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.
03/05/2026
Full time
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.
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
03/05/2026
Full time
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
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
03/05/2026
Full time
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
Growing collaborative practice of six Neonatologists is seeking a BE/BC Neonatologist to join their team. The Children s team consists of over 20 pediatric specialists. Provide high quality care with the support of 17 NNPs, & a multi-disciplinary team of RNs, case managers, social workers, dietitians, lactation consultants, patient educators, child life specialist & a family support specialist. Enjoy multidisciplinary collaboration with perinatology & pediatric specialists in the specialties of cardiology, endocrinology, gastroenterology, hospital medicine, infectious disease, intensive care, pulmonology, nephrology, neurology, orthopedics &general surgery. State of the art NICU- Level IIIb. eNICU technology to support remote patient care at affiliated hospitals. 24/7 coverage with day coverage on site & the ability to provide night coverage from home. Resuscitation at 22 weeks gestation. Academic appointments available through the USD School of Medicine. Teaching opportunities in the NICU with medical students, NNP students, family medicine residents. Research opportunities supported by a clinical research team. Highly competitive salary loan assistance & a generous benefit package. No state income tax. The Community: Growing Economy : Sioux Falls has a diverse economy with strong sectors in healthcare, finance, and manufacturing, providing ample job opportunities. Affordable Cost of Living: The city offers a relatively low cost of living compared to many larger urban areas, making it an attractive option for residents. Vibrant Cultural Scene : Sioux Falls boasts a lively arts and culture scene, with numerous festivals, events, and a variety of dining and entertainment options. Outdoor Recreation : The area features beautiful parks, trails, and the stunning Falls of the Big Sioux River, perfect for hiking, biking, and enjoying nature. Strong Community Spirit : Residents enjoy a friendly, welcoming atmosphere, with a strong sense of community and plenty of opportunities for local involvement and volunteering. APPLY NOW or TEXT Job and email address to 636 - 628 - 2412. Search all of our provider opportunities here:
03/05/2026
Full time
Growing collaborative practice of six Neonatologists is seeking a BE/BC Neonatologist to join their team. The Children s team consists of over 20 pediatric specialists. Provide high quality care with the support of 17 NNPs, & a multi-disciplinary team of RNs, case managers, social workers, dietitians, lactation consultants, patient educators, child life specialist & a family support specialist. Enjoy multidisciplinary collaboration with perinatology & pediatric specialists in the specialties of cardiology, endocrinology, gastroenterology, hospital medicine, infectious disease, intensive care, pulmonology, nephrology, neurology, orthopedics &general surgery. State of the art NICU- Level IIIb. eNICU technology to support remote patient care at affiliated hospitals. 24/7 coverage with day coverage on site & the ability to provide night coverage from home. Resuscitation at 22 weeks gestation. Academic appointments available through the USD School of Medicine. Teaching opportunities in the NICU with medical students, NNP students, family medicine residents. Research opportunities supported by a clinical research team. Highly competitive salary loan assistance & a generous benefit package. No state income tax. The Community: Growing Economy : Sioux Falls has a diverse economy with strong sectors in healthcare, finance, and manufacturing, providing ample job opportunities. Affordable Cost of Living: The city offers a relatively low cost of living compared to many larger urban areas, making it an attractive option for residents. Vibrant Cultural Scene : Sioux Falls boasts a lively arts and culture scene, with numerous festivals, events, and a variety of dining and entertainment options. Outdoor Recreation : The area features beautiful parks, trails, and the stunning Falls of the Big Sioux River, perfect for hiking, biking, and enjoying nature. Strong Community Spirit : Residents enjoy a friendly, welcoming atmosphere, with a strong sense of community and plenty of opportunities for local involvement and volunteering. APPLY NOW or TEXT Job and email address to 636 - 628 - 2412. Search all of our provider opportunities here:
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
03/05/2026
Full time
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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
03/04/2026
Full time
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
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
03/04/2026
Full time
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
03/04/2026
Full time
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Hamblen Crisis Services Coordinator Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work make the decision to work where you are valued! Join the McNabb Center Team as the Hamblen Crisis Services Coordinator today! The Hamblen Crisis Services Coordinator JOB SUMMARY Crisis Services Coordinator is responsible for administrative tasks including reports, scheduling, and training. Services Coordinator will provide supervision to designated employees. Clinical responsibilities include on-call and clinical direction while on site. In addition to supervisory responsibilities, Services Coordinator will meet with clients and treatment team as clinically indicated. Facilitate referral-related activities to link clients with needed services. Follow-up on clinical directives to ensure client treatment is being rendered. Complete assessments at main site and in the community setting as needed. This position requires certification in and adequate implementation of verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking. This position requires utilizing a personal dependable vehicle to conduct Center business. Maintaining a dependable vehicle and certified driver status is a condition of employment. Regular attendance is an essential job function. Due to CSU and WIC being 24 hours/7 days per week programming, the following expectation is applied to all staff working in these programs. All staff will be present and on time for shift in order to relieve previous shift. All staff will stay on shift until relief coverage arrive. All