Provides assessment, supportive care and education to prospective patients and families regarding hospice services. Determines hospice appropriateness of the patient; assists in admitting patients to the hospice program. Acts as a liaison with assigned hospitals, facilities and physicians.
Reports to Admissions or Clinical Manager
Assesses and counsels the patients and families during the initial interviews to properly determine the level of care as well as the physical and psychosocial needs of the prospective patient. Accurately gathers information and data, reviews charts, and records information. Provides education on hospice philosophy.
Efficiently and accurately completes all admission paperwork and initiates the clinical record through the EMR process demonstrating knowledge of the admission protocol.
Assesses and places orders for immediate medication needs. Oversees the placement orders for durable medical equipment, supplies and oxygen as needed.
Consults with staff of hospital, skilled nursing facility (SNF) or Assisted Living Facility (ALF) to determine discharge orders and to facilitate discharge to home, SNF or other residence. Interfaces with referring physicians, nurses, ancillary providers and discharge planners to facilitate a well-coordinated transition into hospice for patients and families.
Communicates pertinent patient/family information to the interdisciplinary team and follows through to facilitate a smooth transition.
Other duties and responsibilities as assigned
Supports the mission and values of hospice and palliative care.
Provides patient care (neonates to geriatrics) as determined by the Plan of Care (POC) and in accordance with discipline. Utilizes critical thinking skills, education, mentoring, guidance and interventions to achieve goals of care.
Possesses knowledge of patient rights; ensuring an atmosphere which allows for the privacy, dignity and well-being of all patients in a safe and secure environment.
Understands the correlation between excellent patient care and the results of Hospice Item Set, CAHPS and other publicly-reported industry and/or accreditation quality benchmark programs.
Treats patients, family members and other clients with concern and empathy; respects their confidentiality and communicates in a courteous and respectful manner. Maintains and respects professional and personal boundaries. Adheres to HIPAA regulations, and maintains confidentiality of all patients and families.
Possess knowledge of eligibility standards for hospice and the LCD’s (local coverage determinations) to ensure patients being admitted qualify for hospice.
Performs job duties within the standards of practice framework.
Has proficient nursing skills and pain management knowledge, as well as principles of pharmacology including, medication dosages, calculations, interactions and side effects.
Works independently with minimum direction, anticipates and organizes workflow, prioritizes and follows through on responsibilities.
Attends team meetings and in-services on a regular basis. Participates in continuing education and professional development courses, to include annual education requirements as assigned to the discipline.
Works in a high volume environment with rapidly changing priorities.
Understands the importance of providing accurate and timely point-of-care documentation in Electronic Medical Record (EMR). Uses, clear concise and professional written and verbal communication.
Responsible for meeting visit frequency and visits per shift requirements; takes on-call rotation as needed and/or assigned.
Possesses knowledge of necessary computer systems including Microsoft Office, Outlook and agency electronic medical records (EMR).
Promotes a holistic approach to patient care.
Cooperates with all co-workers; demonstrates flexibility to perform other duties as assigned.
Minimum Education: Graduate of an accredited school of nursing; BSN preferred.
Minimum Experience: 1-2 years of experience in hospice and/or palliative care, medical/surgical, public health, oncology, acute care or home health.
Required License: Current Colorado RN licensure. Valid Colorado State driver’s license and auto insurance. CPR certification required for The Denver Hospice, Pathways and Pikes Peak only.
Ability to lift minimum of 50 lbs.
Lifts, positions, pushes, and/or transfers patients
Prolonged, extensive or considerable standing/walking/sitting
Manual dexterity and mobility
Visual and auditory acuity
May be exposed to infections and contagious diseases
Regularly exposed to risk of blood borne diseases
Occasional exposure to radiation hazards
Subject to varying and unpredictable situations
Occasional exposure to unpleasant patient or unit elements (sound, odor, sight, behavior)
May perform emergency care
Exposure to variety of electro-mechanical hazards
Able to maintain job performance in emergency or crisis situation