RN On Call

Usmm Akron , OH 44301

Posted 1 week ago

RN On Call

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).

Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on We are Unified in our Work through our Continuum of Services We can Find Comfort that We are Making a Difference for our Patients & We make a Broader Positive Impact on Society, allows USMM to be poised for a phenomenal future.

We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Position Description

The RN On Call is responsible for providing end-of-life care and hospice services to patients in their home or community setting after regular business hours, weekends, and/or holidays. Under the general supervision of the RN Manager, she/he provides intermittent skilled nursing services; communicates the patients progress with other disciplines and directs, supervises and instructs non-professional hospice aide staff in the provision of personal care to the patient.

Essential Duties and Responsibilities

  • As scheduled, nurses in the On-Call position will work in the office assisting with medical records and order processing along with other duties as needed

  • Assumes primary responsibility for the patient/family caseload that includes assessing, planning, implementing, and evaluating care needs during on-call hours

  • Reports On-Call activities to the RN Manager and RN Case Managers at the end of the call shift

  • Maintains and completes appropriate On-Call Log documentation as well as care coordination notes for phone calls and communication, visit notes, and other pertinent clinical information

  • Assists, provides, or arranges for delivery of medications and supplies needed after business hours, weekends, and/or holidays

  • Attends interdisciplinary team meetings during on-call period for full team discussion, consultation and evaluation of patient/family needs

  • Under the Physicians order, admits patients eligible for hospice services

  • Assesses and evaluates patient needs/problems, identifies mutually agreed upon goals with patients

  • Reports patient status and need for other disciplines to agency intake coordinator, RN Case Manager, RN Manager, and referring Physician

  • Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals. Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or recertification

  • Admits paperwork and patient care plan submitted to RN Manager within 2 days following the admit

  • Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information

  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient IDG Plan of Care and as indicated by on-call needs

  • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way

  • Reports significant findings to patients physician and RN Manager as they occur

  • Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy

  • Submits change orders within 48 hours of occurrence

  • Submits recertification paperwork by the due date provided by the RN Manager

  • Schedules an IDT meeting with assigned RN Manager to review patients needs, problems, level of care and any changes in Plan of Care for next cert period

  • Completes communication note documenting plans for recertification were discussed and agreed upon between the Physician, patient, and RN Manager

  • Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable

  • Performs hospice aide supervisory visit at least q 2 weeks and once per cert period with hospice aide present

  • Effectively communicates with all members of the healthcare team

  • Acts as the patients advocate and as such is a liaison to assist in communicating the patients needs to the multidisciplinary team

  • Supervises the hospice aide every 14 days

  • Provides direction and instruction as it relates to provision of personal care and related support services

  • Completes documentation on hospice aide supervisory notes

  • Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to the RN Manager

  • Acts as a preceptor in the orientation of new nursing staff as directed

  • Attends staff meetings and educational in-services per agency requirements

  • Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences and participation in professional and related organizations and individual research reading

  • Obtains CEUs as dictated by the State Board of Nurses

  • Attends at least 50% of the skilled nurse in-services and meetings provided by agency

  • Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services

  • Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams

  • Follows agency policies and procedures

  • Participates in discharge planning process

  • Documents Discharge Planning beginning with admit and documents at least 2 weeks in advance instructions given related to discharge

  • Completes and submits along with other notes turned in per agency policy:

  • Patient Care Plan

  • Discharge Nurses Note

  • Provides care consistent with National Hospice and Palliative Care Organization standards of practice for hospice programs

  • Performs other related duties as assigned.

REQUIRED Knowledge, Skills, and Experience

  • Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC)

  • Must have a valid drivers license as well as have and maintain an automobile to be used for work

  • Three years recent experience as a professional nurse, at least one year in hospice preferred

  • Ability to work in a field setting and exhibited ability to make sound nursing judgments; must be able to work independently

  • Ability to assess patient needs and formulate individualized patient care plans to meet those needs

  • Knowledge of physical, psychosocial and spiritual needs of terminally ill patients and their caregivers

  • Effective written and verbal communication skills

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RN On Call