staff have been briefed on the nature of the programming and understand that shifts must be covered in order to keep our staff and clients safe. All staff recognize that if bad weather is predicted be prepared to make it in prior to poor travel conditions and to stay until relieve staff can make it in. EVALUATION STANDARDS 5 Always Exceeds Performance Standards 4 Consistently Exceeds Performance Standards 3 Regularly Meets Performance Standards 2 Frequently Does Not Meet Performance Standards 1 Consistently Does Not Meet Performance Standards This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment. 1. Participates as an active member of the crisis team. Begins and ends workday as scheduled and is accessible by cell phone when in the field. Communicates with triage to determine priority of call if more than one call is pending. Responds appropriately to all flags, emails, and voicemails. Demonstrates a consideration and concern for fellow workers and their jobs and promotes harmonious relationships and attitudes Attends and participates in scheduled administrative team meetings Meet with designated employees at least monthly for clinical supervision. 2. Completes documentation of client care in compliance with CARF and SSOC standards. Completes all necessary documentation for each client before end of shift. Clearly documents time of referrals and declines. Flags, emails, or calls case managers/therapist to alert provider that client was seen by Mobile Crisis. Fax all pertinent documentation for referrals and document accordingly. 3. Provides face to face crisis assessments and coverage 24/7/365. Provides direction to client in crisis. Facilitates voluntary/involuntary placement for client or gives referral information to client. Ensures that all clients are seen within two-hour time frame when possible. Provides on-call crisis intervention according to established protocol Through client assessment, determine appropriate level of care and inform all parties involved of plan Provide education and referral information when clinically appropriate Acts as a liaison with community agencies and families to ensure appropriate care for client Determines appropriate location of assessment (i.e. community, telehealth, ED, etc) Spends adequate time with client during assessment to determine needs and most appropriate services and treatment available. Conducts individual/family/significant other therapy with CSU clients as clinically indicated. Provide direction to front line staff to ensure that clients are seen in a timely manner and according to priority. Will provide client transport as needed. Manages staff of MCU assessments. Maintains all productivity standards of CSU and MCU. Meets CU and MCU expected outcomes. COMPENSATION: Starting salary for this position is approximately $72,851/yr based on relevant experience and education. QUALIFICATIONS - Hamblen Crisis Services Coordinator Education/Knowledge: A Master's degree in a health-related field of counseling, psychology, social work, sociology and experience working with individuals with mental illness and/or co-occurring diagnoses. Preferred Master's level licensed or license eligible clinician. Must obtain F endorsement. Experience : Must have course work and or experience in the areas of cultural diversity, human development, etiology and treatment of mental illness, alcohol and drug abuse, physical and sexual abuse, suicide, and crisis intervention. Must have experience in working with special populations including individuals with Severe and Persistent Mental Illnesses and Co-Occurring Disorders. Computer experience is helpful. Experience working in a crisis setting preferred. Physical/Emotional/Social - Skills/Abilities: Exposure to biological hazards. Hearing of normal and soft tones. Close eye work. Valid driver's license. Lifting up to 50 lbs. Pushing/pulling up to 150 lbs. Frequent sitting, standing, walking, bending, stooping, and reaching. Location: Morristown, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment. Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply. PI8f9339eab5-
03/04/2026
Full time
Hamblen Crisis Services Coordinator Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work make the decision to work where you are valued! Join the McNabb Center Team as the Hamblen Crisis Services Coordinator today! The Hamblen Crisis Services Coordinator JOB SUMMARY Crisis Services Coordinator is responsible for administrative tasks including reports, scheduling, and training. Services Coordinator will provide supervision to designated employees. Clinical responsibilities include on-call and clinical direction while on site. In addition to supervisory responsibilities, Services Coordinator will meet with clients and treatment team as clinically indicated. Facilitate referral-related activities to link clients with needed services. Follow-up on clinical directives to ensure client treatment is being rendered. Complete assessments at main site and in the community setting as needed. This position requires certification in and adequate implementation of verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking. This position requires utilizing a personal dependable vehicle to conduct Center business. Maintaining a dependable vehicle and certified driver status is a condition of employment. Regular attendance is an essential job function. Due to CSU and WIC being 24 hours/7 days per week programming, the following expectation is applied to all staff working in these programs. All staff will be present and on time for shift in order to relieve previous shift. All staff will stay on shift until relief coverage arrive. All staff have been briefed on the nature of the programming and understand that shifts must be covered in order to keep our staff and clients safe. All staff recognize that if bad weather is predicted be prepared to make it in prior to poor travel conditions and to stay until relieve staff can make it in. EVALUATION STANDARDS 5 Always Exceeds Performance Standards 4 Consistently Exceeds Performance Standards 3 Regularly Meets Performance Standards 2 Frequently Does Not Meet Performance Standards 1 Consistently Does Not Meet Performance Standards This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment. 1. Participates as an active member of the crisis team. Begins and ends workday as scheduled and is accessible by cell phone when in the field. Communicates with triage to determine priority of call if more than one call is pending. Responds appropriately to all flags, emails, and voicemails. Demonstrates a consideration and concern for fellow workers and their jobs and promotes harmonious relationships and attitudes Attends and participates in scheduled administrative team meetings Meet with designated employees at least monthly for clinical supervision. 