186 jobs found

The home health registered nurse Mentor uses the nursing process (assesses, plans, implements, evaluates) to provide patient care in the home setting and to provide field clinical training to new nursing hires to Home Health. Provides individualized patient care for patients in all developmental stages throughout the life span including: Adult - 18-72 years, Geriatric - 72 + years, according to established policies, procedures, guidelines and nursing standards of care. Provides additional precepting oversight to new hires. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse's experience and competency evaluation. PRIMARY JOB DUTIES 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age and diagnosis. 2. Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team. 3. Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. 4. Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians 5. Contributes to program effectiveness. 6. Organizes and performs work effectively and efficiently. 7. Maintains and adjusts schedule to enhance agency performance. 8. Demonstrates a daily commitment to the values of the agency. 9. Demonstrates positive interpersonal relations in dealing with all members of the agency. 10. Maintains and promotes customer satisfaction. 11. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. 1.0 30% QUALITY OF WORK: 1.1 7 % Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively manage the Plan of Care for each patient as evidenced by: Providing nursing intervention based on physiological needs and clinical assessment appropriate for the patient's age and developmental stage. Providing and/or facilitating education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family. Providing developmental interventions appropriate to patient's age and clinical status. In collaboration with the patient/family and the physician, the nurse performs and documents a thorough, timely initial assessment to determine the eligibility for home care and to identify needs and problems. Reassesses the patient at the minimum of every 60-62 days or when the patient demonstrates a significant change in clinical status, support system or care environment. Reviews and accurately updates the overall plan of care (CMS 485) at least every 60-62 days, incorporating all pertinent changes in the physician summary letter, concisely summarizes the significant facts of care and the progress toward achieving goals. Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. Evaluate and revise the nursing and aide plans of care, when there are changes in the patient's condition, psychosocial status, and home environment; when no progress toward stated goals is evident and when there is a change in physician orders. 1.2 6 % Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team. Supervises the home health aides every 14 days in accordance with federal/state guidelines and agency policy. Collaborates with and supervises the nursing care provided by the LPN. Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient. Conferences with other disciplines regarding the status of shared patients and consistently documents interdisciplinary coordination and communication activities in the clinical record. Attends interdisciplinary conferences in accordance with agency policy. Makes appropriate notifications in advance of the conference if unable to attend. Maintains patient caseload and keeps clinical manager informed of current caseload in accordance with agency guidelines. Appropriately informs the physician and other involved agency staff of any adverse changes in patient's condition, safety issues, changes in plan of care and discharge plans. Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time. 1.3 7% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. Completes all forms accurately and in accordance with agency guidelines/policies. Appropriately describes the patient's functional limitations to justify homebound status. Documents all verbal orders for new or changed orders according to agency guidelines. Completes clinical notes in accordance with agency guidelines and time frames. Documents involvement of the patient and family in developing and revising the plan of care. Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines. 1.4 4% Contributes to program effectiveness as evidenced by: Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the home health mission. Incorporating recommendations and goals of other disciplines and patient/family into nursing visits. Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care. Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance. Promoting change and being proactive in suggesting ideas and new ways of doing things. Demonstrating ability to prioritize and enhance services during fluctuating patient census. 1.5 5% Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians as evidenced by: Demonstrates process for SOC, ROC, Recert, Discharge and routine visits to clinicians during the orientation process and observes employee's ability to perform Observes clinical skills and patient interaction of new clinicians and provides feedback to the clinician. Works with clinicians to review application of clinical protocols and programs Reviews orientation information with new clinicians to determine the clinician's level of understanding and re-educate as necessary Collaborates with Field Clinical Manager weekly to review new hire progress and address deficiencies 2.0 20% PRODUCTIVITY/USE OF TIME: 2.1 10% Organizes and performs work effectively and efficiently as evidenced by: Participating in continuous performance improvement and completing all required educational programs for the Agency and profession. Recognizing and performing duties in an independent manner. Accepting personal responsibility for the completion and quality of work outcomes. Meeting assigned deadlines. Meeting productivity expectations. Maintaining a clean and safe environment. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. 3.0 25% TEAM WORK: 3.1 25% Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Communicating in a positive and productive manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team. Maintaining positive attitude about assignments and team members. Promoting professional / personal growth of co-workers by sharing knowledge and resources. Working collaboratively and cooperating with other agency employees. 4.0 25% MISSION, VISION, VALUES: 4.1 15% Maintains and promotes customer satisfaction. Responding to all customers in a courteous, sensitive and respectful manner. Abiding by the confidentiality and ethics policies of Well Care Home Health. Participates in community outreach activities that promotes goals and objectives of the agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: Practicing personal cost containment by responsible use of equipment, supplies, and resources. Completing the review period without a formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Current license to practice professional nursing in the State in which providing care (NC/SC). CPR certification required. 3 . click apply for full job details

