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Registered Nurse

Location
Cleveland, Ohio
Job Type
Full Time
Posted
27 May 2021
RN On Call
U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission - "Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services" - Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).
Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on "We are Unified in our Work through our Continuum of Services" "We can Find Comfort that We are Making a Difference for our Patients" & "We make a Broader Positive Impact on Society", allows USMM to be poised for a phenomenal future.
We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.
Benefits We Offer:
  • Health, Dental, Vision, Disability & Life Insurance
  • 401K Retirement Plan
  • Paid Holidays
  • PTO
  • Flexible Spending Account
  • Tuition Reimbursement (coming 2021)
Position Description
The RN On Call is responsible for providing end-of-life care and hospice services to patients in their home or community setting after regular business hours, weekends, and/or holidays. Under the general supervision of the RN Manager, she/he provides intermittent skilled nursing services; communicates the patient's progress with other disciplines and directs, supervises and instructs non-professional hospice aide staff in the provision of personal care to the patient.
Essential Duties and Responsibilities
  • As scheduled, nurses in the On-Call position will work in the office assisting with medical records and order processing along with other duties as needed
  • Assumes primary responsibility for the patient/family caseload that includes assessing, planning, implementing, and evaluating care needs during on-call hours
  • Reports On-Call activities to the RN Manager and RN Case Managers at the end of the call shift
  • Maintains and completes appropriate On-Call Log documentation as well as care coordination notes for phone calls and communication, visit notes, and other pertinent clinical information
  • Assists, provides, or arranges for delivery of medications and supplies needed after business hours, weekends, and/or holidays
  • Attends interdisciplinary team meetings during on-call period for full team discussion, consultation and evaluation of patient/family needs
  • Under the Physician's order, admits patients eligible for hospice services
    • Assesses and evaluates patient needs/problems, identifies mutually agreed upon goals with patients
    • Reports patient status and need for other disciplines to agency intake coordinator, RN Case Manager, RN Manager, and referring Physician
  • Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals. Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or recertification
    • Admits paperwork and patient care plan submitted to RN Manager within 2 days following the admit
    • Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information
  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient IDG Plan of Care and as indicated by on-call needs
    • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
    • Reports significant findings to patient's physician and RN Manager as they occur
  • Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy
  • Submits change orders within 48 hours of occurrence
  • Submits recertification paperwork by the due date provided by the RN Manager
    • Schedules an IDT meeting with assigned RN Manager to review patient's needs, problems, level of care and any changes in Plan of Care for next cert period
    • Completes communication note documenting plans for recertification were discussed and agreed upon between the Physician, patient, and RN Manager
    • Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable
    • Performs hospice aide supervisory visit at least q 2 weeks and once per cert period with hospice aide present
  • Effectively communicates with all members of the healthcare team
  • Acts as the patient's advocate and as such is a liaison to assist in communicating the patient's needs to the multidisciplinary team
  • Supervises the hospice aide every 14 days
  • Provides direction and instruction as it relates to provision of personal care and related support services
    • Completes documentation on hospice aide supervisory notes
    • Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to the RN Manager
  • Acts as a preceptor in the orientation of new nursing staff as directed
  • Attends staff meetings and educational in-services per agency requirements
    • Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences and participation in professional and related organizations and individual research reading
    • Obtains CEU's as dictated by the State Board of Nurses
    • Attends at least 50% of the skilled nurse in-services and meetings provided by agency
    • Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services
  • Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams
  • Follows agency policies and procedures
  • Participates in discharge planning process
    • Documents Discharge Planning beginning with admit and documents at least 2 weeks in advance instructions given related to discharge
    • Completes and submits along with other notes turned in per agency policy:
      1. Patient Care Plan
      2. Discharge Nurse's Note
  • Provides care consistent with National Hospice and Palliative Care Organization standards of practice for hospice programs
  • Performs other related duties as assigned.
REQUIRED Knowledge, Skills, and Experience
  • Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC)
  • Must have a valid driver's license as well as have and maintain an automobile to be used for work
  • Three years recent experience as a professional nurse, at least one year in hospice preferred
  • Ability to work in a field setting and exhibited ability to make sound nursing judgments; must be able to work independently
  • Ability to assess patient needs and formulate individualized patient care plans to meet those needs
  • Knowledge of physical, psychosocial and spiritual needs of terminally ill patients and their caregivers
  • Effective written and verbal communication skills
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Details

  • Job Reference: 293403564-2
  • Date Posted: 27 May 2021
  • Employer: US Medical Management
  • Location: Cleveland, Ohio
  • Salary: On Application
  • Sector: Nursing, Other
  • Job Type: Full Time