Registered Nurse

Why Join Our Team?

At Partners In Care Hospice, we believe in promoting a positive work culture where every individual feels valued and appreciated. We encourage our employees to maintain a positive work/life balance and welcome employee input as we grow and evolve. Our employees promote our core values: quality, passion, compassion, dignity/respect, honesty/integrity, training/education, dependability, professionalism, and responsiveness. As part of our team, you will improve our patient’s quality of life, while respecting their last wishes, throughout the end of life process. We believe it important for each employee to be an integral part of a dynamic, supportive work culture and greatly value their input.

RN Hospice Nurse

A vital part of hospice is the carefully selected and well-trained Hospice Registered Nurse. The Hospice nurse must be capable of compassionate communication with patients and their families. Hospice nurses need to have keen observation skills, high ethical standards and knowledge of when to alert doctors and others about changes in patient conditions. They must be resilient and sympathetic, and they should have emotional and physical stability to deal with the challenges of severe illness and death. The Hospice nurse is calm under pressure. In addition, they need to be good listeners. Whether they’re listening to the family or the patient, they’ll hear pain, tragedy, fear, and uncertainty in their voices and it’s the nurses job to help them come to terms with the situation.

We have positions available for:

• RN Case Manager
• Asmission RN

Partners In Care Hospice is a hospice provider in the Placer/Sacramento/Nevada and El Dorado counties whose mission is to provide compassionate care and educate the community about the benefits of hospice. We are looking for a Hospice Nurse to work with our inter-disciplinary team including physicians, hospice aides, chaplain, social worker, and volunteers to provide holistic care to our patients, families, and caregivers. The Hospice nurse is required to provide point of service electronic charting and documentation at time of patient visit or admission. Ability to operate a computer and / or a tablet PC, and proficiency with Windows- based software programs, is required.

All qualified candidates are invited to apply We look forward to speaking with you.

Benefits:

• Competitive weekly pay with direct deposit
• Paid training for new employees
• Paid sick time
• Paid vacation benefits
• Mileage Reimbursement

RESPONSIBILITIES

• To plan, coordinate and provide hospice care in accordance with the patient's plan of care.
• Coordinates hospice care by working with other team members as well as with the patients/family members to ensure needs are met.
• Evaluate the effectiveness of hospice services to the patient and family on an ongoing basis.
• Perform evaluations for hospice care along with informational visits as needed.
• Utilize the nursing process to provide professional nursing care.
• Consult with the attending physician and Hospice Medical Director concerning changes in patients’ condition requiring order changes and/or changes in the plan of care.
• Coordinate patient services with other members of the IDG as well as contracted services, when needed.
• Submit complete, accurate and relevant clinical notes in a timely manner.
• Submit patient visit schedule weekly.
• Participate in IDG and case conferences.
• Discuss with the supervisor if IDG determines that the patient would benefit from contracted services.
• Take responsibility for ensuring patients’ plans of care are kept current.
• Performs on-call duties (including holidays) per policy and agency need.
• Actively participates in QAPI meetings and activities.
• Participate in staff development meeting.
• Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and/or individual research and reading.
• Provide education to patients/family members regarding the dying process, plan of care and offers guidance with healthcare decisions.
• Provide dietary counseling, taking into account health issues and dietary changes at the end of life.
• Perform death visit per agency’s policy.
• Participate in the patient’s discharge planning process.
• Maintain an on-going knowledge of current drug therapy.
• Adhere to Federal, state and accreditation requirements including Medicare and Medicaid regulations.
• May be requested by a supervisor to fill in for the other nurses.
• Conduct an initial as well as ongoing comprehensive assessments of the patients. 
• Obtain a medical history from the patient and/or a family member particularly as it relates to the present condition. 
• Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
• Evaluate the patient, family member(s) and home situation to determine what health teaching will be required.
• Evaluate the patient's environment to determine what assistance will be available from family members in caring for the patient and what services may be needed.
• Be competent in knowledge about different levels of care and when it’s appropriate to offer them.
• Explain nursing and other Agency services to patients and families as a part of planning for care.
• Develop and implement the initial plan of care and work with other members of the IDG in completing and maintaining the comprehensive plan of care.
• Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician.
• Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the patient's physical or emotional condition.
• Supervise and evaluate the care given by the Hospice Aide at a minimum of once every 14 days and as needed.
• Chart those services rendered to the patient by the staff nurse and changes that have been noted in the patient's condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Hospice Aide, evaluates patient care and progress and closes charts of discharged patients.
• Evaluate the effectiveness of nursing service to the individual and family.
• Discuss with the supervisor problems concerning the patients and possible resolution.
• Provide guidance and supervision to the LVN and supervises the LVN once monthly.
• Cooperate with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.
• Participate in staff development meetings.
• Prepare the care plan for the Hospice Aide.

JOB CONDITIONS

• May be stressful.
• The ability to access patients’ homes which may not be routinely wheelchair accessible is required.  Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care.
• Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of patients and the turning of patients.

EQUIPMENT OPERATION

• Computer, telephone, thermometer, B/P cuff, glucometer, penlight, hand washing materials and other various pieces of office equipment and medical equipment.

COMPANY INFORMATION

• Has access to patient medical records.

QUALIFICATIONS

• Must be a graduate from an accredited School of Nursing.
• Must be licensed in the State as a Registered Nurse.
• One year of experience as a professional nurse within the last three (3) years or have a baccalaureate degree in nursing from a program accredited by the National League of Nursing. 
• Must have excellent assessment skills and problem solving skills.
• Should be skillful in organization and in the principles of time management and have knowledge of case management processes.
• Must be a licensed driver with an insured automobile in good working order.
• The ability to communicate well, both verbally and in writing.