PRIMARY JOB DUTIES 1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care. 2. Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions. 3. Communicate with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Demonstrates positive interpersonal relations in dealing with all members of the agency. 6. Effectively demonstrates the mission, vision and values of the Agency on a daily basis. 1.0 45% QUALITY OF WORK 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by: Assessing the patients' and family/caregivers' physical, psychosocial, bereavement, environmental, safety, and developmental needs. Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients' needs change. Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care. Managing all aspects of the patient's plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members. Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill. 1.2 15% Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team. Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team. Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate. Performs and reports assessment findings of the patient's pain and other undesirable symptoms to the Hospice Physician in a timely manner. Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient's care, and any other information pertinent to the care of the patient. Provides supervision of patients' assigned LPN and CNA, in accordance with Medicare guidelines and agency policy. Attends and participates in regularly scheduled interdisciplinary group meetings. Ensures that arrangements for equipment and other necessary items and services are available. Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure. 1.3 10% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record. Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion. Completes, maintains, and submits accurate and relevant notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. Documents all physician orders received within the EMR. Consults and collaborates with the hospice interdisciplinary team and others involved in the patient's care. Maintains close contact with the patient's family/caregiver to provide information, support, and continuity of care. Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management. 1.4 5% Contributes to program effectiveness as evidenced by: Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care. Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available. Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process. Participates in the provision of 24/7 on-call nursing services. Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training. Actively participates in quality assessment performance improvement teams and activities. 2.0 30% EFFICIENCY AND EFFECTIVENESS: 2.1 20% Organizes and performs work effectively and efficiently as evidenced by: Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area. Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory. Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost. Ensuring provision of medical supplies is limited to only what is needed in the home. Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation Practicing personal cost containment by responsible use of equipment, supplies, and resources. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. Does not exceed accrued PTO or qualified leave of absence(s). cannot exceed 3.0 25% TEAM WORK, MISSION, VISION, VALUES: 3.1 25% Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Responding to all customers in a courteous, sensitive and respectful manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team Working collaboratively and cooperating with other departments. Completing the review period without any formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. JOB SPECIFICATIONS 1. Education: Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor's Degree preferred. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients 7. Essential Mental Abilities: Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina 8. Essential Sensory Requirements: Keen observation skills. 9. Exposure to Hazards: May be exposed to virus, disease and infection from patients and specimens in working environment. 10. Other - Hours of Work: Monday - Friday, some on-call required in rotation, including weekends and holidays.

JOB SUMMARY The home health registered nurse uses the nursing process (assesses, plans, implements, evaluates) to provide patient care in the home setting. Provides individualized patient care for patients in all developmental stages throughout the life span including: Adult - 18-72 years, Geriatric - 72 + years, according to established policies, procedures, guidelines and nursing standards of care. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse's experience and competency evaluation. PRIMARY JOB DUTIES 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age and diagnosis. 2. Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team. 3. Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. 4. Contributes to program effectiveness. 5. Organizes and performs work effectively and efficiently. 6. Maintains and adjusts schedule to enhance agency performance. 7. Demonstrates a daily commitment to the values of the agency. 8. Demonstrates positive interpersonal relations in dealing with all members of the agency. 9. Maintains and promotes customer satisfaction. 10. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Current license to practice professional nursing in the State in which providing care (NC/SC). CPR certification required. 3. Experience: One year RN experience and a total of 2 or more years clinical experience is required. Supplemental experience may include experience as LPN, CNA, military medic, EMT or related experience. Home health experience preferred. Less than 1 year RN experience requires 1 year of clinical experience as LPN (Internal use only). Therapy Assistants (PTA, OTA) with 1 year of Home Health experience and at least 6 months RN experience (internal use only). 4. Essential Technical / Motor Skills: Hand/eye coordination in order to give injections, use computer, etc. Must be able to communicate and be literate in the English language. Able to manipulate patient care equipment, to properly transfer and guard patients. 5. Interpersonal Skills: Ability to develop positive interaction with patients, patients' families, physicians and staff in order to effectively care for the patients. 6. Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation. 7. Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their condition/recovery. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care. Able to learn and use supportive services. 8. Essential Sensory Requirements: Ability to visually assess patients and to utilize sight to implement and evaluate plan of care (changing dressings, starting IVs, regulating IV's, maintain equipment as to readouts, etc.). Utilize hearing to auscultate lung sounds, bowel sounds, hear alarms, and effectively communicate with patients, families, physician, and staff. 9. Exposure to Hazards: Noise, exposure to blood borne pathogens and body fluids, infectious diseases, and needle puncture wounds. May be exposed to dangerous animals and traffic hazards while home visiting. May encounter patients and other situations which present a potential threat to personal safety. May encounter temperature changes and weather extremes. 10. Hours of Work: Variable Monday - Friday, weekends and holidays as needed. Flexible schedule to accommodate staffing needs. 11. Population Served: Adolescents, adults, geriatrics, and pediatrics. 12. Must have a valid North Carolina driver's license and an operational vehicle.

