Hospice Float RN

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

The Hospice RN Float 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.

Provides appropriate palliative and hospice care through assessment, teaching, counseling and direct care to client and/or family members. Coordinates care with other community resources as needed. Coordinates care with other team members and attends Hospice Interdisciplinary Team meetings as indicated

Assumes responsibility of established caseload of patients across all branches based on Agency need, as directed by supervisor. The location where this role is based may not be predictable or consistent and travel will be required to any part of the BILH at Home service area as needed.

Job Description:

The Hospice RN Float 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. 

Provides appropriate palliative and hospice care through assessment, teaching, counseling and direct care to client and/or family members. Coordinates care with other community resources as needed. Coordinates care with other team members and attends Hospice Interdisciplinary Team meetings as indicated

Assumes responsibility of established caseload of patients across all branches based on Agency need, as directed by supervisor. The location where this role is based may not be predictable or consistent and travel will be required to any part of the BILH at Home service area as needed.  

Essential Duties & Responsibilities including but not limited to:

▪    Manage care of patients, coordinate all services and facilitate communication between all providers.
▪    Provide skilled nursing care and prescribed treatments to patients and families in their home.
▪    Maintain productivity expectations.
▪    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 Home Health Aides.
▪    Communicate and coordinate with other health and social agency personnel to assist in planning, implementing, evaluation service to the patient and family.
▪    Participate in bi-weekly hospice case conference or as required.  

Patient Care  

Assumes responsibility to coordinate patient care for assigned patients including but not limited to: 
▪    Completion of Hospice Hope Tool 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, as assigned, 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, with emphasis on pain and symptom management. Includes the patient and the family in the planning process.
▪    Initiates the plan of care, as assigned, and makes necessary revisions as patient status and needs change.
▪    Administers medications and treatments as prescribed by the physician.
▪    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 health aide care provided. Supports the supervision of care provided by the hospice aide every 14 days and as needed. 
▪    Assists in managing the hospice benefit periods in accordance with evolving patient needs and continued eligibility for services.
▪    Performs liaison visits and hospice informational visits to patients in the community and in facilities to discuss hospice and palliative care services

Communication
▪    Communicates with the physician, Hospice RN Case Manager and clinical manager regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
▪    Attends and contributes to IDT meetings every two weeks at a minimum, and as needed. 
▪    Communicates and coordinates with the team LPN as appropriate. 
▪    Collaborates, communicates, and cooperates as appropriate with other health care providers to ensure quality end-of-life care.

Additional Duties
▪    Participates in the weekend/holiday/on-call rotation as defined by BILH at Home. 
▪    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 Clinical Manager.
▪    Covers across branches as requested 

Minimum Qualifications: 
Registered Nurse from a Graduate of National League for Nursing accredited school of nursing. BSN strongly preferred.

Current license to practice as a registered professional nurse in the Commonwealth of Massachusetts and New Hampshire

Current Basic Life Support Certification

Valid driver’s license

3-5 years recent professional nursing experience required. 
Minimum of one year hospice experience 

Pay Range:

$91,520.00 USD - $140,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. 

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) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled