Per Diem Admission RN at Aligned Hospice in San Diego, CA

Aligned Hospice is searching for a dedicated, compassionate per diem Hospice Admission RN to join our team. If you are passionate about providing end of life care and want to work in a positive supportive environment, please apply today!

JOB TITLE: Admission Nurse- RN

JOB DESCRIPTION SUMMARY

The admission registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse delivers explanations of benefits, confirms hospice eligibility, admits patients onto hospice, and coordinates care with interdisciplinary team members, family, and hired care staff.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

1. Receive and review hospice referrals, including verifying eligibility using LCD guidelines.
2. Provides professional nursing care by utilizing all elements of nursing process.
3. Conduct head to toe nursing assessments (physical, emotional, psychosocial, spiritual).
4. Uses health assessment data to determine nursing diagnosis.
5. Develops 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.
6. Explain hospice philosophy, services, and team roles.
7. Obtain admission consents, election of benefits, POLST, and initiate plan of care on admission visit.
8. Coordinate with the interdisciplinary team (RN, MSW, Spiritual Counselor, Certified Home Health Aide, Volunteers, and Medical Director)
9. Document all assessments and interventions in EMR per Medicare/ state regulations.
10. Identify and address immediate patient/family needs
11. Order appropriate medications, DME, and supplies
12. Communicate with the attending physician and hospice medical director as needed.
13. Counsels the patient and family in meeting nursing and related needs.
14. Provides health care instructions to the patient as appropriate per assessment and plan.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
3. Communicates with community health related persons to coordinate the care plan.
4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
5. Provides and maintains a safe environment for the patient.
6. Assists the patient and family/caregiver and other team members in providing continuity of care.
7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.

Additional Duties

1. Participates in on-call duties as defined by the on-call policy.
2. Ensures that arrangements for equipment and other necessary items and services are available.
3. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.
4. Actively participates in quality assessment performance improvement teams and activities.

JOB TYPE: Per Diem

PAY: Dependent on experience

BENEFITS:

• 5 pain sick days
• Room for advancement
• Safety PPE provided
• Mileage reimbursement

STANDARD SHIFT:

This is a per diem position. Shift and hours will fluctuate based on RN availability and company needs.

POSITION QUALIFICATIONS

1. Registered nurse with current licensure to practice professional nursing in the state.
2. Graduate of National League for Nursing accredited school of nursing.
3. Maintains a current CPR certification.
4. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
5. Minimum of two years experience, at lease one of which is in the area of public health, home care, or hospice nursing is preferred.
6. Self directed and able to work with minimal supervision.
7. Management experience not required. Responsible for supervising hospice aides.
8. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
9. Shows ability to organize and prioritize workload independently.
10. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.

"Aligned Hospice is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.”