FLSA: Non-Exempt / Hourly

JOB SUMMARY

This position shall be responsible for providing non-skilled nursing care to an assigned group of patients in the home care setting.

CORE VALUES

1. Serves as a role model to Hospice staff and external customers, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising the Leadership of potential risks, concerns or issues that could effect the organization.
3. Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
4. Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
5. Encouraged to attend and/or participate in 2 Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fundraising events, and other team related activities as determined per site).
6. Serves as Committee member as appropriate.
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

RESPONSIBILITIES

1. Provides routine patient care per the Home Health Aide and/or Homemaker assignment in an exemplary manner, providing comfort, care, and compassion to patients and families.
2. Observes patients and reports observations and concerns to the primary care nurse and/or Patient Care Coordinator, Nurse Facilitator or Manager of Inpatient and Bartholomew.
3. Completes patient records accurately and on a timely basis.
4. Assists in maintaining a clean, healthful environment for the patient.
5. Attends and participates in Interdisciplinary Group meetings, in-services, and staff meetings as requested.
6. Participates in a minimum of twelve- (12) hours in-service education per year.
7. Assists in orientation of new Home Health Aides and Homemakers.
8. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.
9. Completes other tasks as assigned.

WORKING CONDITIONS / PHYSICAL DEMANDS

1. Frequently lift and/or move up to 50 pounds, and occasionally lift and/or move up to 100 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. Regularly required to use hands, talk and hear within normal range.
5. Frequently required to stand, walk, and reach with hands and arms, or twist.
6. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
7. Finger dexterity required.
8. Must follow Universal Protection Precautions and Bloodborne Pathogens Guidelines.Possible Occupational exposure (Category A employee) to human bloodborne pathogens.

QUALIFICATIONS

1. Education – High school diploma or general education degree (GED)
2. Experience – One to three months related experience and/or training
3. Licensure
   1. Valid Indiana Driver's License
   2. Certified Nurse Aide (CNA) & Home Health Aide or Certified Nurse Aide (CNA)
4. Skills
   1. Ability to read and comprehend simple instructions, short correspondence, and memos.
   2. Ability to write clear correspondence.
   3. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
   4. Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.
   5. Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.
   6. Competent to perform all skills delineated on the Home Health Aide skills checklist.

Location: Greensburg

JOB SUMMARY

This position shall be responsible for meeting the nursing care needs of assigned patients/families in community and home-based settings.  Professional nursing services will be given in accordance with physician’s orders and the plan of care established by the Hospice team.

CORE VALUES

1. Serves as a role model to Hospice staff, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising Leadership of potential risks, concerns or issues that could affect the organization.
3. Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
4. Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
5. Serves as Committee member as appropriate.
6. Encouraged to attend and/or participate in 2 Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fundraising events, and other team related activities as determined per site).
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

RESPONSIBILITIES

1. Makes routine Hospice nursing visits as assigned to patients in the home, extended care facilities, assisted living facilities, and hospitals.  Completes assessment of the patient/family needs including physical, emotional, and bereavement status.
2. Performs as case manager maintaining responsibility for assigned patients in a cost-effective and quality manner.  Manages time, reimbursement of visits, pharmacy and medical supplies, and durable medical equipment.  
3. Teaches, supervises and counsels' patient/family care techniques including pain and symptom control, dietary instruction, use of equipment and observation techniques.
4. Develops and implements the plan of care for each patient in collaboration with the patient, family and Interdisciplinary Group (IDG).  Evaluates each patient/family as directed and makes appropriate changes to the plan of care.
5. Communicates with and updates other IDG team members as needed to coordinate and ensure quality care (e.g. Social Services, Home Health Aides, Volunteers, and Medical Director).
6. 6. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to patients and family members, case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.
7. Maintains accurate records in accordance with the supervising organization’s policies and procedures in a timely manner (e.g. initial plan of care, comprehensive plan of care, updates to the plan of care, daily documentation requirement, discharge summaries, death summaries).

WORKING CONDITIONS / PHYSICAL DEMANDS

1. Lift and/or move up to 50 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. Regularly required to use hands, talk and hear within normal range.
5. Frequently required to stand, walk, and reach with hands and arms, or twist.
6. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
7. Finger dexterity required.
8. Must follow Universal Protection Precautions and Bloodborne Pathogens Guidelines. Possible Occupational exposure (Category A employee) to human bloodborne pathogens.
9. Must have a vehicle and provide evidence of current insurance.

