of clinical skills, including the training of nursing staff to provide educational sessions
• Reviews and evaluates care plans developed for clients and takes corrective action.
• Planning & coordination/care Mgmt across settings to patients in a private home, adult foster home, residential/assisted living care
• Settings to maximize the comfort & health of patients & families, consistent with hospice philosophy & CCS policies & procedures.

Skills on Resume: 

• Care Coordination (Hard Skills)
• Clinical Guidance (Hard Skills)
• Intervention Skills (Hard Skills)
• Education Planning (Hard Skills)
• Training Delivery (Hard Skills)
• Care Plan Review (Hard Skills)
• Setting Management (Hard Skills)
• Comfort Maximization (Soft Skills)

Job Summary: 

• Remains current on clinical standards of practice in hospice and palliative care, promotes evidence-based practice.
• Provides medical expertise on pain and symptom management
• Provides discussions on goals of care with all patients
• Identifies/evaluates issues, reaches sound conclusions, generates alternatives, and makes accurate and timely decisions.
• Maintains documentation of patient visits and communicates recommendations to providers.
• Provide initial and ongoing assessment of the impact of the terminal diagnosis on daily living, and the patient's physical, functional, spiritual, psycho-social, and environmental needs
• Partner with an interdisciplinary team to implement and manage plans of care, determining scope, priority, and frequency of services based on patient/family needs, and recommending revisions 
• Consult with and educate the patient/family regarding the disease process, self-care techniques, end-of-life care, and ethical concerns
• Communicate with the medical director and other clinicians regarding changes in patient needs and outcomes of intervention
• Prepare and submit documentation of observations, findings, and services provided

Skills on Resume: 

• Standards Knowledge (Hard Skills)
• Pain Management (Hard Skills)
• Goals Discussion (Soft Skills)
• Decision Making (Soft Skills)
• Visit Documentation (Hard Skills)
• Needs Assessment (Hard Skills)
• Care Implementation (Hard Skills)
• Patient Education (Soft Skills)