• Complete an initial health assessment of the patient and family to determine home care needs.
• Provide a complete physical assessment and history of current and previous illnesses.
• Conduct home visits, assessing the patient’s condition, progress toward goals, providing patient care, teaching and other skilled interventions.
• Regularly re-evaluate patient nursing needs as part of a nursing visit. 
• Initiate appropriate preventive and rehabilitative nursing procedures.
• Administer medications and treatments as prescribed by the physician.                
• Provide healthcare instructions to the patient per assessment and plan of care.                
• Identify discharge planning needs during nursing visits.
• Communicate needs to the team as part of the care plan development, and assist in implementing prior to discharge of the patient.
• Assure proper maintenance of EHR/Clinical Records in compliance with local, state and federal laws.
• Educate patients and families in self-care and health management.

Skills: Patient Assessment, Physical Exams, Home Visits, Care Planning, Medication Administration, Health Education, EHR Management, Discharge Planning

• Responsible for providing on-call services for the personal, physical, and emotional needs of the patient/family unit.
• Responds to calls received from patients/caregivers within fifteen minutes. 
• Visits are to be made with the first call, PT/PCG verbalize distress and if PT/PCG calls a second time.
• Uses nursing assessment skills and appropriate questions to accurately evaluate problems/needs.
• Completes assessment of patient/family unit during visits.
• Perform treatments/interventions in accordance with the Plan of Care and physician’s orders and updates twice monthly or more often.
• Provides emotional support to the patient/caregiver.
• Teaches the patient/caregiver about the Plan of Care.
• Attends patients' deaths facility and home patients per the PIC guidelines and completes death paperwork.
• Follows standard precautions.

Skills: On-Call Response, Crisis Assessment, Patient Visits, Treatment Administration, Emotional Support, Caregiver Education, Death Documentation, Infection Control

• Makes follow-up visits/phone calls to patients and caregivers when the patient has been experiencing any change or problem, and/or when the primary nurse makes recommendations.
• Arranges for needed medications and supplies.
• Make a visit to assess the patient after a fall. 
• Makes a visit to provide support to patients hospitalized during the shift.
• Coordinates appropriate care, communicates and collaborates with the Interdisciplinary Group.
• Notifies Clinical Manager, Assistant Regional Director, or Branch Office Manager, and team members by leaving accurate and detailed messages in voice mail boxes prior to going off duty.
• Leaves a message as per policy after death attendance.
• Accurately completes documentation of visits and phone contacts, and submits documentation in a timely manner per policy. 
• Maintains complete, accurate and up to the date medical records and other records pertaining to the provision of care.

Skills: Follow-Up Care, Medication Coordination, Fall Assessment, Hospital Support, Interdisciplinary Communication, Incident Reporting, Death Notification, Medical Documentation

• Calls the physician for changes in the Plan of Care.
• Initiates continuous care as per policy.
• Follow the policy for inpatient care.
• Actively seeks ways to develop professionally.
• Develops basic knowledge of Hospice Medicare/Hospice Medicaid and other reimbursement mechanisms.
• Develops areas of expertise in hospice nursing skills.
• Pursues professional growth through academic and continuing educational programs.
• Attends Hospice in-services.

Skills: Physician Communication, Continuous Care, Policy Compliance, Professional Development, Reimbursement Knowledge, Hospice Expertise, Continuing Education, In-Service Training

• Performs all basic nursing skills (see attached “New Employee Nursing Skills List”).
• Completes Clinical Competency orientation within the 90-day probationary period.
• Determines the patient is hospice appropriate, documents the patient's terminality, and establishes and maintains the care plan for medically necessary assessments and services. 
• Determines and consults with members of the IDG, including the Attending Physician or Hospice physician, in all circumstances in which the level of care is to be assigned as Short-term Inpatient Care or Continuous Care, including all actions required in Covenant’s policies and procedures regarding the placement or removal of a patient from those categories of care.
• Responsible for determining and documenting the level of care status of patients, and in particular, the inpatient level of care.
• Ensure the patient is appropriate and meets the criteria for short-term care needed to manage pain and symptoms in an inpatient facility. 
• Responsible for includes appropriate management and documentation of the patient’s change in status, either to short-term inpatient care or removed from that status, and all monitoring of the care during the inpatient period. 
• Requirements apply to the management and documentation of patients who are placed on a Continuous Care level of care. 
• Strict compliance with all rules and regulations, including Covenant Hospice’s policies and procedures.

Skills: Nursing Skills, Clinical Competency, Hospice Assessment, Care Planning, Team Consultation, Care Level Review, Status Documentation, Policy Compliance

• Provides day-to-day oversight and management of all clinical staff.
• Ensures continuity of care for patients/families from admission to discharge or transfer to bereavement.
• Leads a weekly interdisciplinary team (IDT) meeting focused on creating a positive team culture, reviewing patients, providing clinical education and discussing operational needs.
• Establishes and maintains positive, caring relationships with executives, managers, physicians, non-physician providers, support staff, and patients/families.
• Assumes responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement.
• Acts as a resource and mentor for staff for clinical issues, documentation, team problem solving and appropriate customer service behavior.
• Assist with clinician recruitment, onboarding, and training.
• Make as-needed urgent visits to patients.
• Leads professional development and education efforts for the hospice team, including supervising training, performing ride-along visits with staff, mentoring/coaching staff, and implementing performance improvement plans for team members.

