Hospice Nurse, RN
for headings. Use - for lists. Use
for prose.
We need to preserve all substantive info, remove boilerplate like EEO statement, navigation, etc. The EEO statement at end should be removed. Also remove duplicated lines? There's some duplication like "Collaborates with supervisor to meet assigned productivity standard." appears multiple times; we should keep but maybe deduplicate? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." It doesn't say to deduplicate, but we can keep as is; duplicates are substantive but maybe we can keep them; but better to keep as they appear? Might be okay to keep duplicates.
We need to remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. There's no explicit application instructions. The EEO line should be removed. Also maybe the line "3HC is an equal opportunity employer..." should be removed.
We need to include sections only when posting has real specific content. We have About the role (intro about 3HC and why choose). Could be "About the role" or "About 3HC". The instruction: use headings e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can use About the role for the introductory paragraph about 3HC and why choose. Then Responsibilities for essential functions. Then Requirements for qualification requirements. Possibly also Skills? But we can keep just those three.
We must not repeat the job title as a heading. The job title is "Hospice Nurse, RN". Not to be used as heading.
We must not put Job ID/requisition numbers as headings.
Now craft HTML.
First, About the role: combine the intro paragraphs: "3HC Home Health and Hospice Hospice Nurse, RN Full-time Compassionate Care is our Calling! Why choose 3HC: 3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life’s journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best."
Then Summary: "The Hospice Nurse, RN is responsible for the coordination of all Hospice services in counties assigned in accordance with the Hospice philosophy, Agency goals, objectives, and policies."
We could combine that into About the role.
Now Requirements: list bullet points from Qualification Requirements.
List:
- Registered Nurse currently licensed to practice nursing in the state of North Carolina
- Minimum of one-year experience as a professional nurse in an acute care setting preferred
- Evidence of leadership qualities
- Previous experience working with terminally ill patients preferred
- Ability to understand and communicate well with patients, family, staff, physicians, and the public
- Maintain current CPR certification (BCLS)
- Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
- Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized plan of care
- Possess valid Driver's License and reliable transportation
Now Responsibilities: list essential functions (many). We'll need to capture each bullet point as
- . The essential functions list is long with subpoints (a)-(j) etc. We'll need to flatten into list items preserving detail.
We can create list items for each main essential function (a)-(j) and subpoints maybe as separate items? The instruction: use
- for any list of duties/requirements/benefits. So we can make a flat list; each sentence can be a list item.
Let's extract each distinct duty:
From essential functions:
1. Abides by and supports 3HC's Compliance Program and Code of Ethics. (including motto etc.) We'll keep as one item.
2. Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.)
3. Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
4. Provides comfort to patient/family to facilitate quality of life and death with dignity: (a) provides skilled nursing care as outlined in the physician's plan of care, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit. (c) Plans, coordinates, provides and directs the delivery of compassionate, quality patient care. (d) actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education. (e) Provides continuity of care to all hospice patients. (f) Assist the interdisciplinary team in the development and implementation of the patient/family care plan (g) Refers hospice patients to other services as needed. (h) Provides end of life care as outlined in plan of care and policy and procedures. Provides ongoing assessment of medicinal, DME needs. (i) Participates in QAPI and QI projects as requested. (j) assists the Social Workers with bereavement counseling as requested.
We could break each subpoint into separate list items for clarity.
5. Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need.
6. Maintains current electronic documentation and downloads daily: (a) ensures complete documentation on an ongoing basis supporting Hospice guidelines & COPs. (b) assessment information to be entered in EMR and completed in 48 hours
7. Ensures that the physician and/or Hospice Medical Director is involved ongoing with the patient's care: (a) reports to the physician/or Hospice Medical Director and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician and/or Hospice Medical Director concerning alterations of the plan of treatment and documents appropriate change of orders where necessary.
8. Verifies that physician listed on order/plan of treatment will sign orders.
9. Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act, (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed (b) supervises and evaluates the care given at least every 14 days, and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
10. Collaborates with supervisor to meet assigned productivity standard.
11. Rotates weekday, weekend, and holiday "on-call" and "back-up call". During low hospice census: (a) covers visits in other offices as assigned by supervisor (b) makes home health visits, (c) visits referring hospice physicians for marketing, and (d) visits nursing homes and talks with administrators, (e) acts as a resource person for the community on the Hospice Program if needed, and (f) ensures referrals are evaluated timely with a NPU rate of less than 6%.
12. Maintains regular communication with supervisor: (a) communicates problems of the patient(s) on a timely basis following chain of command, (b) communicates information using current process and technology available to 3HC, (c) coordinates hospice care with Director of Clinical Practice/Assistant Clinical Director and the IDG team.
13. Ensures that 3HC can bill for services appropriately: (a) completes certifications and re-certifications within designated timeframes; (b) obtains verbal orders from Hospital, MD and attending within 48 hours of SOC; and (c) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care and management, including preauthorization and re-authorizations for insurance.
14. Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, hospice's quality assessment and performance improvement program, the intra-disciplinary team in the development and implementation of the patient/family care plan, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b) attends and participates in interdisciplinary team conferences at least 75% of the time; (c) attends agency mandatory in-services, hospice sponsored in-service training/continuing education seminars, IDG and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
15. Notify attending physicians, staff members and family members of patient deaths when they occur.
16. Collaborates with contracted pharmacy regarding medication changes, administration, and recommendations. Share pharmacy recommendations with the attending MD.
17. Collaborates with supervisor to meet assigned productivity standard. (duplicate)
18. The hospice nurse floater is not required to take on call hours.
19. Hospice, RN FLOATERS: On-call for base office per office need/rotation HH&HOSPICE NURSE, RN BAYLOR: (a) is responsible for working from 5pm Friday - 8am Monday; (b) provide specialized hospice training to other staff, family members and informal caregivers to insure adequate care; (c) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR (d) ensures complete documentation on an ongoing basis supporting hospice guidelines and COPs; (e) provides regular supervision to Licensed Practical Nurses and paraprofessional who are providing services to the patient according to CMS/HOSPICE guidelines; (f) turns in all paperwork to designated person in the office by 5:00pm on Monday and communicates laptop daily Saturday and Sunday. Makes verbal/written report of new admissions and ER visits to primary nurse Sunday night or Monday morning between 8am-9am; (g) collaborates with supervisor to meet assigned productivity standard; (h) completes scheduled visits after 5pm on Fridays as warranted and (i) works at least one weekend day.
20. HH&HOSPICE NURSE, RN EVENING: (a) collaborate with supervisor to meet productivity of 100% for work hours 12pm-11pm Monday-Thursday; (b) covers on-call for clinical office Monday-Thursday and (c) visits done after 11pm will be paid at over quota rate and not considered part of quota.
21. Hospice Admissions Nurse: Provide hospice admissions or tuck-ins; (a) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR; (b) ensures complete documentation on an ongoing basis supporting HH/hospice guidelines and COPs; (c) turns in all paperwork to designated person in the office next day as
for prose. We need to preserve all substantive info, remove boilerplate like EEO statement, navigation, etc. The EEO statement at end should be removed. Also remove duplicated lines? There's some duplication like "Collaborates with supervisor to meet assigned productivity standard." appears multiple times; we should keep but maybe deduplicate? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." It doesn't say to deduplicate, but we can keep as is; duplicates are substantive but maybe we can keep them; but better to keep as they appear? Might be okay to keep duplicates. We need to remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. There's no explicit application instructions. The EEO line should be removed. Also maybe the line "3HC is an equal opportunity employer..." should be removed. We need to include sections only when posting has real specific content. We have About the role (intro about 3HC and why choose). Could be "About the role" or "About 3HC". The instruction: use headings e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can use About the role for the introductory paragraph about 3HC and why choose. Then Responsibilities for essential functions. Then Requirements for qualification requirements. Possibly also Skills? But we can keep just those three. We must not repeat the job title as a heading. The job title is "Hospice Nurse, RN". Not to be used as heading. We must not put Job ID/requisition numbers as headings. Now craft HTML. First, About the role: combine the intro paragraphs: "3HC Home Health and Hospice Hospice Nurse, RN Full-time Compassionate Care is our Calling! Why choose 3HC: 3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life’s journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best." Then Summary: "The Hospice Nurse, RN is responsible for the coordination of all Hospice services in counties assigned in accordance with the Hospice philosophy, Agency goals, objectives, and policies." We could combine that into About the role. Now Requirements: list bullet points from Qualification Requirements. List: - Registered Nurse currently licensed to practice nursing in the state of North Carolina - Minimum of one-year experience as a professional nurse in an acute care setting preferred - Evidence of leadership qualities - Previous experience working with terminally ill patients preferred - Ability to understand and communicate well with patients, family, staff, physicians, and the public - Maintain current CPR certification (BCLS) - Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public - Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized plan of care - Possess valid Driver's License and reliable transportation Now Responsibilities: list essential functions (many). We'll need to capture each bullet point as
- for any list of duties/requirements/benefits. So we can make a flat list; each sentence can be a list item. Let's extract each distinct duty: From essential functions: 1. Abides by and supports 3HC's Compliance Program and Code of Ethics. (including motto etc.) We'll keep as one item. 2. Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) 3. Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors. 4. Provides comfort to patient/family to facilitate quality of life and death with dignity: (a) provides skilled nursing care as outlined in the physician's plan of care, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit. (c) Plans, coordinates, provides and directs the delivery of compassionate, quality patient care. (d) actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education. (e) Provides continuity of care to all hospice patients. (f) Assist the interdisciplinary team in the development and implementation of the patient/family care plan (g) Refers hospice patients to other services as needed. (h) Provides end of life care as outlined in plan of care and policy and procedures. Provides ongoing assessment of medicinal, DME needs. (i) Participates in QAPI and QI projects as requested. (j) assists the Social Workers with bereavement counseling as requested. We could break each subpoint into separate list items for clarity. 5. Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need. 6. Maintains current electronic documentation and downloads daily: (a) ensures complete documentation on an ongoing basis supporting Hospice guidelines & COPs. (b) assessment information to be entered in EMR and completed in 48 hours 7. Ensures that the physician and/or Hospice Medical Director is involved ongoing with the patient's care: (a) reports to the physician/or Hospice Medical Director and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician and/or Hospice Medical Director concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. 8. Verifies that physician listed on order/plan of treatment will sign orders. 9. Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act, (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed (b) supervises and evaluates the care given at least every 14 days, and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance. 10. Collaborates with supervisor to meet assigned productivity standard. 11. Rotates weekday, weekend, and holiday "on-call" and "back-up call". During low hospice census: (a) covers visits in other offices as assigned by supervisor (b) makes home health visits, (c) visits referring hospice physicians for marketing, and (d) visits nursing homes and talks with administrators, (e) acts as a resource person for the community on the Hospice Program if needed, and (f) ensures referrals are evaluated timely with a NPU rate of less than 6%. 12. Maintains regular communication with supervisor: (a) communicates problems of the patient(s) on a timely basis following chain of command, (b) communicates information using current process and technology available to 3HC, (c) coordinates hospice care with Director of Clinical Practice/Assistant Clinical Director and the IDG team. 13. Ensures that 3HC can bill for services appropriately: (a) completes certifications and re-certifications within designated timeframes; (b) obtains verbal orders from Hospital, MD and attending within 48 hours of SOC; and (c) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care and management, including preauthorization and re-authorizations for insurance. 14. Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, hospice's quality assessment and performance improvement program, the intra-disciplinary team in the development and implementation of the patient/family care plan, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b) attends and participates in interdisciplinary team conferences at least 75% of the time; (c) attends agency mandatory in-services, hospice sponsored in-service training/continuing education seminars, IDG and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings. 15. Notify attending physicians, staff members and family members of patient deaths when they occur. 16. Collaborates with contracted pharmacy regarding medication changes, administration, and recommendations. Share pharmacy recommendations with the attending MD. 17. Collaborates with supervisor to meet assigned productivity standard. (duplicate) 18. The hospice nurse floater is not required to take on call hours. 19. Hospice, RN FLOATERS: On-call for base office per office need/rotation HH&HOSPICE NURSE, RN BAYLOR: (a) is responsible for working from 5pm Friday - 8am Monday; (b) provide specialized hospice training to other staff, family members and informal caregivers to insure adequate care; (c) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR (d) ensures complete documentation on an ongoing basis supporting hospice guidelines and COPs; (e) provides regular supervision to Licensed Practical Nurses and paraprofessional who are providing services to the patient according to CMS/HOSPICE guidelines; (f) turns in all paperwork to designated person in the office by 5:00pm on Monday and communicates laptop daily Saturday and Sunday. Makes verbal/written report of new admissions and ER visits to primary nurse Sunday night or Monday morning between 8am-9am; (g) collaborates with supervisor to meet assigned productivity standard; (h) completes scheduled visits after 5pm on Fridays as warranted and (i) works at least one weekend day. 20. HH&HOSPICE NURSE, RN EVENING: (a) collaborate with supervisor to meet productivity of 100% for work hours 12pm-11pm Monday-Thursday; (b) covers on-call for clinical office Monday-Thursday and (c) visits done after 11pm will be paid at over quota rate and not considered part of quota. 21. Hospice Admissions Nurse: Provide hospice admissions or tuck-ins; (a) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR; (b) ensures complete documentation on an ongoing basis supporting HH/hospice guidelines and COPs; (c) turns in all paperwork to designated person in the office next day as