Job Summary:

• Assists RN Case Managers in the management of their case loads and assists the Hospice Manager in responding to patient/family needs in accordance with the plan of care..
• Provides consult visits
• Assesses and admits patients, develops plans of care and completes paperwork in accordance with PHC policies and standards of care.
• Assures continuity of care through effective communication, information exchange and case conferences with other disciplines, community health, support and social agencies.
• Promotes optimal health and quality of life through teaching, counseling, appropriate interventions and referrals.
• Provides phone triage and support to patients/families as directed.
• Participates in on-call rotation schedule to meet patient care needs by assessing and evaluating patient needs via telephone and advising or making home visits.
• Assists with the maintenance of medical records, ensuring accuracy, completeness and compliance with licensing and certification regulations.

Skills on Resume:

• Patient Assessment (Hard Skills)
• Care Planning (Hard Skills)
• Effective Communication (Soft Skills)
• Teaching Counseling (Soft Skills)
• Phone Triage (Hard Skills)
• Case Support (Hard Skills)
• Record Maintenance (Hard Skills)
• On-Call Support (Soft Skills)

Job Summary:

• Complete assessments for terminal illness and gather essential information needed for the plan of care
• Update assessments in collaboration with the patient, family and/or caregiver, identifying changes in patient conditions and progress towards desired patient outcomes
• Provide coordination of care
• Maintain patient clinical records in accordance with regulatory standards
• Perform procedures and treatments according to Providence Hospice's professional standards, policies and procedures
• Counsel patients and caregivers on patient care in accordance with the patient's and family's wishes, beliefs and values
• Provide written instructions and supervision for the hospice aide per Providence policies and procedures
• Delegate tasks to patient caregivers following regulatory requirements and Providence policies and procedures
• Manage an assigned patient caseload
• Understand the current knowledge base of payor and department reimbursement requirements and processes
• Work assigned hours, including rotating through weekend shifts and after-hours calls
• Participate in the Quality Assessment Performance Improvement Plans
• Maintain knowledge base for End Of Life care, including pain and symptom management, bereavement, ethics, hospice philosophy, and community resources
• Document time and activities in the time log/transaction log in accordance with Providence policies and procedures and state and federal laws

Skills on Resume:

• Assessment Completion (Hard Skills)
• Care Coordination (Hard Skills)
• Record Maintenance (Hard Skills)
• Procedure Performance (Hard Skills)
• Patient Counseling (Soft Skills)
• Task Delegation (Soft Skills)
• Caseload Management (Hard Skills)
• Regulatory Compliance (Hard Skills)

Job Summary:

• Identifying the patient’s and family’s physical, psychosocial, environmental, safety and developmental needs and individualizing the patient’s plan of care based on the needs identified.
• Assessing all aspects of the patient’s pain and developing an individualized pain management plan.
• Anticipating, preventing and treating undesirable symptoms or secondary symptoms.
• Identifying and addressing comfort care needs.
• Supporting, instructing and educating the patient, family, and caregiver.
• Documenting problems, nursing assessments, appropriate goals, care provided, care interventions and patient and family outcomes achieved from intervention and care provided.
• Coordinating all patient and family services.
• Maintaining the dignity of the dying patient.
• Supporting the patient’s and family’s unique spiritual and cultural beliefs.

Skills on Resume:

• Needs Assessment (Hard Skills)
• Pain Management (Hard Skills)
• Symptom Prevention (Hard Skills)
• Comfort Care (Hard Skills)
• Patient Education (Soft Skills)
• Accurate Documentation (Hard Skills)
• Service Coordination (Hard Skills)
• Cultural Sensitivity (Soft Skills)

Job Summary:

• Providing holistic, family-centered care across treatment settings to improve the quality of life.
• Consulting and collaborating with the interdisciplinary team and others involved in the patient’s care.
• Providing care consistent with the National Hospice and Palliative Care Organization's standards of practice for hospice programs.
• Implementing care to achieve outcomes of comfortable and safe dying, self-determined life closure and effective grieving for patient and family.
• Supervising and directing the care of other nursing personnel, including RNs, LPNs, and Home Health Aides.
• Maintaining patient and personal safety regarding occupational health and safety.
• Participating in scheduled weekend work (i.e., visits or triage of patient calls).
• Participating in evening/night call schedule.
• Participating in the Quality Improvement program.