Skills: Staff Management, Care Continuity, Team Leadership, Relationship Building, Record Management, Staff Mentoring, Clinician Training, Patient Visits

• Provides patient care visits for admission, assessment and pain and symptom management and support during the dying process
• Educates current and prospective patients and families regarding hospice and the end of life
• Responsible for documents patient visits and phone calls in an accurate and timely manner
• Reviews and updates care plans, medication and equipment orders and completes orders of new medication and supplies for patients
• Monitors visits and calls of certified nursing assistants
• Updates the patient’s physician and/or medical director regarding any changes in status
• Attends and participates in interdisciplinary team and RN meetings regarding patients and families and collaborates with the interdisciplinary team appropriately
• Assesses family and caregiver ability to provide safe care, carry out the care plan and educate on the proper functioning of all equipment
• Enhances self-knowledge regarding new medical and hospice information.
• Assists with on-call duties

Skills: Patient Care, Pain Management, Family Education, Care Planning, Documentation, Team Collaboration, Status Reporting, On-Call Support

• Able to currently be licensed as an RN through the Ohio Board of Nursing.
• Experience in general nursing with current hospice, medical, surgical, or critical care. 
• Experience with providing good pain management
• Experience with previous home care
• Able to comply with accepted professional standards and principles.
• Able to understand hospice philosophy, principles of death/dying.
• Able to possess and maintain good physical stamina and mental health.
• Possesses and maintains current CPR certification.
• Excellent observation, good nursing judgment and communication skills.
• Ability to provide good written documentation in a timely manner.
• Able to work independently with the ability to work with little supervision.
• Able to be flexible and cooperative in fulfilling role obligations and has the ability to work within an interdisciplinary team.

Qualifications: BS in Nursing with 3 years of Experience

• Knowledge and understanding of nursing and patient care standards and procedures.
• Knowledge of laws, rules and regulations, standards and guidelines of certifying and accrediting bodies
• Knowledge of hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment.
• Knowledge of medical terminology, principles and practices of health promotion, risk reduction, illness and disease prevention and management
• Knowledge of medications and drugs, common dosages, physical and physiological effects, and possible adverse reactions.
• Knowledge of medical and professional nursing ethics and patient privacy rights.
• Must be able to communicate thoughts clearly, both verbally and in writing.
• Interpersonal skills to interact with a wide range of constituencies.
• Must have critical thinking and problem-solving skills.
• Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers.
• Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice 
• Sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and modify a patient care plan to meet the needs of individual patients.
• General computer skills, including but not limited to Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email.

Qualifications: BS in Health Sciences with 1 year of Experience

• Advanced communication skills (verbal and written).
• Ability to manage time.
• Demonstrated knowledge of end-of-life care.
• Able to complete education to attain RN Licensure in the state of California.
• Experience in Professional nursing
• Able to current California RN license.
• Able to provide current automobile liability insurance.
• Able to current Basic Life Support.
• Experience hospice registered nurse 
• Able to obtain hospice/palliative care nurse certification.

Qualifications: BS in Biology with 2 years of Experience

• Able to strong commitment to improving the quality of life.
• Able to create strong partnerships with community organizations in patient care.
• Ability to work well within a collaborative environment with team members.
• Ability to work closely with patients on a 1:1 level while getting support from a patient care team.
• Able to perform CPR certified.
• Ability to be patient, motivated, and have a positive attitude.
• Experience hospice or home health.
• Willingness to serve on-call.

Qualifications: BS in Public Health with 1 year of Experience

• Able to be licensed to practice as a Registered Nurse in the State.
• Experience in clinical, acute care nursing.
• Demonstrated knowledge and skills necessary to provide care primarily to patients and families faced with terminal illness.
• Demonstrated knowledge of the principles of growth and development over the life span.
• Able to assess data reflecting the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs.
• Ability to understand the grief process, both in dealing with patients and patients' families.
• Able to perform the current PD or Chest X-ray.
• Experience prior Registered Nurse (RN) with hospice.

Qualifications: BA in Sociology with 3 years of Experience

• Able to valid RN License to practice in CA.
• Current BLS/CPR certification.
• Experience in nursing.
• Experience in End-of-Life care.
• Experience Med Surg, ICU, ER, Acute Experience, Home Health, or Hospice.
• Current Registered Nurse (RN) license for the state in which the nurse practices.
• Full command, verbal and written, of the English language.
• Able to show compassion and integrity.

Qualifications: BS in Psychology with 2 years of Experience

• Able to current and unencumbered license to practice as a Registered Nurse.
• Current CPR certification or willingness to recertify.
• Able to Certified Hospice and Palliative Nurse (CHPN).
• Able to Registered Nurse with a current Connecticut License.
• Experience in hospice, home health, general medical, surgical, or patient population-specific (i.e., geriatrics, pediatric, etc.) nursing.
• Demonstrated commitment to Seasons Hospice’s philosophy of care, values, mission statement and organizational culture.
• Able to communicate thoughts clearly, both verbally and in writing.
• Good skills to interact with a wide range of constituencies.

Qualifications: BS in Gerontology with 3 years of Experience