Work only weekends! Flexible on-site hours!

This RN role will supervise our After Hours team starting Friday, 4:30pm to Monday, 8:30am.  The position will triage after hours team while allowing flexible on-site hours while supervising our Inpatient Facility (IPF).  This role will be responsible for working closely with the Patient Care Manager (PCM), Nurse Practitioners, and clinical staff for quality of care of Hospice patients and families.

RESPONSIBILITIES

Essential

1.  Triage incoming phone calls from patients, families, facilities, etc. to ensure hospice services are provided according to regulations and standards established by OHSCI, and staff visits lead to a safe and symptom-free environment for the patients / families.
2. Assists PCM in delivery of services in the IPF in order to provide a cost-effective, quality alternative to the overall health care delivery system for weekends with continual focus on the mission statement of the organization.
3. Coordinate and provide the delivery of services after-hours in order to provide a cost-effective, quality healthcare delivery system during weekend hours.
4. Provides Discharge Planning for patients leaving the IPF and returning to their place of residence.
5. Provides problem solving and decision-making to the RN, HHA, and other After Hours weekend staff with direction from PCM and Director of Clinical Operations.  
6. Serves as a member of the Interdisciplinary Group (IDG) as necessary and helps to ensure the overall coordination of care and continuous assessment of each patient’s and family’s needs and implements the interdisciplinary plan of care.
7. Facilitates communication and works effectively between Hospice staff, patients / families / caregivers, physicians, vendors and other professionals as appropriate.
8. Provides coordination, problem solving, and assists with decision-making to the RN, HHA, and other staff as required. 
9. Communicates with and updates other IDG team members as needed to coordinate and ensure quality care social services, home health aides, volunteers and medical staff.
10. 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.
11. 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, nursing facility administrators and staff, physicians and physician office staff, patients and families.

REPORTS TO: President

FLSA/Labor Grade: C34A

 JOB SUMMARY: This position is responsible for ensuring procedures meet all Hospice and Palliative laws and regulations in all areas of Our Hospice of South Central Indiana (OHSCI). Inform leadership, management and staff of rules and best practices to prevent irregularities and contribute to implementing a proactive process compliance program by educating on compliance matters. Regularly communicate with government agencies and contractors to ensure all business operations comply with laws and company compliance program.

 LEADERSHIP CORE VALUES

1. Serves as a role model to Hospice’s employees, setting an example of professionalism, teamwork and integrity.
2. Upholds, promotes adherence and active practice of the Standards of Service.
3. Adheres to and is an advocate for the Mission Statement and philosophy.
4. Shows good judgment by advising the President and other Leadership of potential risks, concerns or issues that could affect the organization.
5. Reports compliance HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
6. Serves as Committee member as appropriate.
7. Encouraged to attend and/or participates in Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).

 RESPONSIBILITIES

Essential

1. Keep up to date with healthcare compliance regulations to ensure the company’s procedures adhere to the necessary rules
2. Put in place compliance policies, processes, and codes of conduct to prevent legal liability
3. Establish efficient compliance plans to make sure that patient records, billing methods, and any other source of personal patient data are kept private
4. Review the organization’s records and record transfer procedures to recommend improvements to our record-keeping system
5. Identify offenses, respond promptly and appropriately, and recommend the required corrective actions
6. Follow best practices to help minimize the risk of healthcare data breaches
7. Provide employee compliance training to raise staff awareness of legal issues
   
8. Liaison to independent contractors to ensure services in accordance with the compliance program.
9. Directs the planning, implementation and evaluation of the compliance program. Serves as the focal point for compliance activities. Accountable for the monitoring, implementation and evaluation of processes and programs to meet all regulatory, accreditation and standards of practice. Continually reviews and assesses new and revised regulatory requirements and external risk areas and communicates these in order to support compliance within the organization. Ensures that all policies and procedures are being accurately maintained and organized, and calling for changes as needed.
10. Chairs the Compliance and / Ethics Committees.
11. Oversees, coordinates, implements and monitors the compliance program and day-to-day compliance activities; serves as the Compliance/Ethics Committee Chair.
12. Evaluates and audits compliance programs on an annual basis.
13. Independently investigates and acts on matters related to compliance, including designing and coordinating internal investigations and corrective action.
14. Coordinates and participates in the compliance education and training program, and ensures that all relevant employees and leaders are knowledgeable of pertinent federal and state rules and regulations.
15. Coordinates the development of Standards of Conduct, reviews employee has signed certifications that they have read and understand the Standards of Conduct.
16. Ensures there is a mechanism for disciplining individuals who do not comply with the Standards of Conduct (i.e. failure to prevent, detect or report any non-compliance) appropriate to the nature and extent of the deviation. Ensures consistency in the application of disciplinary action.
17. Establish and administers a process for receiving, documenting, tracking, investigating, and taking action on all compliance concerns, and when necessary, obtains legal counsel.