Skills on Resume:

• Holistic Care (Hard Skills)
• Team Collaboration (Soft Skills)
• Standards Compliance (Hard Skills)
• End-Of-Life Care (Hard Skills)
• Staff Supervision (Soft Skills)
• Safety Management (Hard Skills)
• Weekend Availability (Soft Skills)
• Quality Improvement (Hard Skills)

Job Summary:

• Delivers appropriate care to hospice patients in a home setting, at a competent level, according to the RN skills inventory and the age and needs of the patient/population served.
• Assess hospice patients to identify the physical, psycho social, and environmental needs as evidenced by documentation, clinical record, case conference, team report, and evaluations.
• Coordinates the planning for delivery of nursing care with a multidisciplinary team and administers appropriate clinical decisions in the delivery of patient care
• Provide clinical directions to the Hospice CNA/LVN to ensure quality and continuity of service provided.
• Collaborates and directs the healthcare team in the attainment of positive outcomes based on data, research, evidence and professional standards of care
• Meets treatment goals, develops/implements discharge and/or transfer plans, evaluates the quality of patient care and contributes to the revision of standards of care.
• Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement, and desired client-centered outcomes.
• Ensures safe care to patients, staff and visitors, adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency
• Supports department-based goals which contribute to the success of the organization, serves as preceptor, mentor and resource to less experienced staff.

Skills on Resume:

• Hospice Care Delivery (Hard Skills)
• Patient Assessment (Hard Skills)
• Care Coordination (Hard Skills)
• Clinical Direction (Soft Skills)
• Team Collaboration (Soft Skills)
• Quality Evaluation (Hard Skills)
• Safety Compliance (Hard Skills)
• Staff Development (Soft Skills)

Job Summary:

• Ensure there are physician orders prior to delivering services. 
• Complete a comprehensive assessment including physical, psycho/social, and spiritual needs related to the terminal illness that must be addressed in order to promote the patient’s well-being, comfort and dignity.
• Provide input to the interdisciplinary team to develop and implement the plan of care for the patient. 
• Analyze the plan on-going and develop interventions/changes.
• Provide coordination of care to ensure continuous assessment of each patient’s and family’s needs and implementation of the interdisciplinary plan of care.
• Complies with medical, regulatory, educational and records management requirements (e.g., insurance authorization, consents, physician’s referral, documentation) and maintains patient confidentiality in accordance with HIPAA guidelines.
• Collaborates with other healthcare providers to coordinate services and maximize outcomes. 
• Orders patient supplies in appropriate quantities and in a timely manner.
• Maintains a safe and therapeutic environment for patient and caregiver(s) in accordance with Home Health standards, including assurance and support of the patient’s rights and responsibilities.
• Completes documentation (routine notes, clinical/progress notes, medication reconciliation, discharge planning) same day as visit, per agency and regulatory requirements. 
• Transfers the laptop after each visit.
• Meets agency obligations for scheduling, on-call, weekend and evening Coverage. 
• Actively participates in team meetings and completes mandatory education.
• Understands and meets expected productivity standards and obligations for scheduling.
• Complies with professional licensure standards and code of ethics.

Skills on Resume:

• Physician Order Verification (Hard Skills)
• Comprehensive Assessment (Hard Skills)
• Interdisciplinary Collaboration (Soft Skills)
• Care Coordination (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Supply Management (Hard Skills)
• Safe Environment Maintenance (Hard Skills)
• Timely Documentation (Hard Skills)

Job Summary:

• Support patients, families, and loved ones as they go through their end-of-life journey
• Perform a comprehensive assessment to establish goals for symptom management and end-of-life care with effective case management strategies
• Addresses patients’ needs holistically
• Develop and maintain a therapeutic relationship by utilizing effective communication with patients and their families.
• Utilize state-of-the-art technology to document skilled services provided.
• Assess, plan, implement, coordinate, and evaluate the care for each patient 
• Develop appropriate treatment interventions, evaluation of outcomes
• Utilization of services to ensure that patient care needs are met.
• Supervise other home care staff.

