Capstone Job Openings

Supervised by: Manager of Patient Services/Director
Positions Supervised: Hospice Aides
Interrelationships: Patients, family, IDG and other health care team members JOB

To provide nursing care to the terminally ill Hospice patient as needed. To provide assistance and understanding to the family in the home care situation and in time of bereavement. To work as a member of the Hospice team in providing Hospice care.

• Educational/Degree: Graduate from an accredited school of nursing.
• Training/Licensure: Currently licensed as a registered nurse to practice in the state.
• Knowledge/Skills/Ability: Ability to work independently, make accurate, and at times, quick judgments. Ability to supervise others appropriately. Ability to respond appropriately to crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural and religious modes. Completes Hospice training program.
• Experience: Minimum 2 years of experience as a registered nurse, preferred. Active patient contact within past three years, preferred.

Physical Requirements
Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100-pound patient. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations.

Mental Requirements
Must be able to work independently, make judgments based on assessments and data available and act accordingly. Must be flexible, innovative and possess good interpersonal skills. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

Working Conditions
Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.

Transportation
Must have a current valid driver’s license, auto liability insurance and reliable transportation.

1.  Regularly assesses and reassesses the nursing needs of the Hospice patient.
2.  Provides dietary counseling.
3. Provides Hospice nursing services, treatments and preventive procedures.
4. Initiates nursing procedures appropriate for the patient’s Hospice care and safety.
5. Observes signs and symptoms and reports to the physician and IDG members any unexpected changes in the patient’s physical or emotional condition.
6. Teaches, supervises and counsels the Hospice patient and family members about providing care for the patient
7. Supervises and trains other nursing service personnel.
8. Develops and re-evaluates the patient/family care plan in conjunction with IDG to meet needs and maintain continuity of care.
9. Performs specific nursing procedures as needed (e.g., treatments, management of symptoms) following doctor’s orders.
10. Attends team conferences.
11. Maintains records as required by Hospice.
12. Follows the policies and procedures of Hospice. Observes confidentiality and safeguards all patient-related information in compliance with HIPAA regulations.
13. Always communicates to the supervisor if unable to meet a patient’s need or perform a procedure.
14. Participates in on-call system and is responsible for providing on-call coverage when unavailable for assigned duties.
15. Maintain skills and knowledge.
16. Works with interdisciplinary group concept of patient care.
17. Coordinates the implementation of the plan of care for patients residing in SNF, NF, ICF or MR.
18. Organizes work schedule and utilizes time management to be able to attend all required meetings.
19. Complies with agency infection control policies and protocols.
20. Assist with orientation, teaching and training as requested.
21. Other duties as assigned by Director.

REPORTING RELATIONSHIP

Supervised by: Director
Positions Supervised: Hospice Staff
Interrelationships: Patients, family, IDG and other health care team members

JOB SUMMARY

Responsible as a member of the interdisciplinary and clinical management teams to the Director for the implementation, delivery, coordination and supervision of Hospice services delivered by respective team consistent with Hospice policies and procedures.

QUALIFICATIONS

Educational/Degree: Graduate from an accredited school of nursing Training/Licensure.

Training/Licensure: Currently licensed as a registered nurse to practice in the state.

Knowledge/Skills/Ability: Ability to work independently, make accurate, and at times, quick judgments. Ability to supervise others appropriately. Ability to respond appropriately to crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural and religious modes.

Experience: Minimum 2 years of experience as a registered nurse, preferred. Active patient contact within past three years, preferred.

JOB FACTORS

Physical Requirements

Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100 pound patient. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations.

Mental Requirements

Must be able to work independently, make judgments based on assessments and data available and act accordingly. Must be flexible, innovative and possess good interpersonal skills. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

Working Conditions

Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.

TRANSPORTATION

Must have a current valid driver’s license, auto liability insurance and reliable transportation.