QUALIFICATIONS

1. Education – Bachelor’s Degree in Nursing Science (BSN) or currently enrolled in an accredited program.
2. Experience – One to three years’ experience in health care preferred
3. Licensure
   • Licensed Registered Nurse in the State of Indiana
   • Valid Indiana Driver’s License
   • CPR
4. Skills
   • Proven managerial skills, including strong oral and written communication skills; excellent listening skills; excellent interpersonal and motivational skills; and the ability to interpret instructions furnished in a variety of formats, i.e. written, oral, diagram, etc.
   • Demonstrated knowledge of healthcare regulations.
   • Ability to read, analyze and interpret general industry periodicals, professional journals, technical procedures, and governmental regulations.
   • Ability to write reports, business correspondence, and procedure manuals.
   • Ability to effectively present information to and respond to questions from patients/families and the general public.
   • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
   • Excellent problem solving ability.
   • Must be able to effectively utilize Microsoft Word, Excel, PowerPoint and the Internet.

JOB SUMMARY

This position is responsible for the medical direction in their assigned service area. 

CORE VALUES

1. Serves as a role model to Hospice’s employees, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising the Medical Director and other Leadership of potential risks, concerns or issues that could affect the organization.
3. Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
4. Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
5. Encouraged to attend and/or participate in Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).
6. Serves as Committee member as appropriate.
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

Essential Responsibilities

1. Responsible for the medical component of the hospice’s patient care program.
   • In conjunction with the Interdisciplinary Group (IDG) is responsible for or participates in making decisions regarding admissions to hospice home care or inpatient settings(s).
   • Participates in the development of individual plans of care before admission of a patient/family to the program
   • Acts as a liaison between the attending physician and the IDG.
   • Participates in the development, evaluation, and revision of written care plans by attending the IDG meetings.
2. Visits hospice patients as indicated.
   • Makes home visits to hospice patients as indicated.
   • Acts as primary/attending physician when patients have no primary/attending physician.
   • Makes visits to hospice patients in the Hospice Inpatient Facility as indicated.
   • Coordinates weekend visit coverage for hospice patients in the Hospice Inpatient Facility with the Medical Director.
3. Completes all required documentation in a timely manner.
   • Documents patient visits per State and Federal regulation.
   • Completes “Daily” time sheet reflecting activity (i.e., direct patient contact, Admin & General time, etc.).
4. Responsible for making quality cost effective medical care decisions.
5. Serves as a liaison with community physicians, medical schools, hospitals and nursing homes.
6. Will assume Medical Directors’ role in the absence of the Medical Director. 

Additional Duties & Responsibilities

1. Performs additional duties and/or other responsibilities as delegated by the Executive Director.
2. Reports compliance concerns/issues to the Compliance Officer and/or QA/PI and Education Manger or his/her designee.
3. Carries out duties and responsibilities of position in a manner that exemplifies excellent customer services.
4. Must possess a valid Indiana driver’s license and auto insurance.
5. Works positively and professionally with Hospice staff, department volunteers, assisting and supporting their involvement in appropriate work assignments, whenever appropriate.

WORKING CONDITIONS / PHYSICAL DEMANDS

1. Occasionally lift and/or move up to 10 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. Regularly required to use hands, talk and hear within normal range.
5. Frequently required to stand, walk, and reach with hands and arms, or twist.
6. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
7. Finger dexterity required.  
8. Must follow Universal Protection Precautions and Blood borne Pathogens Guidelines.  Possible Occupational exposure (Category C employee) to human blood borne pathogens.

QUALIFICATIONS

1. Education – Doctor of medicine or doctor of osteopathy degree.
2. Experience
   • At least two years’ experience in a medical specialty dealing with terminally ill patients, such as oncology or geriatrics and with demonstrated experience in the principles of pain and symptom management.
   • Seven to ten years’ experience in health care administration with good managerial skills; strong oral and written communication skills; good interpersonal and motivational skills.
   • Proven team leader
3. Licensure
   • Licensed Physician in the state of Indiana.
   • Board certification by an American Board of Medical Specialties approved board examination, an osteopathic medicine equivalent.
   • Board certification in Hospice and Palliative Medicine.
   • Must possess a valid Indiana driver’s license, and current auto.
4. Skills
   1. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
   2. Ability to write reports, business correspondence, and procedure manuals.
   3. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
   4. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
   5. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
   6. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. 

1. Serves as a role model to Hospice’s employees, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising the Facility Supervisor and other Leadership of potential risks, concerns or issues that could affect the organization.
3. Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
4. Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer. 
5. Encouraged to attend and/or participate in Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).
6. Serves as Committee member as appropriate.
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

1. Prepares and stores food in compliance with Federal and State regulations and Hospice policies and in accordance with the patient’s diet orders in the Plan of Care which includes participating in the development of and maintaining process to support patient’s dietary requirements including special diet needs.
2. Maintains a clean kitchen, ensuring that supplies needed for the kitchen are in stock and ordered when needed, and that stock is rotated by expiration date. 
3. Completes daily cleaning assignments and log records accurately on a timely basis.  
4. Assists in the cleanness of refrigerators in the Inpatient family rooms and staff lounges.  
5. Ensures that family rooms, conference room and staff lounges are stocked.
6. Observes Universal Precautions at all times while handling food, maintaining established standards of personal hygiene and cleanliness.
7. Responsible for stocking and cleaning the vending machine and eating area in the Dining Room.
8. An individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.

1. Occasionally lift and/or move up to 10 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.
5. Regularly required to use hands, talk and hear within normal range.
6. Frequently required to stand, walk, and reach with hands and arms, or twist. 
7. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
8. Finger dexterity required.
9. Must follow Universal Protection Precautions and Blood borne Pathogens Guidelines.  Possible Occupational exposure (Category C employee) to human blood borne pathogens.

REPORTS TO: Manager of Inpatient and Bartholomew
FLSA: Non-Exempt / Hourly

JOB SUMMARY

This position shall be responsible for providing non-skilled nursing care to an assigned group of patients in the Hospice Inpatient Center.

CORE VALUES

1. Serves as a role model to Hospice’s employees, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising Leadership of potential risks, concerns or issues that could effect the organization.
3. Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
4. Reports compliance concerns/issues to the Corporate Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
5. Encouraged to attend and/or participates in 2 Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).
6. Serves as Committee member as appropriate.
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

RESPONSIBILITIES

1. Provides routine patient care per the Home Health Aide and/or Homemaker assignment in an exemplary manner, providing comfort, care, and compassion to patients and families.
2. Observes patients and reports observations and concerns to the primary care nurse and/or the Manager of Inpatient and Bartholomew or Nurse Facilitator.
3. Completes patient records accurately and on a timely basis.
4. Assists in maintaining a clean, healthful environment for the patient.
5. Attends and participates in Interdisciplinary Group meetings, in-services, and staff meetings as requested.
6. Participates in a minimum of twelve (12) hours of in-service education per year.
7. Assists in orientation of new Home Health Aides and Homemakers.
8. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.
9. Completes other tasks as assigned.

WORKING CONDITIONS / PHYSICAL DEMANDS

1. The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move up to 100 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. Regularly required to use hands, talk and hear within normal range.
5. Frequently required to stand, walk, and reach with hands and arms, or twist.
6. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
7. Finger dexterity required.
8. Must follow Universal Protection Precautions and Bloodborne Pathogens Guidelines.Possible Occupational exposure (Category A employee) to human bloodborne pathogens.

QUALIFICATIONS

1. Education – High school diploma or general education degree (GED).
2. Experience – One to three months related experience and/or training.
3. Licensure
   • Valid Indiana Driver's License
   • Certified Nurse Aide (CNA) & Home Health Aide or Certified Nurse Aide (CNA)
4. Skills
   • Ability to read and comprehend simple instructions, short correspondence, and memos.
   • Ability to write clear correspondence.
   • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
   • Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.
   • Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.
   • Competent to perform all skills delineated on the Home Health Aide skills checklist.

JOB SUMMARY

This position shall be responsible for explaining the Hospice program to referrals, assessing the patient/family status, advise on appropriateness of admission based on the Hospice admission criteria, and will perform admissions.  Will seek education and learning experiences to maintain current knowledge and skills.  Performs responsibilities utilizing knowledge of office systems and processes, regulations and Hospice goals and objectives. 

RESPONSIBILITIES

Essential

1.      Makes the initial contact on referrals as required, explaining Hospice services and evaluating the patient’s ability to meet Hospice’s admission criteria.

2.      Responds timely to all referrals, fostering relationships of trust, responsiveness, and open communication with all referring customers including but not limited to hospital case managers, physicians, patients and families.

3.      Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to case managers, physicians and physician office staff, and community groups.

4.      Assists in the evaluation and transfer of the patient to the Inpatient Facility and other contracted facilities as indicated.

5.      Makes visits to hospitalized patients for the purpose of evaluating education, providing patient / family support and assisting in the discharge planning process as necessary.

