Hospice Registered Nurse - PRN

The Hospice RN is responsible for the delivery of professional nursing services to hospice patients as indicated by the plan of care developed by the interdisciplinary team. Responsibilities include initial and on-going assessment of patients, developing and revising the plan of care, timely documentation, medication management, communication of assessments, planning and interventions and coordination of care among team members.

NOTE: This is a PRN role that will work 100% in the community and support the Portland Metro area. Candidates will need to have 5 weekdays of availability per month.

Estimated Hiring Range

$53.69 - $65.62

Bonus Target

Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities

• Performs initial and ongoing nursing evaluations of patients/family/caregiver and assists in the development/implementation of the plan of care. Nurses may be responsible for one or more of the following areas:
• Case management
• Admissions
• Initial hospice assessments
• Medication management
• Routine or focused nursing visits
• Telephonic triage
• Night/weekend coverage
• Coverage for increased census or staffing shortages
• Other duties assigned by the Hospice Leadership
• Performs duties in compliance with Medicare Condition of Participation.
• Responsible to coordinate and monitor all care being provided and keeps the physician and other team members from agency and community resources apprised of changes in patient’s condition so that adjustments can be made to the plan or care as needed, to improve quality of life.
• Uses clinical assessment skills and best practices to identify and provide effective care for patients, families, and caregivers.
• Actively participates in IDT meetings for development and evaluation of the patient’s plan of care
• Develop and implement a plan of care for each assigned patient/family/caregiver unit and evaluation of that plan of care.
• May assist patient/family/caregiver in determining of goals of care including completion of Advance Directives and POLST forms as needed.
• Provides dietary counseling as needed.
• Address advocacy needs for patients/families/and organization.
• Facilitates formal and informal meetings with patients/caregivers/family member as needed.
• Collaborates with the IDT during crisis management support and consultations with patient/family/caregiver or IDT team.
• Provides information regarding the patient/family/caregivers psychosocial, spiritual, physical, and financial needs or difficulties to the IDT team or providers involved in the patient’s care.
• Serves as liaison with hospitals, care facilities and appropriate agencies to promote interagency cooperation, developing and maintaining communication and facilitating referrals to meet patient needs throughout the continuum of care.
• May participate in admission and on-call duties as assigned during the evenings and weekends.
• Participates in continuing education of self and assists with orientation of other team members.
• Collaborates with Housecall Providers program staff to enhance continuity of care as needed.
• Responsible for documentation in the electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards per policies and procedures.
  
  

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.
  
  

Experience and/or Education

Required

• Current unencumbered license as a registered nurse in the State of Oregon
• Minimum 2 years’ Registered Nurse medical/surgical experience in an acute care setting and/or a combination of medical/surgical, home health, hospice experience or long-term care experience
• 1 year of experience in quality process improvement/QAPI may substitute for 1 year of Registered Nurse experience
• Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
• CPR certification at hire or within 6 months in position
  
  

Preferred

• Bachelor of Nursing degree or higher
• Certified in Hospice and Palliative Care (CHPN)
• 3-5 years in hospice triage, case management, admissions, night/weekend roles
  
  

Knowledge, Skills And Abilities Required

Knowledge

• Knowledge of Federal, State and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations
  
  

Skills And Abilities

• Ability to perform nursing related tasks in the area of specialty (e.g., case management, on-call triage management, visits, and/or phone calls in a home care setting
• Practice within the scope of license, certification, or registration, where applicable, and as required by law and regulation
• Must have general computer skills and a working knowledge of Electronic Medical Records systems, MS office, Outlook, and the internet
• Excellent interpersonal skills
• Ability to work both independently and collaboratively
• Ability to work under pressure to meet deadlines
• Ability to take initiative and utilize innovative techniques and ingenuity
• Ability to interact with various departments throughout the organization
• Ability to tolerate and manage stress and grief
• Ability to work flexible hours, if needed
• Ability to plan, prioritize and coordinate multiple projects or tasks
• Ability to adhere to organizational standards, policies, and procedures
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, and speak clearly for at least 6 hours/day
• Ability to stand, walk, sit, and perform repetitive finger and wrist movement for at least 3-6 hours/day
• Ability to lift, carry, push, pull, bend, climb stairs and/or pinch small objects for at least 3 hours/day
• Ability to operate a motorized vehicle in all kinds of weather conditions
  
  

Working Conditions

Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure

Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards.

Equipment: General office equipment and/or mobile technology

Travel: Requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Schedule: This position may occasionally require more than 8 hours per day.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

Housecall Providers is an equal opportunity employer.  The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.