The Outpatient Hospice team is seeking an experience Hospice Registered Nurse (RN) to join the team. In this role you will be responsible for direct patient care and case management of Hospice patients in outpatient settings. Ensures that end-of-life care is delivered within quality and utilization guidelines and is directed toward the achievement of desired clinical outcomes for patients and their families. Responsible for development, coordination and scheduling delivery of care through a multidisciplinary team to the patient in the home or community setting. The RN Case Manager assures completeness, timeliness and appropriateness of the patient care plan, its implementation, and ongoing evaluation. Assures communication with the multidisciplinary team, support services and community resources to ensure that plan of care goals are achieved in the most efficient and cost-effective manner possible. Ensures that documentation is timely, accurate, complete, and reimbursable. Is a patient advocate. Precepts newly hired nurses.
Sign on and relocation bonuses available for qualified candidates.
Type of Opportunity: Full Time FTE: 1.0 (40 Hours per Week)
Work Schedule: Days
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Ensures the quality and safe delivery of hospice services:
a. Completes assessments that are timely, and appropriate of physical, mental, psychological/social (behavioral), functional, financial, treatment, resource, and spiritual needs of patients.
b. Provides skilled nursing care services by planning, organizing, directing, coordinating, evaluating, and documenting all aspects of nursing care in accordance with physician/APC plan of care.
c. Coordinates patient's care through collaboration with patient/care giver, multidisciplinary team, and physician/APC.
d. Intervenes consistently with orders and changes interventions with orders to meet changes with patient/care giver needs.
e. Evaluates each visit the effectiveness of interventions and the patient's response to intervention.
Provide direct patient care by assessing patient for care needs, resources to meet needs and developing a hospice plan of care in conjunction with physician. Assures completion of required assessments according to regulations for hospice and QAPI measures.
Coordinates implementation of the plan of care through a multidisciplinary home care team, community resources and physician/APC.
Ensures plan of care is followed and that documentation complies with regulatory requirements.
Maintains a department productivity standard for visits and caseload management.
Demonstrates professional accountability for self-scheduling patient case load with appropriate frequency and duration, and concurrently updates schedule throughout the day as needed so that ongoing patient needs can be met.
Assure patients on case load are notified timely of their visits, any unplanned schedule changes, and accommodate patient's preferred schedule as available.
Precepts newly hired nurses, students and serves as a resource person and professional role model as needed.
Maintain communication with the multidisciplinary team s and assures that orders for necessary care plan changes are obtained and communicated timely to the team.
Initiates documentation in the home and completely records all care delivery so that receiving staff have record of care delivered in a timely manner per agency policy and procedures.
Oversight and delegation of the plan of care within the care team as appropriate to LPNs and CNAs.
Assumes professional responsibility for current nursing practice and clinical standards of care.
Participates in agency continuous quality improvement (QAPI) and performance improvement project (PIP) activities as required.
Assumes other leadership roles as required by the department.
Responsible for holiday coverage, select weekend and evening coverage call for agency and patient home visits as required on a rotating basis.
Performs other functions as required.
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About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.