Hospice: On Call RN

Summary Of Responsibilities

Responsible to the Director of Clinical Services. The after-hour on-call RN Case Manager provides hospice nursing care and case management to patients and families within and outside of the Aspire for Well-Being® Hospice. Performs Hospice admissions, makes patient visits, takes calls from the answering service, and deploys back-up on-call nurse as needed. Supervises HHA to deliver care and coordinates care delivery.

Essential Functions/Duties

• Completes an initial, comprehensive, and ongoing assessment of patient and family to determine hospice needs.
• Provides a complete physical assessment and history of current and previous illness(es).
• Utilizes all elements of the nursing process.
• Accomplishes health assessment data to determine nursing diagnosis.
• Involves the Interdisciplinary Group (IDG) in developing a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
• Adds medications and treatments as prescribed by the physician in the Patient’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient/family as appropriate per assessment and plan.
• Participates in on-call duties as defined by the on-call policy.
• Safeguards arrangements for equipment and other necessary items and services.
• Supervises ancillary personnel and delegates responsibilities when required.

Required Skills/Abilities

• Self-directed and able to work with minimal supervision.
• Demonstrates excellent observation, problem solving, verbal and written communications, nursing skills per competency checklist.
• Shows ability to organize and prioritize workload independently.

Core Values

• AMBASSADOR: Represents The Highlands at Wyomissing® in a positive light with integrity. Takes pride in our community.
• COMMITMENT: Dedicated, adaptable, tolerant, dependable, focused, and passionate. Often does more than is required. Reports to work as scheduled and timely.
• COMPASSIONATE: Is empathetic, mindful, and kind.
• INNOVATIVE: Is curious. Identifies new methods and efficiencies.
• RESULTS-DRIVEN: Has a strong sense of urgency about solving problems and completing work. Exerts unusual effort over time to achieve a goal. Maintains commitment to goals in the face of obstacles and frustrations.
• TEAM ORIENTED: Works cooperatively and effectively with others to achieve common goals.

The Highlands’ Traditions (Customer Service Expectations)

• SAFETY: Practices safe behaviors to ensure the safety of all.
• KINDNESS: Projects a positive image and energy. Courteous and respectful to all. Goes above and beyond to exceed customer expectations.
• SHOW: Takes pride in self-appearance. Stays in “character” and performs the “role in the show.” Ensures work area is show-ready.
• EFFICIENCY: Performs role with consistency and efficiency. Uses time and resources wisely.

Education And Experience Requirements

• High school Diploma or GED.
• Pennsylvania Registered Nurse License.
• Minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing (Preferred).
• CPR Certification.
• Completion of the Highlands Hearthstone Ambassador training within 30 days of employment.

Position Type/Expected Hours Of Work

Position is on-call exempt. Schedule will be seven days on and seven days off. Monday through Friday morning the hours of operation are 4:30pm to 8am. Weekend hours of operation are Friday 4:30pm to Monday 8am. Holidays will alternate per year to include one winter and one summer holiday.

Travel

Travel may be expected for this position, including some local travel in the communities surrounding The Highlands campus.

Education And Experience Requirements

• High school Diploma or GED.
• Pennsylvania Registered Nurse License.
• Minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing (Preferred).
• CPR Certification.
• Completion of the Highlands Hearthstone Ambassador training within 30 days of employment.

Work Authorization/Security Clearances

• Medical Screening.
• Criminal History Clearance.
• FBI Fingerprint Clearance (Only required if you have not lived in PA for the last 2 years).
• Immigration and naturalization (I-9) Clearance.

Physical Requirements And Physical Demands

• While performing duties of this job, the employee is occasionally required to climb, kneel, pull with force, reach above head, reach above shoulder, push/pull (up to 100+ lbs.), lift from floor level up, lift from waist level up, lift above shoulders/head, ability to lift, push, pull with assistance (mechanical or co-worker) the weight of the average patient specific to department, Lifting 25 lbs. maximum and frequent lifting and/or carrying of objects weighing up to 10 lbs.

Safety Hazards And Physical Environment

• May be exposed to blood borne pathogens - High Risk.
• May be exposed to communicable diseases.
• May be exposed to moving mechanical parts.
• May be exposed to potential electrical shock.
• May be exposed to toxic, caustic, chemicals, and / or detergents.
• May be exposed to rare occasions during which it is necessary to interact with a resident exhibiting aggressive behavior.