 Quality Services

18. Oversees plans, develops, implements, and maintains an effective, ongoing, organizational wide data-driven quality assessment and performance improvement program to address any problem areas in patient care and hospice operations and to improve performance in these areas.

19. Benchmarks outcome based management reports and provides reports to the President and / or Board of Directors.

20. Oversees the coordination, implementation, and evaluation of the Quality Plan.

21. Remains abreast of regulatory changes, including investigating, evaluating and communicating changes accordingly.

22. Maintains survey process for regulation and training.

Other

1. Provide direction and oversight to the Staff Development Coordinators (Education & Infection Control) to ensure employee education needs and the organization has an effective infection control program that protects patients, families, visitors and staff.
2. Oversees the development and implementation of policies and procedures. Serves as a resource to ensure the organization is in accordance with State and Federal regulations.
3. Ensures the sound fiscal operations for departments overseen by the Corporate Compliance Officer, including the timely, accurate and comprehensive development of an annual budget and ensuring that each department operates within the budget.
4. Responsible for the development and review of contracts related to patient services to ensure compliance with the Conditions of Participation.
5. Other duties and tasks as assigned

WORKING CONDITIONS / PHYSICAL DEMANDS

Physical Demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

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.
9. 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.

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.

REPORTS TO:  Patient Care Manager                                                                                                     

 JOB SUMMARY:

 This position shall be responsible for meeting the nursing care needs of an assigned group of patients/families under the supervision of a Registered Nurse Case Manager (RNCM).  Professional nursing services will be in accordance with physician’s orders and plan of care established by the Hospice team. This position supports the RNCM directives while implementing Home Health duties based on need.

 CORE VALUES

• Serves as a role model to Hospice’s employees, setting an example of professionalism, teamwork and integrity.
• Upholds, promotes adherence and active practice of the Standards of Service.
• Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
• Shows good judgment by advising the Director of Clinical Operations and other Leadership of potential risks, concerns or issues that could affect the organization.
• Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
• Serves as Committee member as appropriate.
• Encouraged to attend and/or participates in Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).

 RESPONSIBILITIES

Essential

1.  Provides routine hospice nursing care to an assigned group of patients in a cost-effective, professional and quality manner.
2. Supports development of the plan of care for patient/family by collecting and sharing data/patient information with RNCM.
3. Educates and counsels patient/family concerning pain and symptom control, dietary instruction, and physical care needs.
4. Provides specialized care as indicated in order to maintain the highest level of comfort and quality of life (e.g. administration of medications, treatments and therapies).
5. Assess and verifies appropriateness of any order with the supervising RNCM.  
6. Implements physician orders as delegated by the supervising RNCM.
7. Maintains accurate and timely documentation in accordance with Our Hospice’s policies
8. Communicates and updates other team members to coordinate and ensure high quality care (e.g. RNCM, Registered Nurse (RN), Medical Social Services, Chaplain, Home Health Aides (HHA), Volunteers and/or Medical Staff).
9. Completes supervisory responsibilities and documents accordingly. 
10. Participates in bereavement program for Hospice families and/or significant others. (i.e. Bi-annual Memorial Services).
11. Attends and participates in morning meetings, team meetings, in-services, and other meetings as requested.
12. Assists in onboarding and orientation of new personnel
13. Adheres to all policies, procedures and regulations regarding patient care, conduct, dress code, confidentiality (HIPAA) and risk management.
14. Carries out duties and responsibilities of position in a manner that exemplifies excellent quality and customer services.
15. Consistently represents Our Hospice to all internal and external customers with integrity and professionalism.
16. Additional duties as required

WORKING CONDITIONS / PHYSICAL DEMANDS

1. Occasionally lift and/or move up to 25 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.
9. Must meet all physical requirements for position

QUALIFICATIONS

Education -completion of a Practical Nursing program at an accredited school of nursing

Experience -minimum 3-5 years’ experience in hands on patient care as an LPN, previous hospice experienced preferred.

Licensure -active and current Licensed Practical Nurse in the state of Indiana and valid Indiana Driver’s License.