ESSENTIAL FUNCTIONS

1. Supervise the planning, coordination and delivery of the interdisciplinary group interventions.
2. Assign patient/family to appropriate staff member(s).
3. Participate and provide leadership in the team for regular interdisciplinary group meetings; the development, review and revision of the patient/family plan of care; facilitation of problem solving sessions; and delivery of team support.
4.  Implement and monitor compliance with policies and procedures.
5. Serve as a member of the management team in order to address problems associated with the delivery of services and staff development needs, to put forth suggestions for appropriate additions/changes in policies and procedures and to give peer input to enhance and improve the management function.
6. Supervise the maintenance of medical records assuring accuracy, completeness and compliance with licensing regulations, certification standards, legal and ethical standards.
7. Provide supervision of support and clerical staff in cooperation with other members of the management team.
8. Oversee clinical supervision of nursing personnel, Hospice Aides and Homemakers.
9. Conduct appropriate supervisory visits which allow for clinical observation of performance of assigned team members.
10. Provide information for inclusion in written performance evaluations for all staff assigned to team in cooperation with appropriate members of the management team.
11. Provide leadership and counsel to nursing personnel to measurably enhance staff development.
12. Identify need for staff education and assist in the development of inservice programs for interdisciplinary group.
13. Assist in education/training programs.
14.  Participate in orientation of new personnel as appropriate to team responsibilities.
15. 15. Perform specific assignments as directed by the Director.
16. Regularly assesses and reassesses the nursing needs of the Hospice patient.
17. Provides Hospice nursing services, treatments and preventive procedures.
18. Teaches, supervises and counsels the Hospice patient and family members about providing care for the patient.
19. Performs specific nursing procedures as needed (e.g., treatments, management of symptoms) following doctor’s orders.
20. Observes confidentiality and safeguards all patient‐related information in compliance with HIPAA regulations.
21. Always communicates to the Director if unable to meet a patient’s need or perform a procedure.
22. Participates in on‐call system and is responsible for providing on‐call coverage when unavailable for assigned duties.
23. Maintain skills and knowledge.
24. Participates in QAPI program.

REPORTING RELATIONSHIP

Supervised by: Registered Nurse
Positions Supervised: N/A
Interrelationships: Patients, family, IDG and other health care team members

JOB SUMMARY

To provide personal care services to the terminally ill hospice patient as needed, under the direction of the RN. To provide assistance and understanding to the family and in time of bereavement. To work as a member of the Hospice team in providing Hospice care within the guidelines of the IDG care plan.

QUALIFICATIONS

Educational/Degree: High school diploma or GED.

Training/Licensure: Graduate from an approved training and competency course.

Knowledge/Skills/Ability: Must meet federal Home Health Aide training and competency requirements. Ability to work independently, make accurate, and at
times, quick judgments. Ability to respond appropriately to crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural and religious modes.

Experience: Minimum 2 years of experience as a nursing assistant, preferred. Active patient contact within past three years, preferred.

JOB FACTORS

Physical Requirements

Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100 pound patient. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations.

Mental Requirements

Must be able to work independently, make judgments based on assessments and data available and act accordingly. Must be flexible, innovative and possess good interpersonal skills. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

Working Conditions

Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.

TRANSPORTATION

Must have a current valid driver’s license, auto liability insurance and reliable transportation.

ESSENTIAL FUNCTIONS

1. Under the direction and ongoing supervision of the registered nurse, provides essential personal care assistance to the patient:
   • Bath, care of mouth, skin and hair.
   • Bathroom or in using bedpan or commode.
   • Bed transfers as well as ambulation activities as ordered under the care plan.
   • Range of motion exercises which the Aide has been taught by appropriate professional personnel.
   • Performing such incidental household services as are essential to the patient’s well being at home.
   • Preparing meals including special diet.
   • Takes a patient’s temperature, pulse, respirations and blood pressure if assigned by a registered nurse.
   • Assists with shopping if the patient has no other resource available.

2. Provides emotional support and compassionate care to the patient and family unit. • Demonstrates listening skills.
   • Offers encouragement when appropriate.
   • Practices patience in voice and manner.
3. Maintains required competency and skills.
   • Documented initial and ongoing every 14 day supervision and evaluation by RN on each case assignment.
   • Participates in annual performance review.
4.  Reports any changes in the patient’s condition or family situation immediately by calling the Hospice office and notifying the RN.
5. Practices Standard Precautions according to OSHA regulations and policy.
6. Adheres to all policies and procedural guidelines.
7. Attends at least twelve (12) hours of inservice education programs per year.
8. Maintains current certification as required by the State.
9. Maintains current knowledge and practice of infectious disease protocols.

JOB SUMMARY

The Executive Assistant reports to the Clinical Director and possesses knowledge, training and experience healthcare back office operations and systems.

