Hybrid HH & Hospice Nurse, RN (PRN)

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.

Qualifications

• 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
• Previous experience working with terminally ill patients preferred
• Maintain current CPR certification (BCLS)
• Basic computer skills/knowledge and experience in electronic medical records
• Ability to understand and communicate well with patients, family, staff, physicians and the public
• 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

Responsibilities

• Abides by and supports 3HC's Compliance Program and Code of Ethics.
• Creates positive experiences for internal and external customers that will meet their expectations.
• Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
• For Home Health Patients:
  • Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget:
    • Provides skilled nursing care as outlined in the physician's plan of treatment.
    • Observes and documents signs and symptoms and reports to the physician and other applicable personnel.
    • Ensures on-going evaluation of patient/family needs and response to care.
    • Refers to other services as needed.
    • Initiates appropriate preventative and rehabilitative nursing procedures.
    • Educates, supervises, consults, and counsels the patient/family regarding nursing care needs and related problems.
    • Assures the development and implementation of the patient individualized plan of care and updates as needed.
  • Conducts a complete assessment of the patient to identify appropriate care needs:
    • Obtains a medical history to include OASIS when needed.
    • Performs a physical assessment.
    • Assesses the support system to determine assistance available from family members.
    • Assesses the patient, family member(s), and home situation to determine health teaching requirements.
    • Determines if other home health services are needed.
    • Interprets nursing and other services of the agency to the patient and family.
    • Plans for discharge from services.
  • Completes OASIS at specific points in time, such as admission, resumption of care, recertification, etc.
• For Hospice Patients:
  • Provides comfort to patient/family to facilitate quality of life and death with dignity:
    • Provides skilled nursing care as outlined in the physician's plan of care.
    • Completes hospice admissions and educates patients and families on the hospice concept and benefit.
    • Plans, coordinates, provides, and directs the delivery of compassionate, quality patient care.
    • Actively participates in the coordination of all aspects of the patient's hospice care.
    • Provides continuity of care to all hospice patients.
    • Assists the interdisciplinary team in the development and implementation of the patient/family care plan.
    • Refers hospice patients to other services as needed.
    • Provides end-of-life care as outlined in the plan of care and policy and procedures.
    • Provides ongoing assessment of medicinal and DME needs.
    • Participates in QAPI and QI projects as requested.
    • Assists Social Workers with bereavement counseling as requested.
  • Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need.
  • Notifies attending physicians, staff members, and family members of patient deaths when they occur.
  • Collaborates with PBM regarding medication changes, administration, and recommendations.
• Documents in the medical record electronically and downloads daily:
  • Services rendered to the patient.
  • Conferences held with other disciplines, physician, or community resources.
  • Changes noted in the patient's condition and/or family home situation.
  • Revisions in the nursing care plan as needed.
  • Evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals.
• Responds within 48 hours to requests for documentation correction/completion.
• Ensures that the physician is involved ongoing with the patient's care.
• Verifies that the physician listed on order/plan of treatment will sign orders.
• Home Health/Hospice:
  • Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS/Hospice guidelines.
  • Ensures tasks assigned to the LPN are within the Nurse Practice Act.
  • Supervises LPN on every patient at least every 30 days.
  • Ensures that care is provided by the nursing assistant:
    • Provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed.
    • Supervises and evaluates the care given at least every two weeks.
    • Participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
• Collaborates with supervisor to meet assigned productivity of 100%.
• Rotates weekday, weekend, and holiday "on-call" and "back-up-call".
• Maintains regular communication with supervisor.
• Communicates problems of the patient(s) on a timely basis following chain of command.
• Communicates information using current process and technology available to 3HC.
• For Hospice Patients:
  • Completes IDG notes and communicates with the team.
• Ensures that 3HC can bill for services appropriately:
  • Completes certifications and re-certifications within designated timeframes.
  • Keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care management, including preauthorization and re-authorization for insurance.
• Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice/Assistant Director of Clinical Practice.
• Stays abreast of overall patient care and improves nursing care skills:
  • Participates in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services.
  • Attends and participates in interdisciplinary team conferences at least 75% of the time.
  • Attends agency mandatory in-services and satisfies CEU requirements of the State Board of Nursing.
  • Strives to improve nursing care through continuing education, active participation in professional and related organizations, and individual research and readings.
• Demonstrates an interest in personal and professional growth for self and staff:
  • Attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules, regulations relating to job functions and department.
  • Does individual reading and research.
  • Recommends educational opportunities for staff and encourages participation.
• Demonstrates a willingness to be cost-effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
• Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.