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.

Responsibilities

• Abides by and supports 3HC's Compliance Program and Code of Ethics.
• Creates positive experiences for internal and external customers that 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, reporting reactions to treatments and changes in the patient's condition.
  • Ensures ongoing 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 self-care techniques.
  • 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.
  • Completes OASIS at specific points in time (admission, resumption of care, recertification, etc.).
• For Hospice Patients:
  • Provides comfort to patient/family to facilitate quality of life and death with dignity.
  • Completes hospice admissions and educates patients and families on the hospice concept and benefit.
  • Plans, coordinates, provides, and directs 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's 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, including time and travel documentation.
• Responds within 48 hours to requests for documentation correction/completion.
• Ensures the physician is involved ongoing with the patient's care.
• Verifies that the physician listed on the order/plan of treatment will sign orders.
• Provides regular supervision to Licensed Practical Nurses and paraprofessionals according to regulatory guidelines.
• Ensures care is provided by the nursing assistant and supervises their 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 and follows the chain of command.
• For Hospice Patients: Completes IDG notes and communicates with the team.
• Ensures that 3HC can bill for services appropriately by completing certifications and re-certifications within designated timeframes.
• Travels to other offices to meet the demand of patient needs as requested.
• Stays abreast of overall patient care and improves nursing care skills through participation in meetings, in-services, and continuing education.
• Demonstrates an interest in personal and professional growth for self and staff.
• Demonstrates a willingness to be cost-effective in the use of agency resources.
• Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned.

Requirements

• 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.
• Possess a valid Driver's License and reliable transportation.