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Tyler, TX, United States Illumia Full timeOur Company: Hospice Plus, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company culture centers around humility, servant leadership, empathy, and innovation while we serve as a leader in the home care industry. Our people and our patient care...
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RN Case Manager
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Palliative Care RN
3 months ago
Our Company Hospice Plus, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company culture centers around humility, servant leadership, empathy, and innovation while we serve as a leader in the home care industry. Our people and our patient care allow us to make a difference when life matters most. We are passionate about what we do because our care matters. Overview Join us to make a difference when life matters most We believe every day is an opportunity to make care more personal and life more comfortable. That's why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love. The AIM Palliative RN will report directly to the Director of Palliative Care. You will work with patients, their families, and other health care professionals to provide and coordinate high-quality end of life care. AIM Palliative RNs offer in-person and telephonic assessments to palliative care patients in collaboration with the interdisciplinary team. AIM Palliative RN's primary role provides in-person assessments in private homes, assisted living facilities, and skilled nursing facilities They provide education to patients and families and work to ensure patients are comfortable in their home environment. As a Registered Nurse / RN, you will: * Conduct in-person/telephonic RN assessments/screenings and provides education to palliative care patients, family members or caregivers as appropriate. * Complete Risk Stratification Assessment to identify patient support needs per established protocols as appropriate in consultation with the NP * Observes patient visit frequency per patient individual need and risk identification * Provide reliable education and instructions to patients and families with consistently excellent customer service bringing calm, comfort and positively to patients and families * Consult with and educate patients/families regarding disease process, self-care techniques, end-of-life care, medications, nutrition, and dietary needs * Communicate any findings that identify appropriate preventive and rehabilitative skilled nursing, or therapy needs to the PCP or AIM Palliative NP * Educate patient and family on medication administration and treatments as prescribed by the nurse practitioner or physician in the plan of care * Coordinate care with palliative team members * Communicate change in condition, or signs and symptoms of decline to Palliative NP and/or PCP * Support hospice referral as appropriate * Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans * Support care plan development and implementation for palliative care from the initial assessment through discharge. Assessment at a minimum should include: disease-specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient's condition, caregiver and/or family's quality of life. * Collaborate on development and modifications to the palliative plan of care, individualized for each patient, in consultation with the patient, family and other members of the Palliative Care Team. * Facilitate in providing and/or obtaining care for patient when a need is identified in accordance with the Plan of Care. * Participates in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner. * Facilitate prescription transmission to pharmacy including controlled substances to the extent delegated and licensed, in accordance with state law. Receive laboratory results and other diagnostic tests, provide results to nurse practitioner in a timely manner. Place requests for ordered durable medical equipment as medically necessary. * Communicate clinical findings to the nurse practitioner and/or PCP as needed, but no less than bi-weekly. Re-assess effectiveness of care plan on a regular basis and modify as needed. * Maintain effective working relationships with supportive care team (e.g., Social Worker), as applicable, and involve team when patient's care plan warrants team participation to achieve desired outcome. * Establish and maintain effective working relationships with those contacted in the course of work. * Communicate and document clinical findings, treatment plan and care provided in the patient's medical record in a manner consistent with acceptable standards in order to support sound nursing practice. About You Registered Nurse / RN Requirements: Education: * Registered Nurse Experience: * 2 years of prior skilled Registered Nurse experience * Demonstrated ability to provide quality patient care * Nursing experience in palliative care, oncology, hospice, or geriatric care preferred * Additional, preferred experience to help you be successful in a hospice role: hospital Staff RN, Med Surg, PACU, Float pool, ER or emergency room, critical care, acute care, cardiac, geriatric, admissions, wound care, telemetry or travel nursing Licenses, Certifications and/or Registration: * Registered Nurse Licenses, Certifications and/or Registration: * Current RN license to practice in the state * CPR Certification Equipment/Tools/Work-Aids: * Fluent competence in computer programs Microsoft Outlook, Microsoft Word, and Microsoft Excel * Fluent in electronic medical record documentation Specialized Knowledge and Skills: * Prior clinical experience * Strong compassionate phone skills * Strives for independence and sound critical decision-making regarding the delivery of patient care * Competent to perform afterhours in person visits * Familiar with the concepts and needs of patients/families who are facing advanced illnesses * Excellent written and verbal communication * Always maintains patient confidentiality * Good problem-solving skills * Good time management skills We Offer As a Registered Nurse / RN, you will be eligible for: * Competitive Pay * Medical, Dental, Vision Plans * Wellness Program and Resources including: * A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs * Telemedicine Program * Type 2 Diabetes Management Program via Virta Health * A complete Joint and Spine Program with concierge services via Nimble Orthopedics * Generous Paid Time Off (plan increases with tenure) and 7 paid holidays * Pre-tax FSA and HSA plans (HSA w/company contributions) * 401(k) with company matching contributions * Career growth opportunities available at both the branch and corporate levels * One on One Onboarding Program * Free Continuing Education Units * Tuition Program that includes: * Access to 280+ program at 25+ learning partners * Programs at every education level from ASN to BSN or BSN to MSN * Online classes with flexible start dates * Tuition reimbursement * Company paid life and long-term disability insurance * Voluntary long-term care, critical illness, accident insurance, and pet insurance * Local and national award programs * Referral bonus program * Mileage reimbursement or Fleet Program * Financial assistance program supporting teammates in times of need Legalese * This is a safety-sensitive position * Employee must meet minimum requirements to be eligible for benefits * Where applicable, employee must meet state specific requirements * We are proud to be an EEO employer * We maintain a drug-free workplace Location Hospice Plus
