Essential Job Functions

Overview

Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the
interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. 

• Coordinates with departments of the company to provide all necessary information and raw data that has to be processed. Completes nursing assessment and updates plan of care, including the patient and the family in the planning process
• Provides direct Hospice nursing care to patients in order to maintain highest level of comfort and quality of life, and regularly assess for patient nursing care needs.
• Manages the individualized patient/family plan of care and makes necessary revisions as status/needs change.
• Consults with physician for appropriate orders and communicates patients condition changes and the needs for medical intervention.
• Initiates appropriate interventions and monitors the outcomes.
• Educates the patient/family as appropriate per assessment and care plane, and encourages their participation.
• Records accurate and timely documentation of patient and family contacts and updates the interdisciplinary team.
• Coordinates Hospice nursing care when outside agency involvement is requires.
• Assists in providing 24 hour per day/seven day a week on-call coverage to patients and families.
• Ensures necessary medical equipment, supplies and services are available.
• Completes Home Health Aide assignment as needed and makes supervisory visits every 14 days to instruct, supervise and evaluate home health aide care provided.
• In the RN Case Manager Role she/he is designated as the IDG coordinator and is responsible for collaborating with other IDG Team members to ensure that patient and family needs are met.
• Communicates as needed with appropriate external services providers to insure patient/family needs are effectively being met.

The above statements are intended to be a representative statement summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications

Competencies:

• Quality Orientation (Attention to Detail)- Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
• Managing Work (includes Time Management) – Effectively managing one’s time and resources to ensure that work is complete efficiently.
• Initiating Action- Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is requires; being proactive
• Building Customer Loyalty- Effectively meeting customer needs; building productive customer relationships; taking responsibility for customer satisfaction and loyalty.
• Contributing to Team Success- Actively participating as a member of a team to move the tam toward the completion of goals.
• Continuous Learning- Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application.

Working Conditions:

• Meets with patients in their homes and within facilities. Subject to varying and unpredictable situations. Handles emergency or crisis situations.
• Daily travel is required in all weather conditions on roads in varying degrees of repair. Must be able to service any area Hospice covers as needed.
• Work schedule will include occasional holiday, weekend and/or evening coverage, on- call hours and overtime.

Continuing Education Requirements:

Hospice personnel are expected to participate in appropriate continuing education as may be required and/or required by their immediate supervisor. In addition, Hospice personnel are expect to accept personal responsibility for other educational activities to enhance job-related skills and abilities. Must complete appropriate Hospice Orientation Training (HOT) sessions as determined by their supervisor.