Skills on Resume:

• Patient Support (Soft Skills)
• Comprehensive Assessment (Hard Skills)
• Holistic Care (Hard Skills)
• Therapeutic Communication (Soft Skills)
• Technology Documentation (Hard Skills)
• Care Planning (Hard Skills)
• Outcome Evaluation (Hard Skills)
• Staff Supervision (Soft Skills)

Job Summary:

• Oversee the direction and coordination of care for a patient.
• Learn about the role family plays in caregiving, and line that up with needs that still aren't being met, then coordinate with physicians and medical professionals to help meet those needs.
• Hands-on, direct nursing roles in a hospice organization.
• Meet with the family, the patient, and caregivers to analyze changes in the care plan.
• Help prepare the family and patient for counseling, education, and services before and even after the patient's death.
• Ensure that the patient's voice is heard, along with the voice of their family.
• Communication with medical professionals, the Hospice team and others 
• Maintaining accurate, up-to-date records
• Training the patient and caregiver
• Elevating necessary matters to the attention of the patient care manager

Skills on Resume:

• Care Coordination (Hard Skills)
• Family Caregiving Support (Soft Skills)
• Direct Nursing Care (Hard Skills)
• Care Plan Analysis (Hard Skills)
• Patient And Family Education (Soft Skills)
• Effective Communication (Soft Skills)
• Accurate Recordkeeping (Hard Skills)
• Issue Escalation (Soft Skills)

Job Summary:

• Respond to telephone requests for assistance and perform home visits for hospice and palliative care patients and families in their home setting after-hours and on weekends
• Answer and respond to incoming calls, referrals, and requests for assistance, complete admissions into care, and make follow-up visits on patients admitted the day prior
• Communicate significant findings, problems, patient’s needs to the physician
• Report changes in condition or environment to the physician, clinical manager, other members of the hospice care team, and obtain physician orders
• Maintain flow of communication between in-house staff, field staff and other departments, for coordination of activities and services
• Participate as a member of the interdisciplinary team in patient care conferences
• Provides case management and nursing care for patients, including accurate communication and documentation by self and team in care conferences and the clinical record. 
• Assists with assuring the quality and continuity of Hospice care
• Support and continuing education of self and team members, and the education of the Hospital 
• Community agency personnel and the public regarding Hospice Duluth.

Skills on Resume:

• After-Hours Response (Hard Skills)
• Patient Admissions (Hard Skills)
• Physician Communication (Hard Skills)
• Condition Reporting (Hard Skills)
• Interdepartmental Coordination (Soft Skills)
• Team Participation (Soft Skills)
• Case Management (Hard Skills)
• Education And Support (Soft Skills)

Job Summary:

• Evaluate patients for eligibility and interest in hospice services, and describe the support and care available from hospice, along with the benefits of hospice care.
• Coordinate with the patient’s community physician and hospice medical directors to confirm eligibility for hospice services.
• Gather information and ensure a smooth handoff to the hospice RN admitting the patient/family to services.
• Work closely with the hospital case management department.
• Collaborate with the attending physician, patients and their families, and other members of the patient care team to coordinate, provide and maintain continuity of patient care.
• Assess, monitor, document and report progress of patient's health and condition using required documents, reports and established timelines.
• Complete an updated Plan of Care according to state regulations and communicate changes to the attending physician, hospice staff, and others providing patient care.
• Provide supervision and evaluation of aides and licensed practical nurses/licensed vocational nurses.

Skills on Resume:

• Patient Evaluation (Hard Skills)
• Physician Coordination (Soft Skills)
• Patient Handoff (Hard Skills)
• Case Collaboration (Soft Skills)
• Team Collaboration (Soft Skills)
• Health Monitoring (Hard Skills)
• Care Plan Management (Hard Skills)
• Staff Supervision (Soft Skills)

Job Summary: 

