RN Clinician/Admissions - PRN

SCHEDULE: As needed (weekdays and weekend ) 

Shifts: 8-hour shifts (8a to 4:30p); 10-hour shifts (8a to 6p); 12-hour shifts (8a to 8p) 

JOB DUTIES/KNOWLEDGE:

Acts as a liaison between the referring hospital/agency and Hospice prior to discharge; assures communication and collaboration between all involved agencies facilities, physicians and staff.

Manages general inpatient admissions and hospitalized team patients while in the hospital, providing case management of patient care, including coordination of  appropriate palliative symptom management with ordering physicians and hospital case managers.  Assures appropriateness of orders and treatments and effective symptom control while managing length of stay and patient inpatient throughput.

Notifies ordering physician and hospital case manager staff that patient is hospitalized for management of symptoms related to Hospice diagnosis that patient care is being covered under their election of the hospice benefit.   Notifies patient and patient physician when care/testing/treatment being ordered is outside the scope of the Hospice plan of care and the impact of such decisions on their Hospice benefit.

Seeks opportunities to expand Hospice utilization within hospitals in critical care units, emergency departments, outpatient services and other departments and settings as may arise.

Provides creative ideas and marketing strategies for hospitals in collaboration with the Clinical Liaison assigned to the hospital.  Seeks opportunities to expand Hospice services into hospital areas where there is patient need.  Assists Clinical Liaisons in providing in-service programs, luncheons, etc. in hospital environment.

Performs clinician duties in hospitals throughout Cornerstone Hospice service areas as assigned by the Manager or Lead Clinician.

Works to discharge patients to pre-hospitalization level of care if possible and appropriate to patient condition, considering patient and family choices.

Develops and maintains quality, professional relationships with referral sources, working  professionally with physicians, case managers and staff  while representing the interests of Cornerstone Hospice.

Represents Hospice at public/professional meetings, boards, activities or related nursing organizations as required.

Provides information such as updates and educational materials to referral  sources, answers questions, resolves problems and promotes Cornerstone Hospice services.

 Follows up with manager or designee on issues raised by referral sources.

 Provides Hospice information to patients/families, prepares them for admission initiates the admission process, including principles of effective symptom management, and completes admission paperwork including verbal and written explanation of Patient Rights and Responsibilities, and any other information or consents required by regulation.

Uses established guidelines to evaluate referred patients for Hospice appropriateness through physical assessment, review of medical documentation including History & Physical, physician notes, diagnostic testing, lab tests and other relevant information.

Provides discharge planning for patients within the hospital setting and initiates prescriptions, medical equipment, staff visits, and crisis care as warranted.

 Meets the needs of the newly referred patient/families, completing the admissions process.

Completes accurate documentation within the EMR system at the time of care and location of service.   Where not possible or otherwise directed, completes at next available opportunity, and by end of shift without exception

 Schedules assessment visit with patient/family, coordinating with the admissions social worker when necessary.

 Gives a comprehensive explanation of hospice services and benefits addressing all components of care.

 Obtains signatures on all necessary consents ensuring that patient/families are informed of their rights and responsibilities.

 Performs a physical/environmental assessment, in addition to a psychosocial and spiritual assessment if an admissions social worker is not involved.

 Provides primary clinical care and teaching, as needed, to stabilize the patient and facilitate the admissions process.

 Documents assessments and establishes the written initial plan of care and plan of  treatment.

 Serves as a back up to either the Clinician / Admission RN roles.  

Assists in managing out-of-service-area referrals, as requested, ensuring a smooth transition by providing clear, consistent communication with all parties involved.

 Maintains availability as assigned to cover staffing needs including additional weekdays, weekend days, and hours.  

 Is an active, enthusiastic member of the admissions team providing support for colleagues and creative ideas for the improvement of the admissions process.

Other duties as assigned

 
QUALIFICATIONS 
Florida R.N. license required
Clinical experience working in a hospital environment; hospice experience a plus!
Excellent oral and written skills.
Personable, strong initiative and ability to work independently.
Previous teaching/sales experience a plus.
Valid Florida driver's license and required auto liability insurance required.

BENEFITS 
Competitive Compensation
Full benefits package
403(b) plan match
Generous PTO
Tuition Reimbursement program
Learning resources to be successful in your career, plus more!

Cornerstone Health Services, Inc. is an Equal Opportunity Employer