QUALIFICATIONS

1. High school graduate or equivalent (GED).
2. Preferably one year’s experience in Hospice administrative services.

KNOWLEDGE AND ABILITY

1. Knowledge of Medicare, Medicaid and third party reimbursement requirements.
2. Strong organizational skills.
3. Strong attention to detail.
4. Knowledge of Hospice policies and procedures.
5. Ability to exercise independent judgment.
6. Ability to work with a variety of individuals.
7. Ability to deal effectively with high levels of stress.

JOB DUTIES

Review emails:
• Urgent needs
• DME ordering and pick up from discharges
• DocuSign, etc.

Phone:
• PCS will be back up for answering phone during normal business hours

PCS/PCM meeting Mondays at 2:00 pm with own PCM:
• Admissions from previous week, to include admission charts and facility charts (bring with) • Discharge reviews
• LOC changes
• Pay roll review
• Missed visit report and reconciliation
• DME complaints log
• If an IDG week will need to bring a draft of the agenda

CNA time sheets daily:
• Consolo adjustments should be submitted to PCS and PCM via email the day of the adjustment; if CNA calls with issue it must be followed up with an email
• CNA time sheet to be submitted to the PCM by 10:00 every Monday
• Final payroll to be submitted to PCM by 10:00 Monday payroll week
• Paper visits need to be submitted day of service via email to PCS and entered within 24 hours. Hard copy can be brought to the office on next supply run

Missed visit reports daily:
• Missed visit/visit statistic report daily with reconciliation against the CNA schedule • Report and reconciliation brought to Monday PCS PCM meeting on Mondays for review

CNA schedule:
• CNA schedule will be completed by PCM/PCS by Friday of the previous week • CNA schedule will be checked against the Consolo assignments and changes will be made to correct if there are discrepancies.
• If there are call outs the PCS will make arrangements for coverage ASAP after the notification of absence

Admissions:
• Patient chart complete with admission check list within 48 hours of admission • Facility binders put together within 72 hours of admission
• Confirm DME delivery and additional needs

Discharges:
• All discharges need to be completed in Consolo by the end of the business day • DME scheduled for pick up as soon as possible after discharge
• Full discharge with HIS to be completed within 72 hours of discharge
• Inform NPs if deceased is on list for FTF for next IDG

Active patient summary:
• Run report daily and check for accuracy

LOC changes:
• Entered into Consolo within 24 hours of initiation; next business day if weekend or holiday

IDG responsibilities:
• IDG agenda completed and brought to meeting with PCM on Monday week of IDG • IDG agenda, active patient list, and IDG sign in will be printed at least 30 minutes prior to the meeting
• Infection and fall report to be attached to agenda
• FTF list for upcoming IDG’s to be emailed to Nurse Practitioners when current agenda is complete
• PCS will scribe, sign and lock the completed IDGs by 4:00 pm the following day. IDG’s for the next meeting will also be created.
• PCS will run the certification report to assure that all certifications have been signed prior to the MD leaving
• IDG Comprehensive Assessments for facility patients will be printed and placed in RNCM mailbox by Wed at 12 of following week

Med fill exception / PDC reports:
• Run med fill exception report and correct weekly; must be complete by end of month billing • Run PDC report and reconcile with active patient summary
Respite / IPU:
• Prepare and send records for patients going for respite or IPU stays, coordinate with the RNCM and MSW

Tablet assistance:
• RNCMs, CNAs, and other team members should call ahead to arrange a time for support • Drop in visits may not be able to be accommodated based on PCS current work load

End of month billing:
• Billing specialist emails to be reconciled within 24 hours of receipt; complete reconciliation by month end
• Med Fill exception report completed by month end

DME:
• Coordinate DME request from RNCM for timely delivery
• Assure that DME orders are in Consolo
• Communicate delivery information to the RNCM
• Follow up the following day to be sure that the DME was delivered
• Arrange for DME pick up within 24 hours of death/discharge (same day if possible) • Arrange for DME pick up when no longer in use
• Follow up to be sure that DME has been picked up

Continuous Care:
• Assure that there are CC folders for staff
• Make LOC change in Consolo within 24 hours of initiation
• CC notes to be scanned and uploaded into console as a complete packet; RNCM should be sending copies of notes daily

Other duties as assigned

LIFTING REQUIREMENTS

Moderate lifting may be required.

JOB RELATIONSHIPS

1. Supervised by: Manager of Patient Care Services
2. Workers Supervised: N/A

RISK EXPOSURE to BLOOD-BORNE PATHOGENS

Low risk.