 SKILLS  - include (but are not limited to)

• Strong interpersonal communication
• Understanding of medical terminology
• Basic nursing skills and ability to meet competency assessment for the LPN role
• Ability to teach patients and families related to medications, treatments, and patient care

Reports To: Manager of Inpatient and Bartholomew or Patient Care Coordinator
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 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 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. Provide patient care for Our Hospice of South Central Indiana at whichever site is in need of additional support.This includes Inpatient Facility, Bartholomew, Jennings or Decatur/Shelby offices.
2. 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.
3. 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.
4. Completes patient records accurately and on a timely basis.
5. Assists in maintaining a clean, healthful environment for the patient.
6. Attends and participates in Interdisciplinary Group meetings, in-services, and staff meetings as requested.
7. Participates in a minimum of twelve- (12) hours in-service education per year.
8. Assists in orientation of new Home Health Aides and Homemakers.
9. 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.
10. 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
   • 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.

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

JOB SUMMARY

This position shall be responsible for meeting the nursing care needs of assigned patients/families in the Hospice Inpatient Facility.  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. Provides nursing care to patients/families in the Hospice Inpatient Facility. 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. Provides Discharge Planning for patients leaving the Inpatient Center and returning to the place of residence.
5. 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.
6. 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).
7. 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.
8. 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
   1. Licensed Registered Nurse in the State of Indiana
   2. Valid Driver’s License and car insurance
      
4. 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.

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

JOB SUMMARY

This position shall be responsible for meeting the nursing care needs of assigned patients/families in the Hospice Inpatient Facility.  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. Provides nursing care to patients/families in the Hospice Inpatient Facility. 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. Provides Discharge Planning for patients leaving the Inpatient Center and returning to the place of residence.
5. 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.
6. 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).
7. 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.
8. 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), Associates Degree in Nursing Science (ASN), or currently enrolled in an accredited program.
2. Experience – One to three years’ experience in health care preferred
3. Licensure
   1. Licensed Registered Nurse in the State of Indiana
   2. Valid Driver’s License and car insurance
      
4. 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.

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. 

Hours - 1 day per week plus 10:00 AM -10:30 PM Saturdays/Sundays

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.

REPORTS TO:  Manager of Support Services                                                                                    

FLSA/Labor Grade: Exempt / P18

 JOB SUMMARY

 This position shall be responsible for providing counseling and supportive services that encourage the grief process and patient/family adjustment to the terminal illness, according to individual and/or family needs.

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 Manager of Support Services 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.

 RESPONSIBILITIES

 Essential

 Assists in the implementation, development and revisions of the plan of care through the development of problems, intervention, and goals.

1. Provides services as indicated by the plan of care.
2. Assists patient/family in locating simple legal forms (e.g. Living Will, out of hospital DNR, General Power of Attorney, Health Care Representative).
3. Provides psychosocial assessments and psychological counseling for the following but not limited to:
   1. Patient/family adjustment to terminal illness.
   2. Individual counseling relating to: stress, anxiety, depression, self-esteem and feeling of inadequacy.
   3. Family counseling relating to social/emotional problems.
   4. In the coordination of services for hospice care including: environmental, equipment, temporary care services, long term care and community support agencies.
   5. Economic counseling to assist in receiving financial aid applications.
   6. Grief counseling.
4. Records in patients chart diagnostically, appropriately, and promptly the social finds, impressions and plan of action in relations to medical social problems.
5. Participates in quality assessment and performance improvement program and Hospice sponsored in-service training. 
6. Participates in Hospice team meetings that serve to coordinator the patient plan of care (IDG) and other team and organizational meetings that contribute to the accomplishment of strategic goals.
7. Facilitates Support Groups
8. Assists with Memorial Services
9. May help and assist with bereavement follow-up care for thirteen months after patient’s death.
10. Participates in on-call service to patient/family to insure availability on a 24 hour, seven day-a-week basis.
11. Assists with training and educating bereavement volunteers.
12. 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.

 Additional Duties & Responsibilities

1.  Participated in the educational process of the Hospice approach to other professionals and volunteers.
2. Other duties and tasks, as assigned.

 WORKING CONDITIONS / PHYSICAL DEMANDS

Conditions are considered Essential Functions of Position.

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.

 QUALIFICATIONS

Education

• Masters of Social Work (MSW) degree from a school of social work accredited by the Council of Social Work Education.

Experience

• Hospice and/or Home Health experience preferred.
• Has one year of social work experience in a health care setting.

Licensure

• Valid Indiana Driver’s License.
• Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW), Indiana Licensed.

Skills

• Ability to exercise time management and flexibility to accommodate work schedule, including evenings and weekends
• Excellent interpersonal skills; working with large groups of volunteers and other diverse groups. 
• Excellent verbal and written skills.
• Ability to effectively present, respond and address clients, customers and the general public.
• Creativity and initiative required. 
• Ability to perform under high stress situations.
• Strong organizational, managerial, and motivational skills.
• Proficiency in accuracy, detail, and follow-up.
• Proficient in Microsoft Word, Excel, Power Point and the Internet. 

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.