• Provide a full range of skilled nursing care to terminally ill patients in a home for the terminally ill, under general personal and procedural clinical supervision.
• Provide emotional support and general companionship to patients, their families, and other caregivers, before and after death, to individual circumstances.
• Admit patients and conduct comprehensive initial assessments.
• Confer with patients' families, physicians, and other service providers to coordinate services, discuss patients' status, needs and problems, and provide information on available resources for funerals/burial/cremation.
• Prepare all required clinical and administrative documentation related to assigned activities, including admissions write-ups, chart notes, documentation of conversations, care plans, etc.
• Complete initial/comprehensive assessment of the patient/family to determine hospice needs
• Complete ongoing assessments of the patient’s physical status and the psycho-social status of the patient/family
• Initiate and develop a plan of care in collaboration with the Interdisciplinary Group (IDG), the patient/family and the attending physician
• Make necessary revisions to the IDG plan of care as the patient’s/family’s status and needs change
• Participate in an on-call rotation

Skills on Resume:

• Skilled Nursing Care (Hard Skills)
• Emotional Support (Soft Skills)
• Patient Admission (Hard Skills)
• Service Coordination (Soft Skills)
• Clinical Documentation (Hard Skills)
• Comprehensive Assessment (Hard Skills)
• Care Plan Development (Hard Skills)
• On-Call Participation (Soft Skills)

Job Summary:

• Escorting patients to the exam room and documenting the chief complaints
• Document patient care in the electronic medical record
• Assist physicians and/or nurse practitioners by providing assessment, treatment, testing and education for the patients of the practice
• Greet patients warmly and respectfully, demonstrating compassion
• Respond in a timely manner and keep patients informed while maintaining confidentiality and adhering to all privacy and protected health regulations
• Assist physician/nurse practitioner with in-clinic procedures
• Direct and organizers care for hospice patients
• Provide comprehensive care to patients with a wide variety of terminal illnesses and diseases
• Responsible for hospice aide, medication administration, patient assessments, patient/family education and end of life care

Skills on Resume:

• Patient Escorting (Hard Skills)
• Medical Documentation (Hard Skills)
• Patient Assessment (Hard Skills)
• Compassionate Greeting (Soft Skills)
• Confidential Communication (Soft Skills)
• Procedure Assistance (Hard Skills)
• Care Coordination (Hard Skills)
• Medication Administration (Hard Skills)

Job Summary:

• Coordinate with the RN manager to assure the client-driven plan of care that strives to meet positive outcomes through ongoing evaluation using evidence-based practice
• Responsible for making certain that hospice care provided is compliant with state and federal regulations (documentation and delivery) through participation in chart review and following established processes
• Responsible for participation in orientation, ongoing education programs and successful completion of competency requirements
• Responsible for providing services that are congruent with the policies of Southwest Medical Hospice within the scope of professional nursing practice as defined within the Nurse Practice Act
• Provide services to meet both internal and external customers' expectations
• Ensure hospice care is provided in accordance with the agency and company's Corporate Compliance Program
• Utilizes the nursing process to assess, plan, implement, and evaluate patient care.
• Uses clinical judgment to manage the delivery of patient care safely and effectively.

Skills on Resume:

• Care Coordination (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Ongoing Education (Hard Skills)
• Policy Adherence (Hard Skills)
• Customer Service (Soft Skills)
• Corporate Compliance (Hard Skills)
• Nursing Process (Hard Skills)
• Clinical Judgment (Hard Skills)

Job Summary:

• Create meaningful relationships that provide comfort and emotional support to patients and families throughout their hospice journey.
• Leverage advanced technology to case manage and streamline care coordination between patients, physicians, and the interdisciplinary team.
• Enhancing the quality of life of patients & advocating for their final wishes all the way through the final chapter of their lives.
• Following the schedule help create, will travel to where patients live.
• Promote interpersonal relations with all contacts in the hospital setting.
• Represents Maxim in the hospital setting in a positive image by serving as a role model in the quality of care delivered, manner of dress, and professionalism.
• Uses knowledge and practice in accordance with the Nurse Practice Act, Standards of Nursing Practice, Standards of Patient Care, JCAHO, state and local laws, and hospital policies.

Skills on Resume:

• Emotional Support (Soft Skills)
• Technology Utilization (Hard Skills)
• Patient Advocacy (Soft Skills)
• Travel Flexibility (Soft Skills)
• Interpersonal Relations (Soft Skills)
• Professionalism (Soft Skills)
• Nursing Standards (Hard Skills)
• Regulatory Knowledge (Hard Skills)