Nurse Manager

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Job Type:

Regular

Scheduled Hours:

40

Work Shift:

Day (United States of America)

The Hospice House Nurse Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. The Hospice House Nurse Manager is responsible for the management of the nursing staff and clinical care of all patients receiving care at the hospice house. The Nurse Manager is responsible for directing the team in the provision of high quality, effective, and efficient end of life care. Promotes quality in patient care delivery in accordance with agency objectives, policies, and procedures. Supervises, supports, and educates staff at the point of service. The Hospice House Nurse Manager is a clinical resource for all staff and remains current in skills and in state and federal regulations.

Job Description:

Essential Duties & Responsibilities including but not limited to:

• Manage care of patients, coordinate all services and facilitate communication between all providers.

• Manage the daily clinical operations of the hospice house § Oversee all patient care service and nursing personnel at the hospice house

• Provide oversight of skilled nursing care and prescribed treatments to patients residing at the hospice house

• Provide documentation of services utilizing problem-oriented record.

• Plan for continuity of care with nursing team members, patient, family, and other disciplines.

• Use opportunities for teaching nursing care, comfort measures and health practices to the patient, families and others.

• Instruct and supervise care given by the Hospice Aides.

• Communicate and coordinate with other health and social agency personnel to assist in planning, implementing, evaluation service to the patient and family.

• Facilitate IDT bi-weekly § Builds and evaluates team members through employment and termination (recruitment and retention efforts/activities), holding clinicians accountable to established hospice standards of clinical practice and documentation.

• Evaluates clinical competency in area of practice of those with direct reporting responsibility through direct observation, skills assessment, and performance appraisals.

• Oversees compliance with timely and accurate completion and submission/synching of all documentation.

• Collaborates with QI Coordinators regarding hospice eligibility, individual abilities and deficits

• Communicates well with Associate Medical Director

• Ensures adequate coverage for patient care service 24/7 in coordination with hospice house director

• Encourages and fosters:

• a. A positive attitude and high morale toward establishing and maintaining a culture of customer focused service.

• b. Critical thinking amongst multidisciplinary team members.

• c. Development and adherence to individualized patient Plans of Care.

• d. Employee feedback and staff engagement.

Patient Care

Assumes responsibility to coordinate patient care for assigned caseload including but not limited to:

• Appropriate delegation to LPN staff, patient condition change visits, and completion of Hospice Item Set (HIS) time points. Accepts accountability for patient satisfaction scores and quality of care outcome measure results.

• Completes and documents an initial assessment of patient and family to determine hospice care needs. Provides a complete physical assessment and history of current and previous illness(es).

• Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions. Includes the patient and the family in the planning process.

• Initiates the plan of care and makes necessary revisions as patient status and needs change.

• Counsels the patient and family in meeting patient needs related to physical, emotional, and spiritual needs.

• Respects and supports patient and family's cultural beliefs and values, individual needs, health goals and treatment preferences.

• Provides information to the patient and family regarding the dying process and expectations.

• Provides instruction regarding medication actions, side effects, dosage, route, and frequency.

• Instructs, supervises and evaluates hospice house nurses and health aide care provided, Supervises the care provided by the hospice aide every two (2) weeks minimally, and as needed.

• Manages the hospice benefit periods in accordance with evolving patient needs and continued eligibility for services.

Communication

• Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required.

• Attends and facilitates IDT meetings every two weeks at a minimum, and as needed.

• Communicates and coordinates with the hospice house nurses when delegating appropriate visits.

• Communicates with other community providers to coordinate the care plan (i.e. Insurance case managers, elder services, protective service, etc.).

• Practices confidentiality principles set by the agency and federal HIPAA guidelines.

Documentation

• Demonstrates proficiency in HIS completion.

• Documentation supports that the patient meets hospice criteria ongoing.

• Completes documentation in accordance with agency timeliness policies.

Professional Development

• Maintains and updates clinical knowledge and skills based on current nursing practice.

• Adheres to departmental requirements for required training.

• Identifies specific learning needs & goals and collaborates with nursing leadership in developing a plan to meet them.

Additional Duties

• Ensures that arrangements for equipment and other necessary items and services are available.

• Participates in in-service programs and supervises, teaches and precepts other nursing personnel as assigned by House Director

Organizational Requirements:

• Maintain strict adherence to the Continuing Care Confidentiality policy.

• Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities.

• Comply with all Continuing Care Policies.

• Comply with behavioral expectations of the Continuing Care Division.

• Maintain courteous and effective interactions with colleagues and patients.

• Demonstrate an understanding of the job description, performance expectations, and competency assessment.

• Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.

• Participate in departmental and/or interdepartmental quality improvement activities.

• Participate in and successfully completes Mandatory Education.

• Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education:

• Graduate of an accredited school of nursing. BSN preferred.

Licensure, Certification & Registration:

• Current license to practice as a registered professional nurse in the Commonwealth of Massachusetts.

• Current Basic Life Support Certification

• Valid Massachusetts driver's license

Experience:

• 3-5 years hospice experience

• 1-2 years of supervisory experience

• Knowledge of Medicare/Medicaid regulations in hospice

Skills, Knowledge & Abilities:

• Must be sensitive to the needs of terminally ill patients and families and one's own feelings about dying and death.

• Must demonstrate the ability to interact in a positive and courteous manner with patients, families, other employees and outside vendors.

• The ability to work both independently and as part of a team are essential.

• Demonstrates excellent observation and problem solving/critical thinking skills.

• Well-developed verbal and written communication skills; essential computer skills to work with EMR.

• Self-directed and able to work with minimal supervision

• Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist.

• Strong organizational and problem-solving skills ·

• Strong clinical assessment skills ·

• Strong interpersonal skills. Able to facilitate cooperation and communication among team members ·

• Well-developed written and oral communication skills

Key Relationships:

Title -Nature of Relationship To Position

1 All other clinical positions: Work collaboratively in a multi-disciplinary team for quality patient outcomes.

2 Clinical Manager: Reports to - case conferences with on a weekly basis

3 Office Support Staff: Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts

Scope/Impact Statement:

Work Schedule: Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business/department.

On Call: Y

Shift Rotation: Y

Weekends: Y

Physical Requirements & Environment:

Mental and Visual Attention

The position requires a high degree of mental and visual concentration.

Physical Exertion

Weight

Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).

Dexterity

Flow of work and nature of duties require high manual coordination.

Range of Motion

Responsibilities require high range of motion.

Physical Conditions

Performance of duties requires remaining in position for prolonged periods of time.

Repetitive Motion

Responsibilities require frequent repetitive motion.

Working Conditions

Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

Exposure to Hazardous Materials

Performance of duties frequently involves exposure to hazardous materials.

Patient Care Conditions

Responsibilities entail exposure to blood and body fluids; standard precautions must be used.

Responsibilities include transporting, transfer and positioning of patients.

Incumbent must be continuously prepared to prevent a patient fall.

Sensory Requirements

Performance of duties requires the ability to discern and identify colors

Performance of duties requires the ability to discern sharp from dull and hot from cold

Performance of duties requires the ability to hear soft and loud noises

Patient Care/Patient Contact Designation

Position has a direct impact upon health outcomes of the patient.

This Job Description is intended to describe the general nature and level of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, requirements, duties and skills required of personnel so classified. Additional duties and responsibilities that are specific to the Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description.

FLSA Status:

Exempt

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.