Registered Nurse (RN) - Hospice
CareOregon
Portland, OR

Registered Nurse - Hospice (24614)

Housecall Providers https://www.housecallproviders.org/ Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations. Our Mission Improving lives by bringing health care home. Our Vision To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life. Our Values Compassion and respect, authentic relationships, collaboration, courage, social justice. Diversity Statement We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system. If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws. Job Title Registered Nurse - Hospice PRN Department 3009 - Housecall LLC Exemption Status Non-Exempt Requisition # 24614 Direct Reports n/a Manager Title Hospice Clinical Supervisor Pay & Benefits Estimated hiring range $52.64 - $64.35 / Hour, 5% bonus target, limited benefits. To learn more about our benefits, please visit www.careoregon.org/about-us/careers/benefits Posting Notes This is a PRN role that will work 100% in the community and support the Portland Metro area. Candidates will need to have 5 weekdays of availability per month. Job Summary The Hospice RN is responsible for the delivery of professional nursing services to hospice patients as indicated by the plan of care developed by the interdisciplinary team. Responsibilities include initial and on-going assessment of patients, developing and revising the plan of care, timely documentation, medication management, communication of assessments, planning and interventions and coordination of care among team members. Essential Responsibilities * Performs initial and ongoing nursing evaluations of patients/family/caregiver and assists in the development/implementation of the plan of care. Nurses may be responsible for one or more of the following areas: * Case management * Admissions * Initial hospice assessments * Medication management * Routine or focused nursing visits * Telephonic triage * Night/weekend coverage * Coverage for increased census or staffing shortages * Other duties assigned by the Hospice Leadership * Performs duties in compliance with Medicare Condition of Participation. * Responsible to coordinate and monitor all care being provided and keeps the physician and other team members from agency and community resources apprised of changes in patient's condition so that adjustments can be made to the plan or care as needed, to improve quality of life. * Uses clinical assessment skills and best practices to identify and provide effective care for patients, families, and caregivers. * Actively participates in IDT meetings for development and evaluation of the patient's plan of care * Develop and implement a plan of care for each assigned patient/family/caregiver unit and evaluation of that plan of care. * May assist patient/family/caregiver in determining of goals of care including completion of Advance Directives and POLST forms as needed. * Provides dietary counseling as needed. * Address advocacy needs for patients/families/and organization. * Facilitates formal and informal meetings with patients/caregivers/family member as needed. * Collaborates with the IDT during crisis management support and consultations with patient/family/caregiver or IDT team. * Provides information regarding the patient/family/caregivers psychosocial, spiritual, physical, and financial needs or difficulties to the IDT team or providers involved in the patient's care. * Serves as liaison with hospitals, care facilities and appropriate agencies to promote interagency cooperation, developing and maintaining communication and facilitating referrals to meet patient needs throughout the continuum of care. * May participate in admission and on-call duties as assigned during the evenings and weekends. * Participates in continuing education of self and assists with orientation of other team members. * Collaborates with Housecall Providers program staff to enhance continuity of care as needed. * Responsible for documentation in the electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards per policies and procedures. Organizational Responsibilities * Perform work in alignment with the organization's mission, vision and values. * Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. * Strive to meet annual business goals in support of the organization's strategic goals. * Adhere to the organization's policies, procedures and other relevant compliance needs. * Perform other duties as needed. Experience and/or Education Required * Current unencumbered license as a registered nurse in the State of Oregon * Minimum 2 years' Registered Nurse medical/surgical experience in an acute care setting and/or a combination of medical/surgical, home health, hospice experience or long-term care experience * 1 year of experience in quality process improvement/QAPI may substitute for 1 year of Registered Nurse experience * Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle * CPR certification at hire or within 6 months in position Preferred * Bachelor of Nursing degree or higher * Certified in Hospice and Palliative Care (CHPN) * 3-5 years in hospice triage, case management, admissions, night/weekend roles Knowledge, Skills and Abilities Required Knowledge * Knowledge of Federal, State and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations Skills and Abilities * Ability to perform nursing related tasks in the area of specialty (e.g., case management, on-call triage management, visits, and/or phone calls in a home care setting * Practice within the scope of license, certification, or registration, where applicable, and as required by law and regulation * Must have general computer skills and a working knowledge of Electronic Medical Records systems, MS office, Outlook, and the internet * Excellent interpersonal skills * Ability to work both independently and collaboratively * Ability to work under pressure to meet deadlines * Ability to take initiative and utilize innovative techniques and ingenuity * Ability to interact with various departments throughout the organization * Ability to tolerate and manage stress and grief * Ability to work flexible hours, if needed * Ability to plan, prioritize and coordinate multiple projects or tasks * Ability to adhere to organizational standards, policies, and procedures * Ability to work effectively with diverse individuals and groups * Ability to learn, focus, understand, and evaluate information and determine appropriate actions * Ability to accept direction and feedback, as well as tolerate and manage stress * Ability to see, read, hear, and speak clearly for at least 6 hours/day * Ability to stand, walk, sit, and perform repetitive finger and wrist movement for at least 3-6 hours/day * Ability to lift, carry, push, pull, bend, climb stairs and/or pinch small objects for at least 3 hours/day * Ability to operate a motorized vehicle in all kinds of weather conditions Working Conditions Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☒ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☒ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment and/or mobile technology Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. Schedule: This position may occasionally require more than 8 hours per day. Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.