- 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
- 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
- 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.
- 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.
- 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.
- 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.
- 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:
- Equipment/Tools/Work-Aids:
- Fluent competence in computer programs Microsoft Outlook, Microsoft Word, and Microsoft Excel
- Fluent in electronic medical record documentation
- Strives for independence and sound critical decision-making regarding the delivery of patient care
- Medical, Dental, Vision Plans
- 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)
- Career growth opportunities available at both the branch and corporate levels
- Free Continuing Education Units
- 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
- Mileage reimbursement or Fleet Program
- Financial assistance program supporting teammates in times of need
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Description
Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care.
Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment.
We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees.
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 (Advanced Illness Management) Program - Palliative Care RN - Full Time 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.
Conduct in-person/telephonic RN assessments/screenings and provides education to palliative care patients, family members or caregivers as appropriate.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.
Licenses, Certifications and/or Registration:
