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Clinical Nurse Specialist

2 months ago


Gainesville, Florida, United States Northeast Georgia Health System Inc Full time

Job Category:
Nursing - Clinical Nurse Specialist

Work Shift/Schedule:
12 Hr Morning - Evening
Northeast Georgia Health System is dedicated to enhancing the health of our communities.

About the Role:
Job Summary

Accountable for the provision of patient care in alignment with established standards of practice across various healthcare environments, including patient residences, hospitals, long-term care facilities, assisted living centers, and retirement communities within the hospice service area.

Engages with other professional disciplines and members of the hospice interdisciplinary team to ensure effective and efficient delivery of patient care and the attainment of desired patient outcomes.

Utilizes knowledge of the patient's age, gender, and cultural diversity in the delivery of patient care. Contributes to the enhancement of quality nursing care through performance improvement initiatives that yield positive patient care outcomes. Oversees the activities of the Hospice aides.

Conducts routine, admission, death pronouncement, continuous care, and on-call visits as assigned and/or as required by patient/significant others.

Minimum Job Qualifications

Licensure or other certifications:
Registered Nurse in Georgia; Current BLS certification

Educational Requirements:
Associate's Degree

Minimum Experience:
One (1) year in a healthcare role for RN; experience in hospice, oncology, or home health

Other:
Hospice, Acute Care, Oncology, Critical Care, Home Health

Preferred Job Qualifications
Preferred
Licensure or other certifications:

CHPN

Preferred Educational Requirements:

Preferred Experience:
Focus on care for terminally ill patients, adults in acute care medical and surgical settings/home care preferred. Additional experience with pediatric patients desired. One year of hospice experience preferred.

Other:
Job Specific And Unique Knowledge, Skills And Abilities
Strong clinical nursing and assessment skills.
Ability to comprehend, interpret, and comply with CMS regulations, agency policies/procedures, and accreditation standards.
Excellent customer service and interpersonal skills.
Proficient in documenting clinical care using software systems via laptop computer.
Able to work independently and collaboratively as part of a team.

Essential Tasks And Responsibilities
Admits patients to the hospice program.

Evaluates the suitability of patient admission to the hospice program based on state, federal, and regulatory requirements, hospice admission criteria, and in consultation/coordination with the attending physician and hospice medical director.

Completes the admission visit utilizing the agency's specialized format and within specified time frames. Conducts a comprehensive assessment. Collaborates with the attending physician, hospice Medical Director, referral source, and hospice intake department.

Delivers nursing care according to the standards of care defined within the American Nurses Association (ANA) standards of Clinical Practice and Standards of Hospice Nursing Practice and Professional Performance.

Performs routine, admission, death pronouncement, continuous care, and on-call visits as assigned and/or as needed by patient/significant others. Implements the interventions identified in the plan of care and evaluates responses to interventions in relation to expected outcomes. Supervises the hospice aide and LPN in accordance with State and Federal regulations and agency policies and procedures. Provides education and instruction to patients and/or caregivers appropriate to their learning ability/level. Assesses, instructs, and refers as indicated to ensure a safe environment for the patient.
Documents care in accordance with medical documentation standards and in accordance with agency policies, standards, and timelines. Completes patient charting in accordance with agency policies and procedures and within specified timeframes 100% of the time. Charts concisely and legibly. Avoids the use of unacceptable abbreviations.

Documents in a manner that facilitates the determination of expected outcomes and plan of care, including interventions and responses to interventions.

Completes necessary paperwork/procedures for the appropriate payor to ensure proper reimbursement in accordance with agency policies and procedures.

Collaborates and communicates with the patient/family, RN Case Manager, Patient Care Manager, RN Supervisors, Physician, Referral Source, and Hospice Interdisciplinary Team to ensure optimal coordination of care for each patient/family and to participate in the development and monitoring of the plan of care to ensure effective patient case management.

Acknowledges and honors the patient and significant others as vital members of the healthcare team. Communicates accordingly in assessing and establishing their needs and goals. Delivers care in a manner that preserves and protects patient autonomy, dignity, and rights. Consults with the Attending Physician/Medical Director/healthcare providers for patient care, especially for difficult-to-control symptoms of hospice patients.

Recommends/assists the RN Case Manager in coordinating all aspects of care for patients and their families through appropriate communications with various IDT members and referrals to suitable community agencies/resources as indicated.

Notifies interdisciplinary team members of changes in patients' condition/support system/environment and changes made in specific duties in the hospice aide's assignment related to the patient's needs.

Coordinates changes in level of care and care setting as indicated and in accordance with physician orders and agency policies.

Area/Unit Specific Essential Tasks And Responsibilities-On Call Hospice RN
Provides on-call coverage after normal business hours.

Responds appropriately to pages/calls from the Hospice office, NGMC operator, or Administrator on call concerning the needs of patients, families, significant others, physicians, and referral sources.

Handles calls with excellent customer service, compassion, and clinical and interpersonal expertise. Verbally offers to make visits to each current hospice/significant other call for assistance, including when assigned to be on-call. Always provides visits when appropriate. If unable to assist an individual in need, offers to find someone who can. Visits within required time frames established by the agency. Demonstrates good judgment and analytical ability in response to calls. Inspires confidence from callers and co-workers, remaining well-informed and prepared at all times. Demonstrates caring and maintains calm and effective behavior during stressful situations. Responds appropriately to new referrals received while on call.
Considers factors relating to safety, effectiveness, performance improvement, and cost in planning and delivering patient care.

Participates in peer chart review and other Quality Assessment/Performance Improvement activities as directed.

Documents and processes all variances, medication errors, adverse drug reactions, and infection surveillance in accordance with agency policies and procedures.

Evaluates care from a cost-effectiveness perspective and utilizing the hospice philosophy of care. Understands hospice Medicare/Medicaid/payor benefits and delivers care in accordance with benefits and the plan of care.
Maintains responsibility for communication and professional development and growth.

Attends interdisciplinary team meetings, staff meetings, and educational programs when indicated or obtains information through review of minutes, handout materials, video/audio tapes of sessions.

Completes all required education within specified time frames. Seeks out education required to maintain clinical and regulatory expertise and knowledge. Completes required competencies within specified time frames.

Observes established dress guidelines, visibly wearing the photo/name identification badge. Demonstrates knowledge and compliance with OSHA regulations, the organization's safety policies, and the risk management program.
Physical Demands

Weight Lifted:
Up to 50 lbs, Frequently 31-65% of the time

Weight Carried:
Up to 20 lbs, Frequently 31-65% of the time

Vision:
Moderate, Constantly 66-100% of the time

Kneeling/Stooping/Bending:
Frequently 31-65%

Standing/Walking:
Frequently 31-65%

Pushing/Pulling:
Frequently 31-65%

Intensity of Work:
Frequently 31-65%

Job Requires:
Reading, Writing, Reasoning, Talking, Keyboarding, Driving #NGHSJOBS

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.


NGHS:
Opportunities start here.


Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.