Hospice Admissions Nurse

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly, we are proud to be a community-based, not-for-profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people-first organization whose funds go to serve our mission. Due to our significant growth, we are looking for amazing new staff who share these same values.

Responsibilities

• Responsible for presenting hospice services at the point of admission (home or community) for individuals and their families.
• Initiates individualized plan of care by working with patient, family, physician, and hospice interdisciplinary group to anticipate patient needs.
• Serves as the initial RN member of the interdisciplinary group to develop specific plan of care goals.
• Coordinates closely with related disciplines to ensure professional service delivery at the time of admission.
• Assumes responsibility for the effective coordination of patient/caregiver care.
• Conducts admission nursing assessment to identify patient/caregiver needs.
• Develops plan of care for patients/caregivers.
• Incorporates therapeutic, preventive, and palliative nursing actions, and specifically addresses patient/caregiver education.
• Determines individualized goals and interventions on plan of care to meet patient and caregiver present physical, emotional, spiritual needs.
• Initiates and maintains a liaison relationship with healthcare providers to effectively coordinate multidisciplinary care.
• Consults with the patient, caregivers, physicians, facility staff and interdisciplinary team when initiating care.
• Reliably communicates pertinent information to appropriate members of the interdisciplinary team.
• Participates in admission interdisciplinary group conference (IDG).
• Communicates closely with the staff nurse assigned as the case manager to ensure clarity of care when developing the initial plan of care.
• Maintains productive and professional relations with external agencies and healthcare providers.
• Assumes responsibility for the effective and professional delivery of health services.
• Confirms scheduled visit(s) in advance based on prioritized judgment of case load needs.
• Prepares for visits, anticipates care needs, reviews referral information, and obtains needed materials and educational resources for patients/caregiver.
• Makes visits to provide evaluation of appropriateness for hospice care.
• Follows established admission procedure including completing consents for service, medication evaluation, symptom management, teaching, and documentation.
• Provides interventions under the direction of a physician.
• Identifies new problems or needs at the admission visit.
• Facilitates patient and caregiver independence to the extent possible.
• Stores all supplies safely and ensures