6.      Performs as admission nurse in the home, extended care facilities, and assisted living facilities.  Completes admission and begins assessment of patient / family needs including physical, emotional, and bereavement status.

7.      Insures optimal communication and reimbursement by providing for documentation of services rendered that is compliant with state and federal regulations.

8.      Participates in on-call service to patient/family to insure availability on a 24 hour, seven day a week basis.

9.      Completes and documents all admission paperwork using point of care service in a concise manner with the patient/family, targeting meeting the patient goals of care.

10.  Voicemails appropriate teams and or departments only pertinent information.

11.  Collaborates with Director or designee to assure completion of duties, scheduling and arranging coverage for referrals and admissions.

12.  Collaborates with Referral Supervisor and hospice MD/NP regarding medical eligibility and paint the picture documentation.

13.  Exemplifies time management skills to complete at least 2 admissions in a work day.

14.  Builds collaborative relationships with Referral and Admission Team members, Interdisciplinary Teams, Referral Coordinators, and others to assure coordination and continuity of care and services.

15.  Mediates and solves problems effectively. 

16.  Communicates with all community partners and referral sources, as well as with families in a positive manner, consistently seeking win-win solutions.

17.  Meets with patient/family to identify needs and offer hospice solutions.

18.  Reviews relevant medical records, assessing for documentation for support hospice medical eligibility and goals of care.

19.  Evaluates coverage/relatedness of care/treatment/services based on the hospice patient care and treatment coverage guidelines.  Informs others for all care/treatment/services needed at admission.

20.  Begins the interdisciplinary assessment based on immediate patient/family needs, as outlined in the plan of care established for patient admission.

21.  Identifies immediate education needs of the patient/family and addresses those needs.

22.  Evaluates patient/family outcomes and satisfaction with care/services provided.

23.  As appropriate during admission, may begin the process for preparing family/caregiver for the dying process, including signs and symptoms of impending death and notification of hospice at the time of death.

24.  As appropriate during the admission process, meet with varying facility care staff.  Assess staff for hospice/palliative care education needs, communicate plans for and build a collaborative relationship with external customer. 

25.  Completes requests for other services (Certified Nursing Assistant, Volunteer, other) and initiates plan of care when service need is identified upon admission.

26.  Completes the admission Plan of Care, in coordination with the patient/family. 

27.  Demonstrates the ability to work autonomously, with efficiency, time management and strong work ethic to see the task to completion.

28.   Participates on assigned committees and/or staff meetings (e.g. Tumor board, Cancer Care Committee, Palliative Care Committee).

29.  Participates in the provision of educational and community relations activities to the community and other health care professionals as requested. 

30.  Completes medication reconciliation at visits comparing profile to pharmacy profile and medications present in the home or facility.  This includes notifying the pharmacy of changes in orders.

31.  Provides support to the Hospice Inpatient Facility as needed in the accomplishment of effective patient / family care.

32.  Consults with appropriate Patient Care Manager/Director Clinical Services for questions and concerns regarding urgent needs/issues that arise.

33.  Demonstrates competency in understanding quality metrics and is accountable for following standards and best practices in order to contribute to organizational excellence.

Additional Duties & Responsibilities

1.      Performs additional duties and/or responsibilities as delegated by the Director of Clinical Services including but not limited to direct patient care, after-hours visits (i.e. symptom management, death visit, post fall visit), admissions, discharges, preparing family and caregiver for dying process, medication administration and treatments.

2. Provides assistance with medical record workflow including but not limited to audits, physician order approvals and patient transfers within the electronic health record.

QUALIFICATIONS

1.      Education – Bachelor’s of Science in Nursing (BSN); or currently enrolled in an accredited program. 

2.      Experience – Preferred: One to three years’ experience in health care.

3.      Licensure

a.      Licensed Registered Nurse in the State of Indiana.

b.      Valid Driver’s License and car insurance.

SKILLS

1. Proven managerial skills, including strong oral and written communication skills; excellent listening skills; excellent interpersonal and motivational skills; and the ability to interpret instructions furnished in a variety of formats, e.g. written, oral, diagram, etc.
2. Demonstrated knowledge of healthcare regulations.
3. Ability to read, analyze and interpret general industry periodicals, professional journals, technical procedures, and governmental regulations.
4. Ability to write reports, business correspondence, and procedure manuals.
5. Ability to effectively present information to and respond to questions from patients/families and the general public.
6. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
7. Excellent problem solving ability.
8. Must be able to effectively utilized Microsoft Word, Excel, PowerPoint and the Internet.