**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.**

**Job Type:**

Regular

**Scheduled Hours:**

32

**Work Shift:**

Day (United States of America)

32hpw; Day Shift; Rotating weekends and holidays

**Job Description:**

**Duties/Responsibilities:**

Is able to articulate hospice philosophy and provides care accordingly

Functions as a member of an interdisciplinary team that includes the patient and family in facilitating a patient specific plan of care which is driven by the patients end-of-life goals and preferences

Functions, in collaboration with the RN Hospice Case manager, as the eyes and ears of the physician in the home or facility, communicates an accurate assessment of the patients condition to the physician, confers with the RN Case manager and offers guidance on treating end-of-life pain and other symptoms when requested

Provides skilled service that ensures the nursing needs of the patients are met as indentified in the patients initial and comprehensive assessments

Obtains data on the physical, psychological social and spiritual factors that may influence the patients care.

Considers factors related to safety, effectiveness, and cost in delivering patient care. Combines nursing functions and personal care otherwise delivered by a Hospice Aide into one visit to maximize staffing resources and improve patient/facility satisfaction

Maintains up-to-date documentation in the EMR (PTCT) so that problems, plans, actions and goals are accurately and clearly stated and changes can be reflected accurately by all members of the team in the plan of care

Documents in the electronic medical record per agency standards to ensure accurate retrieval of quality indicators

Provides assessment and clear documentation in the EMR to demonstrate patient continues to meet hospice eligibility utilizing appropriate scales (i.e. FAST, ECOG, etc.)

Effectively navigates procurement process of appropriate medications through our national hospice pharmacy

Proactively informs the Clinical Supervisor the Clinical Director of unusual or potential problems

Educates patients, family and contracted caregivers on medications and other care processes to maximize patient comfort

Provides appropriate support at the time of death and offers post mortem care and bereavement support

Demonstrate knowledge of agency policies, State Regulations, The Medicare Conditions of Participation, Joint Commission requirements, Long Term Care Facility regulations and Assisted Living regulations

Knowledgeable of the algorithms for end-of-life symptom management

Functions as part of continuous care team and emergency on-call team as needed

_It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required._

**Education/Experience Required:**

Ability to read, write and speak English

Ability to present in a self-assured, professional manner while functioning independently in a variety of settings

Ability to sustain a positive attitude and person connections despite exposure to continual personal/professional loss

Ability to work effectively within an interdisciplinary team approach to care

Comprehensive knowledge of skills in current end-of-life nursing practice

Minimum of 1-2 years of nursing experience within the past five years

Demonstrated ability to manage all aspects of hospice terminal care, other than care planning and pronouncements

Demonstrated ability to assess and respond to needs of patients and families in varied settings and ability to communicate effectively with people from a variety of backgrounds

Demonstrated customer service skills are essential

Strong computer skills required

Hospice and/or home care experience strongly preferred

**Registration/Certification:**

Current Massachusetts LPN license

Valid Massachusetts drivers license and access to reliable transportation

**Physical/Environmental Requirements**

This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs. There will be occasional need for climbing stairs, lifting in excess of 50 100 lbs and sitting. Constant use of hearing, sight and speech. Frequent use of smell and touch. Frequent keyboard and telephone use. Constant concentration and problem solving.

**FLSA Status:**

Non-Exempt

**As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.**

**More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.**

**Equal Opportunity Employer/Veterans/Disabled**