The home health registered nurse Mentor uses the nursing process (assesses, plans, implements, evaluates) to provide patient care in the home setting and to provide field clinical training to new nursing hires to Home Health. Provides individualized patient care for patients in all developmental stages throughout the life span including: Adult - 18-72 years, Geriatric - 72 + years, according to established policies, procedures, guidelines and nursing standards of care. Provides additional precepting oversight to new hires. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse's experience and competency evaluation. PRIMARY JOB DUTIES 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age and diagnosis. 2. Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team. 3. Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. 4. Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians 5. Contributes to program effectiveness. 6. Organizes and performs work effectively and efficiently. 7. Maintains and adjusts schedule to enhance agency performance. 8. Demonstrates a daily commitment to the values of the agency. 9. Demonstrates positive interpersonal relations in dealing with all members of the agency. 10. Maintains and promotes customer satisfaction. 11. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. 1.0 30% QUALITY OF WORK: 1.1 7 % Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively manage the Plan of Care for each patient as evidenced by: Providing nursing intervention based on physiological needs and clinical assessment appropriate for the patient's age and developmental stage. Providing and/or facilitating education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family. Providing developmental interventions appropriate to patient's age and clinical status. In collaboration with the patient/family and the physician, the nurse performs and documents a thorough, timely initial assessment to determine the eligibility for home care and to identify needs and problems. Reassesses the patient at the minimum of every 60-62 days or when the patient demonstrates a significant change in clinical status, support system or care environment. Reviews and accurately updates the overall plan of care (CMS 485) at least every 60-62 days, incorporating all pertinent changes in the physician summary letter, concisely summarizes the significant facts of care and the progress toward achieving goals. Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. Evaluate and revise the nursing and aide plans of care, when there are changes in the patient's condition, psychosocial status, and home environment; when no progress toward stated goals is evident and when there is a change in physician orders. 1.2 6 % Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team. Supervises the home health aides every 14 days in accordance with federal/state guidelines and agency policy. Collaborates with and supervises the nursing care provided by the LPN. Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient. Conferences with other disciplines regarding the status of shared patients and consistently documents interdisciplinary coordination and communication activities in the clinical record. Attends interdisciplinary conferences in accordance with agency policy. Makes appropriate notifications in advance of the conference if unable to attend. Maintains patient caseload and keeps clinical manager informed of current caseload in accordance with agency guidelines. Appropriately informs the physician and other involved agency staff of any adverse changes in patient's condition, safety issues, changes in plan of care and discharge plans. Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time. 1.3 7% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. Completes all forms accurately and in accordance with agency guidelines/policies. Appropriately describes the patient's functional limitations to justify homebound status. Documents all verbal orders for new or changed orders according to agency guidelines. Completes clinical notes in accordance with agency guidelines and time frames. Documents involvement of the patient and family in developing and revising the plan of care. Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines. 1.4 4% Contributes to program effectiveness as evidenced by: Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the home health mission. Incorporating recommendations and goals of other disciplines and patient/family into nursing visits. Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care. Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance. Promoting change and being proactive in suggesting ideas and new ways of doing things. Demonstrating ability to prioritize and enhance services during fluctuating patient census. 1.5 5% Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians as evidenced by: Demonstrates process for SOC, ROC, Recert, Discharge and routine visits to clinicians during the orientation process and observes employee's ability to perform Observes clinical skills and patient interaction of new clinicians and provides feedback to the clinician. Works with clinicians to review application of clinical protocols and programs Reviews orientation information with new clinicians to determine the clinician's level of understanding and re-educate as necessary Collaborates with Field Clinical Manager weekly to review new hire progress and address deficiencies 2.0 20% PRODUCTIVITY/USE OF TIME: 2.1 10% Organizes and performs work effectively and efficiently as evidenced by: Participating in continuous performance improvement and completing all required educational programs for the Agency and profession. Recognizing and performing duties in an independent manner. Accepting personal responsibility for the completion and quality of work outcomes. Meeting assigned deadlines. Meeting productivity expectations. Maintaining a clean and safe environment. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. 3.0 25% TEAM WORK: 3.1 25% Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Communicating in a positive and productive manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team. Maintaining positive attitude about assignments and team members. Promoting professional / personal growth of co-workers by sharing knowledge and resources. Working collaboratively and cooperating with other agency employees. 4.0 25% MISSION, VISION, VALUES: 4.1 15% Maintains and promotes customer satisfaction. Responding to all customers in a courteous, sensitive and respectful manner. Abiding by the confidentiality and ethics policies of Well Care Home Health. Participates in community outreach activities that promotes goals and objectives of the agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: Practicing personal cost containment by responsible use of equipment, supplies, and resources. Completing the review period without a formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Current license to practice professional nursing in the State in which providing care (NC/SC). CPR certification required. 3 . click apply for full job details

