Medical, Clinical & VeterinaryNursing & Frontline Patient Care
About the job
Requirements
Graduate of an accredited school of nursing.
One to two years of recent acute care experience in an institutional setting and one to two years of recent home care experience.
Current licensure in the state.
Must be a licensed driver with an automobile insured in accordance with state and/or organization requirements and in good working order.
A Bachelor's degree is preferred, with one year of hospice care experience preferred.
Nursing skills must meet the competency checklist.
Able to walk or stand for prolonged or considerable periods and lift, position, or transfer patients and lift supplies and equipment.
Able to reach, stoop, bend, kneel, or crouch as required.
Must have the visual acuity and hearing needed to perform required nursing skills.
Responsibilities
Plan, organize, and direct hospice care, drawing on community resources to meet the needs of individuals and families in their homes and communities.
Complete initial and ongoing comprehensive assessments of patients and families, including physical assessments and histories of current and previous illnesses.
Provide professional nursing care using all elements of the nursing process and as defined in the state Nurse Practice Act.
Assess and evaluate patient status by writing and initiating plans of care, regularly reevaluating patient and family or caregiver needs, and participating in plan revisions.
Use health assessment data to determine nursing diagnoses.
Develop care plans with goals based on nursing diagnoses, incorporating palliative nursing actions and involving patients and families in planning.
Initiate preventive and rehabilitative nursing procedures and administer medications and treatments as prescribed in the physician's plan of care.
Counsel patients and families regarding nursing and related needs, and provide health care instructions as appropriate to assessment and plan.
Assist patients with activities of daily living and support their self-sufficiency and comfort care.
Act as case manager when assigned by the Clinical Supervisor and coordinate care for the assigned caseload.
Complete, maintain, and submit accurate, relevant clinical notes regarding patient condition and care; record pain and symptom-management changes and outcomes as appropriate.
Communicate patient needs and condition changes to physicians and obtain or receive physician orders as required.
Communicate with community health-related persons to coordinate the care plan.
Teach patients and families or caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions; identify opportunities for health counseling.
Work with the interdisciplinary group and attend its meetings.
Provide and maintain a safe environment for patients and support continuity of care with patients, families or caregivers, and team members.
Work with families or caregivers and the hospice interdisciplinary group to meet patients' and families' emotional needs.
Participate in on-call duties as defined by the on-call policy.
Ensure arrangements are available for equipment and other necessary items and services.
Supervise ancillary personnel and delegate responsibilities when required.
Maintain and develop professional knowledge and practice skills through continuing education and in-service classes.
Fulfill requested and accepted case assignments.
Participate in quality assessment and performance improvement teams and activities.
Desired Qualifications
One year of hospice care experience.
Job Title/Position: Hospice RN Registered Nurse Case Manager Reports To: Director of Clinical Services
Location: Billings, Montana
Come join an amazing and growing team at Stillwater Hospice. At nine locations and growing Stillwater has succeeded in the end of life space by prioritizing team members within the organization. With second to none patient service and community dedication, Stillwater is the provider of choice in the communities in which we serve. Stillwater Hospice Nurses are a critical part of our care team. If you are excited about stepping into an important role for a growing, and dynamic team, apply now!!
**Currently Interviewing**
PAY RATE: $38 - $44 / Hour additional on-call pay! benefits and pto for full time staff
Health Insurance
Dental Insurance
401k Retirement Plan
100% match up to 4%
No vesting period
Paid Time Off (PTO)
Accrual of PTO starts immediately
Flexible Work Schedule with Work/Life Balance
Stillwater University for learning and development
Job Description Summary
The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
Essential Job Functions/Responsibilities
Patient Care
Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
Assesses and evaluates patient’s status by:
Writing and initiating plan of care
Regularly re-evaluating patient and family/caregiver needs
Participating in revising the plan of care as necessary
Initiates the plan of care and makes necessary revisions as patient status and needs change.
Uses health assessment data to determine nursing diagnosis.
Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
Counsels the patient and family in meeting nursing and related needs.
Provides health care instructions to the patient as appropriate per assessment and plan.
Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
Communicates with community health related persons to coordinate the care plan.
Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
Provides and maintains a safe environment for the patient.
Assists the patient and family/caregiver and other team members in providing continuity of care.
Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
Attends interdisciplinary group meetings.
Additional Duties
Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services are available.
Supervises ancillary personnel and delegates responsibilities when required.
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
Fulfills the obligation of requested and/or accepted case assignments.
Actively participates in quality assessment performance improvement teams and activities.
Position Qualifications
Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care.
Current licensure in State.
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
Bachelor’s degree, with one (1) year of hospice care experience preferred.
Management experience not required. Responsible for supervising hospice aides.
Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.