Job Description

Job Description

Job Description

Primary Responsibilities

The RN Clinical Liaison provides the primary coordination of hospital-based hospice and palliative care for Crater Community Hospice. The Clinical Liaison receives and triages all hospice and arranges for admission to services, interfaces with the patient/family, and the attending physician, as well as the interdisciplinary team members required to best meet the immediate needs of the patient. This position works a 7-day on / 7-day off schedule.

Essential Functions

• Assumes primary responsibility for a patient/family caseload that includes the assessing, planning, implementing, and evaluating phases of the nursing process.
• Consults and educates the patient/family regarding disease processes, self-care, end of life care, and processes for dealing with issues of ethical concern.
• Re-evaluates the patient's nursing needs per visit and reports changes in the patient's physical or mental condition to the attending physician and to hospice employees and contractors involved in the patient's care. Informs the DOCS of unusual or potentially problematic patient/family issues.
• Using case management approach, initiates communication with attending physicians, other hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient/family.
• Maintains regular communication with the DOCS to review caseload.
• Initiates the patient's plan of care in accordance with nursing needs specified in the approved plan of care including therapy needs.
• Assesses and initiates preventive and rehabilitative nursing procedures as needed.
• Documents all daily visits and/or contacts into the medical record system at the time of the visit or before ending the shift.
• Obtains data on physical, psychological, social, and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care.
• Maintains up-to-date patient records so that problems, plans, actions, and goals are accurately and clearly stated, and changes are reflected as they occur.
• Seeks input from other team members regarding the patient plan of care to obtain additional knowledge and support.
• Knowledgeable in and able to provide nursing care in all areas of Hospice to include admissions, in-home initial evaluations, and pronouncements.
• Attends IDG conferences and facilitates discussion of issues to update the care plan.
• Provides appropriate support at time of death and during period of bereavement.
• Supports weekend coverage for home visits and/or tuck-in as needed, communicating, and working closely with weekend and on-call team members.
• Participates in Crater Community Hospice orientation and in-service training programs for hospice employees assigned to the nursing service.
• Participates in agency quality assurance reviews and evaluations of the nursing services and other community programs as requested to promote professional growth and understanding of hospice care.
• Completes 15-day IDG care plans on all assigned patients and re-evaluates and prepares plan of care for MD review and signature.

Knowledge, Skills, and Education Requirements

• Graduate of an accredited school of nursing and licensed to practice in the state of Virginia.
• Bachelor's degree in nursing preferred.
• Experience of at least 6 current years as a registered nurse and 3 current years in home health, hospice, oncology, or critical care.
• Current Certified Hospice & Palliative Nurse certification preferred.
• Current CPR/BLS certification.
• Current driver's license in the state of Virginia.
• Demonstrated ability to assess and respond to the needs of patients and families with a supportive, sensitive approach; ability to cope with family emotional stress and tolerant of individual lifestyles.
• Interviewing and assessment skills to evaluate patient and family coping abilities.
• Demonstrates familiarity with policies of the agency and rules and regulations of State and Federal bodies which aid in determining policies.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual must demonstrate knowledge of the principles of growth and development of the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in the organization's policies and procedures.
• Well-versed computer literacy with in-depth knowledge and experience with electronic medical records programs.

Work Environment & Physical Demands

Situated in a professional medical environment and/or in patient homes of unknown environments yet may have the potential for locations in high crime areas, poor environmental conditions, and non-handicapped accessible sites. This role is frequently active with occasional lifting and/or carrying up to 50 lbs. The individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions. Frequent local travel with mileage stipend as required for patient care.

Crater Community Hospice, Inc. Mission Focus

All employees are responsible for extending the Crater Community Hospice mission: To share our passion for improving quality of life for those who are facing a life-limiting illness; as well as our core values of Compassion, Respect, Accountability, Teamwork, Empathy and Reliability.

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