CHENEGA PROFESSIONAL SERVICES, LLC. Sheppard AFB, TX The Department of the Air Force (DAF) Family Advocacy Program (FAP) is designed to identify, prevent, provide treatment to families, couples, and/or intimate partners impacted by domestic abuse (DA). FAP offers the support of Domestic Abuse Victim Advocates (DAVA) to provide DAF personnel, their family members, or intimate partners who are victims of DA (sometimes referred to as domestic violence) non-clinical emergent and urgent service whenever requested. With the exception of mandatory state, federal, and military reporting requirements (i.e., domestic violence, child abuse, and duty to warn situations) the DAVA provides a private and confidential service to encourage victims in seeking assistance. Responsibilities Provides 24 hour/7 days a week response to victims alleging DA by publishing and maintaining an emergency contact number via cell phone provided by vendor. Establishes a Victim s Safety Plan on a case-by-case basis. Partners with the Family Advocacy Treatment Manager (FATM) and Family Advocacy Intervention Specialist (FAIS) or mental health on-call provider if the treatment or case manager is unavailable, to establish safety plans. The victims safety is the DAVA s top responsibility and priority. Reviews the safety plan during each victim contact. Develops safety plans based on initial and ongoing risk assessments. If imminent risk of serious harm or death is established, notify the FAO, law enforcement, and Command. If children are involved, the process also includes child physical safety and emotional well-being; refer involved children to the treatment or case manager for follow-on care. Immediately reports any changes in the victim s circumstances that changes or impacts the safety plan to the FAP treatment/case manager or mental health on-call provider if the treatment/case manager is unavailable. When determining whether a victim is at imminent risk of serious harm or death, the DAVA will assess the following risk factors: Victimization patterns have increased in severity or frequency. Alleged offender threatened or attempted to kill the victim or his/her children. Alleged offender threatened or attempted suicide. Alleged offender strangled the victim. Alleged offender used or threatened to use a weapon against the victim. Victim sustained serious injury during the abusive incidents. Prior police contact with the alleged offender regarding DA. Victim has a restraining or protection order against the alleged offender. Victim is estranged, separated or attempting to separate from the alleged offender. Alleged offender stalked the victim. Alleged offender abuses alcohol or drugs. Alleged offender forced sex on the victim. Alleged offender abused victim during current pregnancy. Victim expresses fear of imminent serious harm or death. Alleged offender has active psychosis or mania. Alleged offender is using psychoactive drugs, such as amphetamines or cocaine. Alleged offender exhibits obsessive behavior, extreme jealousy, or extreme dominance. Advises each victim at the initial contact that: DAVA services are voluntary. DAVA have limited confidentiality IAW AF policy. Medical examination and documentation of victim s injuries is highly recommended. Victims may choose to make a restricted or unrestricted report of DA (those options are fully explained by the DAVA) Advises victims of the military or civil actions available to promote safety (e.g., military order of protection, restraining order, and injunction). Offers victims information regarding their identified needs (e.g., emergency shelter, housing, childcare, legal services, clinical resources, medical services, transitional compensation). Offers follow-up DAVA services to each victim: Empower the victim to advocate for the needs of self and children. Support the victim in decision-making by exploring options. Assist the victim with prioritizing actions and establishing short/long-term goals. Provide information and referral on military and civilian resources. Advises victims of the impact of domestic violence on children and supports victim s efforts to have children assessed and treated, as needed. Accompanies the victim to appointments or court proceedings when requested by the victim. Assistances with transportation is typically not provided to victims, however, after consultation with the FAO and when no other reasonable means exist the DAVA may transport the victim to important appointments (i.e.: medical, court, protective actions). The DAVA cannot transport minor children unless accompanied by the parent or legal guardian and has the appropriate safety restraints in the vehicle. The government will not be responsible for any costs or liabilities if the DAVA elects to provide transportation for victims except as identified in the contract. Collaborates with the FAP treatment/case manager to support the victim and promote safety for the victim and children in the home. Briefs the treatment/case manager prior to the Clinical Case Staffing (CCS) so that the CCS team has the most current information on the victim and children for staffing. (Note: The DAVA does not have access to information containing Personal Health Information (PHI) and does not attend the CCS). Establishes a contact file for each victim served that contains minimal information about the allegations or nature of the incident. The primary purpose of the DAVA contact file is to maintain victim s name and contact information as well as a log of the victim contacts and nature of the contacts or service provided by the DAVA. Information in the DAVA contact file will assist the DAVA in maintaining contact with the victim and will provide continuity of care in the event of DAVA position turnover. Places the safety plan, Victim Impact Statement and Victim Preference Statement in the DAVA contact file. Provide a copy of items to the treatment/case manager for the FAP Record. Maintains DAVA contact files in the FAP office under a double lock system and/or DAVA database. The contact file will be clearly marked as either Open or Closed indicating whether the victim is currently receiving DAVA services. Submits Victim Impact Statement when the victim asks the DAVA to inform the alleged offender s commander, the FAP treatment/case manager, or the FAO (for presentation to the Central Registry Board) of the impact the maltreatment has had on the victim and/or children. (Note: This form is only required when the victim requests the DAVA share the impact information on the victim s behalf Enters victim contact information and perform other activities monthly IAW DAF FAP guidance. Develops process to keep the FAO and designated POC (e.g., on-call mental health provider, emergency room.) informed of DAVA s location and timelines when providing DAVA victim services. This process will include purpose, location, arrival, and departure notification. Supports the Family Advocacy Intervention Specialist (FAIS) to develop System Advocacy, Education and Public Awareness, promoting a coordinated community response to DA. As a system advocate, the DAVA shall: Continually evaluate the quality of the installation s coordinated community response and collaborate with base agencies to improve the system response to victims. Empower victims to be involved in plans or decisions about the safety of self and children. Collaborate and establish protocols with Security Forces Squadron (SFS) and Office of Special