2. Completes documentation of client care in compliance with CARF and SSOC standards. Completes all necessary documentation for each client before end of shift. Clearly documents time of referrals and declines. Flags, emails, or calls case managers/therapist to alert provider that client was seen by Mobile Crisis. Fax all pertinent documentation for referrals and document accordingly. 3. Provides face to face crisis assessments and coverage 24/7/365. Provides direction to client in crisis. Facilitates voluntary/involuntary placement for client or gives referral information to client. Ensures that all clients are seen within two-hour time frame when possible. Provides on-call crisis intervention according to established protocol Through client assessment, determine appropriate level of care and inform all parties involved of plan Provide education and referral information when clinically appropriate Acts as a liaison with community agencies and families to ensure appropriate care for client Determines appropriate location of assessment (i.e. community, telehealth, ED, etc) Spends adequate time with client during assessment to determine needs and most appropriate services and treatment available. Conducts individual/family/significant other therapy with CSU clients as clinically indicated. Provide direction to front line staff to ensure that clients are seen in a timely manner and according to priority. Will provide client transport as needed. Manages staff of MCU assessments. Maintains all productivity standards of CSU and MCU. Meets CU and MCU expected outcomes. COMPENSATION: Starting salary for this position is approximately $72,851/yr based on relevant experience and education. QUALIFICATIONS - Hamblen Crisis Services Coordinator Education/Knowledge: A Master's degree in a health-related field of counseling, psychology, social work, sociology and experience working with individuals with mental illness and/or co-occurring diagnoses. Preferred Master's level licensed or license eligible clinician. Must obtain F endorsement. Experience : Must have course work and or experience in the areas of cultural diversity, human development, etiology and treatment of mental illness, alcohol and drug abuse, physical and sexual abuse, suicide, and crisis intervention. Must have experience in working with special populations including individuals with Severe and Persistent Mental Illnesses and Co-Occurring Disorders. Computer experience is helpful. Experience working in a crisis setting preferred. Physical/Emotional/Social - Skills/Abilities: Exposure to biological hazards. Hearing of normal and soft tones. Close eye work. Valid driver's license. Lifting up to 50 lbs. Pushing/pulling up to 150 lbs. Frequent sitting, standing, walking, bending, stooping, and reaching. Location: Morristown, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment. Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply. PI8f9339eab5-
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
03/04/2026
Full time
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
Well Care Home Health of the Triangle
Durham, North Carolina
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
03/04/2026
Full time
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
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
03/04/2026
Full time
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Well Care Home Health of the Triad
Winston Salem, North Carolina
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.
03/04/2026
Full time
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.
Well Care Home Health of the Triangle
Raleigh, North Carolina
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
03/04/2026
Full time
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 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
03/04/2026
Full time
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.
03/04/2026
Full time
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
03/04/2026
Full time
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. 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, with on-call and holidays as needed.
03/04/2026
Full time
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. 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, with on-call and holidays as needed.
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
03/04/2026
Full time
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
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
03/04/2026
Full time
$5,000 Sign-on Bonus for External Candidates For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Optum Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals. This position is open to candidates who live in DC, MD, or VA This is a field-based position in the greater Washington D.C. area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required). Primary Responsibilities: Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Develop and implement care plan interventions throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care Document the plan of care in appropriate EHR systems and enter data per specified Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care Provide ongoing support for advanced care planning Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals Understand and operate effectively/efficiently within legal/regulatory requirements Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard) Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide member education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse license in Washington D.C., or the ability to obtain within 90 days of hire date Certified in Basic Life Support 2+ years of experience working with MS Word, Excel and Outlook 1+ years of experience in post - acute care, such as long-term care 1+ years of clinical case management experience 1+ years of experience with using an Electronic Medical Record Valid Driver's License and access to reliable transportation Ability to work in a field-based capacity in Washington, D.C. Reside within 50 miles of Washington, DC Preferred Qualifications: Certified Case Management (CCM) 1+ years of experience working with the geriatric population 1+ years of LTSS (Long Term Services and Supports) 1+ years of HCBS (Home and Community Based Services) experience Field based experience going into members' homes Experience creating care plans Case Management experience Background in managing populations with complex medical or behavioral needs Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