Investigations (OSI) confirming: 24-hour notification of the DAVA in all incidents of suspected DA Collaboration on safety planning Training of SFS and OSI personnel on the DAVA role Collaborates and establishes protocols with the MTF confirming: 24-hour notification of the DAVA in all incidents of suspected DA Training of MTF personnel on the DAVA role Establishes liaisons and partner with civilian DA resources. Is a member of the installation Family Advocacy Committee (FAC) and reports to the FAO. The DAVA participates in the development, implementation, and evaluation of installation DA policies and protocols (e.g., Installation Supplement to AFI 40-301- Family Advocacy, Memoranda of Understanding (MOUs) with local victim shelters, Inter-Service Support Agreements). Supports the FAP Secondary Prevention and Client Engagement (SPaCE) and New Parent Support Program (NPSP) prevention activities. The DAVA will actively participate in all resiliency initiatives designed to prevent DA. Partners with the Family Advocacy Nurse (FAN) when the FAN is involved in open partner maltreatment cases. Promptly communicates with the treatment/case manager and the FAN any information that may impact the victim s current safety plan. Refers victim for direct service from the FAN through the FAO. Shares victim information with the FAN at least monthly to ensure continuity of care between the FAN and DAVA services. Partners with the FAIS to promote education about and prevention of DA. Such activities may include outreach programs designed to increase awareness, educational briefings (e.g., restricted reporting option), skill-building classes, and the development of marketing tools and strategies click apply for full job details

Hours of Work: Monday - Thursday, 5pm - 8am PRIMARY JOB DUTIES 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age, diagnosis, and prognosis. 2. Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary. 3. Appropriately communicates with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits. 6. Organizes and performs work effectively and efficiently. 7. Maintains and adjusts schedule to enhance agency performance. 8. Demonstrates a daily commitment to the values of the agency. 9. Demonstrates positive interpersonal relations in dealing with all members of the agency. 10. Maintains and promotes customer satisfaction. 11. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. 1.0 40% QUALITY OF WORK: 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by: • Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient's age and developmental stage. • Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family. • In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis. • Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient's age and clinical status. • Implements interventions in a manner consistent with agency policy and discipline standards. Evaluates patient response to interventions according to agency policy. • Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. 1.2 12% Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team. • Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork. • Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care. • Make appropriate referrals to other disciplines when indicated and provides information related to patient's status. • Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient's condition, safety issues, or other complications that might impede the plan of care. • Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time. • Provides scheduled and PRN visits to patients when requested by the Management Team. 1.3 8% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by: • Completes all forms accurately and in accordance with agency guidelines/policies. • Appropriately describes the patient's functional limitations to justify hospice eligibility. • Documents all verbal orders for new or changed orders according to agency guidelines. • Completes clinical notes in accordance with agency guidelines and time frames. • Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines. • Documents involvement of the patient and family in the development of the plan of care. 1.4 5% Contributes to program effectiveness as evidenced by: • Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission. • Incorporating recommendations and goals of other disciplines and patient/family into nursing visits. • Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care. • Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance. • Promoting change and being proactive in suggesting ideas and new ways of doing things. • Demonstrating ability to prioritize and enhance services during fluctuating patient census. 2.0 20% PRODUCTIVITY/USE OF TIME: 2.1 10% Organizes and performs work effectively and efficiently as evidenced by: • Participating in continuous performance improvement and completing all required educational programs for the Agency and profession. • Recognizing and performing duties in an independent manner. • Accepting personal responsibility for the completion and quality of work outcomes. • Meeting assigned deadlines. • Maintaining a clean and safe environment. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: • Reporting to work on time and returning promptly from errands, breaks, and meals. • Managing personal work schedule and time off to promote smooth agency/unit operations. • Assisting other team members to ensure completion of all work assignments. • Demonstrating flexibility with changing workload/assignments. 3.0 20% TEAM WORK: Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: • Communicating in a positive and productive manner. • Demonstrating respect for team members. • Managing stress and personal feelings without a negative impact on the team. • Maintaining positive attitude about assignments and team members. • Promoting professional / personal growth of co-workers by sharing knowledge and resources. • Working collaboratively and cooperating with other agencys / units. 4.0 20% MISSION, VISION, VALUES: 4.1 10% Maintains and promotes customer satisfaction. • Responding to all customers in a courteous, sensitive and respectful manner. • Abiding by the confidentiality and ethics policies of Well Care Hospice. • Participates in community outreach activities that promotes goals and objectives of the agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: • Practicing personal cost containment by responsible use of equipment, supplies, and resources. • Completing the review period without a formal disciplinary action. • Presenting a clean and neat appearance in personal attire and one's work area. • Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner. Not exceedable. Failure to "Meet" an asterisk category will result in a "Does Not Meet" for the standard. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation. 7. Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their disease progression and end of life care. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care. 8. Essential Sensory Requirements: Ability to visually assess patients and to utilize sight and hearing to implement and evaluate plan of care . click apply for full job details

PRIMARY JOB DUTIES Hour of Operations: Friday, Saturday, Sunday - 8am-8pm 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age, diagnosis, and prognosis. 2. Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team, and performs follow up visits when necessary. 3. Appropriately communicates with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Organizes and performs work effectively and efficiently. 6. Maintains and adjusts schedule to enhance agency performance. 7. Demonstrates a daily commitment to the values of the agency. 8. Demonstrates positive interpersonal relations in dealing with all members of the agency. 9. Maintains and promotes customer satisfaction. 10. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. 1.0 40% QUALITY OF WORK: 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by: Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient's age and developmental stage. Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family. In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis. Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient's age and clinical status. Implements interventions in a manner consistent with agency policy and discipline standards. Evaluates patient response to interventions according to agency policy. Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. 1.2 12% Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team. Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork. Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care. Make appropriate referrals to other disciplines when indicated and provides information related to patient's status. Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient's condition, safety issues, or other complications that might impede the plan of care. Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time. Provides scheduled and PRN visits to patients when requested by the Management Team. 1.3 8% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by: Completes all forms accurately and in accordance with agency guidelines/policies. Appropriately describes the patient's functional limitations to justify hospice eligibility. Documents all verbal orders for new or changed orders according to agency guidelines. Completes clinical notes in accordance with agency guidelines and time frames. Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines. Documents involvement of the patient and family in the development of the plan of care. 1.4 5% Contributes to program effectiveness as evidenced by: Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission. Incorporating recommendations and goals of other disciplines and patient/family into nursing visits. Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care. Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance. Promoting change and being proactive in suggesting ideas and new ways of doing things. Demonstrating ability to prioritize and enhance services during fluctuating patient census. 2.0 20% PRODUCTIVITY/USE OF TIME: 2.1 10% Organizes and performs work effectively and efficiently as evidenced by: Participating in continuous performance improvement and completing all required educational programs for the Agency and profession. Recognizing and performing duties in an independent manner. Accepting personal responsibility for the completion and quality of work outcomes. Meeting assigned deadlines. Maintaining a clean and safe environment. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency/unit operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. 3.0 20% TEAM WORK: Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Communicating in a positive and productive manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team. Maintaining positive attitude about assignments and team members. Promoting professional / personal growth of co-workers by sharing knowledge and resources. Working collaboratively and cooperating with other agencys / units. 4.0 20% MISSION, VISION, VALUES: 4.1 10% Maintains and promotes customer satisfaction. Responding to all customers in a courteous, sensitive and respectful manner. Abiding by the confidentiality and ethics policies of Well Care Hospice. Participates in community outreach activities that promotes goals and objectives of the agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: Practicing personal cost containment by responsible use of equipment, supplies, and resources. Completing the review period without a formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner. Not exceedable. Failure to "Meet" an asterisk category will result in a "Does Not Meet" for the standard. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation. 7. Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their disease progression and end of life care. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care. 8. Essential Sensory Requirements: Ability to visually assess patients and to utilize sight and hearing to implement and evaluate plan of care, and effectively communicate with patients, families, physician, and staff. 9. Exposure to Hazards: Noise, exposure to blood borne pathogens and body fluids, infectious diseases . click apply for full job details

PRIMARY JOB DUTIES Hour of Operations: Friday, Saturday, Sunday - 8am-8pm 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age, diagnosis, and prognosis. 2. Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team, and performs follow up visits when necessary. 3. Appropriately communicates with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Organizes and performs work effectively and efficiently. 6. Maintains and adjusts schedule to enhance agency performance. 7. Demonstrates a daily commitment to the values of the agency. 8. Demonstrates positive interpersonal relations in dealing with all members of the agency. 9. Maintains and promotes customer satisfaction. 10. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. 1.0 40% QUALITY OF WORK: 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by: Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient's age and developmental stage. Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family. In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis. Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient's age and clinical status. Implements interventions in a manner consistent with agency policy and discipline standards. Evaluates patient response to interventions according to agency policy. Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. 1.2 12% Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team. Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork. Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care. Make appropriate referrals to other disciplines when indicated and provides information related to patient's status. Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient's condition, safety issues, or other complications that might impede the plan of care. Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time. Provides scheduled and PRN visits to patients when requested by the Management Team. 1.3 8% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by: Completes all forms accurately and in accordance with agency guidelines/policies. Appropriately describes the patient's functional limitations to justify hospice eligibility. Documents all verbal orders for new or changed orders according to agency guidelines. Completes clinical notes in accordance with agency guidelines and time frames. Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines. Documents involvement of the patient and family in the development of the plan of care. 1.4 5% Contributes to program effectiveness as evidenced by: Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission. Incorporating recommendations and goals of other disciplines and patient/family into nursing visits. Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care. Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance. Promoting change and being proactive in suggesting ideas and new ways of doing things. Demonstrating ability to prioritize and enhance services during fluctuating patient census. 2.0 20% PRODUCTIVITY/USE OF TIME: 2.1 10% Organizes and performs work effectively and efficiently as evidenced by: Participating in continuous performance improvement and completing all required educational programs for the Agency and profession. Recognizing and performing duties in an independent manner. Accepting personal responsibility for the completion and quality of work outcomes. Meeting assigned deadlines. Maintaining a clean and safe environment. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency/unit operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. 3.0 20% TEAM WORK: Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Communicating in a positive and productive manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team. Maintaining positive attitude about assignments and team members. Promoting professional / personal growth of co-workers by sharing knowledge and resources. Working collaboratively and cooperating with other agencys / units. 4.0 20% MISSION, VISION, VALUES: 4.1 10% Maintains and promotes customer satisfaction. Responding to all customers in a courteous, sensitive and respectful manner. Abiding by the confidentiality and ethics policies of Well Care Hospice. Participates in community outreach activities that promotes goals and objectives of the agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: Practicing personal cost containment by responsible use of equipment, supplies, and resources. Completing the review period without a formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner. Not exceedable. Failure to "Meet" an asterisk category will result in a "Does Not Meet" for the standard. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation. 7. Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their disease progression and end of life care. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care. 8. Essential Sensory Requirements: Ability to visually assess patients and to utilize sight and hearing to implement and evaluate plan of care, and effectively communicate with patients, families, physician, and staff. 9. Exposure to Hazards: Noise, exposure to blood borne pathogens and body fluids, infectious diseases . click apply for full job details

PRIMARY JOB DUTIES 1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care. 2. Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions. 3. Communicate with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Demonstrates positive interpersonal relations in dealing with all members of the agency. 6. Effectively demonstrates the mission, vision and values of the Agency on a daily basis. 1.0 45% QUALITY OF WORK 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by: Assessing the patients' and family/caregivers' physical, psychosocial, bereavement, environmental, safety, and developmental needs. Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients' needs change. Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care. Managing all aspects of the patient's plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members. Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill. 1.2 15% Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team. Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team. Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate. Performs and reports assessment findings of the patient's pain and other undesirable symptoms to the Hospice Physician in a timely manner. Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient's care, and any other information pertinent to the care of the patient. Provides supervision of patients' assigned LPN and CNA, in accordance with Medicare guidelines and agency policy. Attends and participates in regularly scheduled interdisciplinary group meetings. Ensures that arrangements for equipment and other necessary items and services are available. Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure. 1.3 10% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record. Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion. Completes, maintains, and submits accurate and relevant notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. Documents all physician orders received within the EMR. Consults and collaborates with the hospice interdisciplinary team and others involved in the patient's care. Maintains close contact with the patient's family/caregiver to provide information, support, and continuity of care. Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management. 1.4 5% Contributes to program effectiveness as evidenced by: Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care. Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available. Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process. Participates in the provision of 24/7 on-call nursing services. Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training. Actively participates in quality assessment performance improvement teams and activities. 2.0 30% EFFICIENCY AND EFFECTIVENESS: 2.1 20% Organizes and performs work effectively and efficiently as evidenced by: Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area. Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory. Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost. Ensuring provision of medical supplies is limited to only what is needed in the home. Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation Practicing personal cost containment by responsible use of equipment, supplies, and resources. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. Does not exceed accrued PTO or qualified leave of absence(s). cannot exceed 3.0 25% TEAM WORK, MISSION, VISION, VALUES: 3.1 25% Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Responding to all customers in a courteous, sensitive and respectful manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team Working collaboratively and cooperating with other departments. Completing the review period without any formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. JOB SPECIFICATIONS 1. Education: Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor's Degree preferred. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients 7. Essential Mental Abilities: Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina 8. Essential Sensory Requirements: Keen observation skills. 9. Exposure to Hazards: May be exposed to virus, disease and infection from patients and specimens in working environment. 10. Other - Hours of Work: Monday - Friday, some on-call required in rotation, including weekends and holidays.

PRIMARY JOB DUTIES Hour of Operations: Friday, Saturday, Sunday - 8am-8pm 1. Assesses, interprets, plans, implements and evaluates patients according to the patient's age, diagnosis, and prognosis. 2. Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team, and performs follow up visits when necessary. 3. Appropriately communicates with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Organizes and performs work effectively and efficiently. 6. Maintains and adjusts schedule to enhance agency performance. 7. Demonstrates a daily commitment to the values of the agency. 8. Demonstrates positive interpersonal relations in dealing with all members of the agency. 9. Maintains and promotes customer satisfaction. 10. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis. 1.0 40% QUALITY OF WORK: 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by: Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient's age and developmental stage. Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family. In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis. Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient's age and clinical status. Implements interventions in a manner consistent with agency policy and discipline standards. Evaluates patient response to interventions according to agency policy. Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care. 1.2 12% Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team. Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork. Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care. Make appropriate referrals to other disciplines when indicated and provides information related to patient's status. Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient's condition, safety issues, or other complications that might impede the plan of care. Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time. Provides scheduled and PRN visits to patients when requested by the Management Team. 1.3 8% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by: Completes all forms accurately and in accordance with agency guidelines/policies. Appropriately describes the patient's functional limitations to justify hospice eligibility. Documents all verbal orders for new or changed orders according to agency guidelines. Completes clinical notes in accordance with agency guidelines and time frames. Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines. Documents involvement of the patient and family in the development of the plan of care. 1.4 5% Contributes to program effectiveness as evidenced by: Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the hospice mission. Incorporating recommendations and goals of other disciplines and patient/family into nursing visits. Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care. Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance. Promoting change and being proactive in suggesting ideas and new ways of doing things. Demonstrating ability to prioritize and enhance services during fluctuating patient census. 2.0 20% PRODUCTIVITY/USE OF TIME: 2.1 10% Organizes and performs work effectively and efficiently as evidenced by: Participating in continuous performance improvement and completing all required educational programs for the Agency and profession. Recognizing and performing duties in an independent manner. Accepting personal responsibility for the completion and quality of work outcomes. Meeting assigned deadlines. Maintaining a clean and safe environment. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency/unit operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. 3.0 20% TEAM WORK: Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Communicating in a positive and productive manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team. Maintaining positive attitude about assignments and team members. Promoting professional / personal growth of co-workers by sharing knowledge and resources. Working collaboratively and cooperating with other agencys / units. 4.0 20% MISSION, VISION, VALUES: 4.1 10% Maintains and promotes customer satisfaction. Responding to all customers in a courteous, sensitive and respectful manner. Abiding by the confidentiality and ethics policies of Well Care Hospice. Participates in community outreach activities that promotes goals and objectives of the agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: Practicing personal cost containment by responsible use of equipment, supplies, and resources. Completing the review period without a formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner. Not exceedable. Failure to "Meet" an asterisk category will result in a "Does Not Meet" for the standard. JOB SPECIFICATIONS 1. Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation. 7. Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their disease progression and end of life care. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care. 8. Essential Sensory Requirements: Ability to visually assess patients and to utilize sight and hearing to implement and evaluate plan of care, and effectively communicate with patients, families, physician, and staff. 9. Exposure to Hazards: Noise, exposure to blood borne pathogens and body fluids, infectious diseases . click apply for full job details