Careers at Hospice of Southwest Ohio

The Director of Clinical Services is responsible for the overall direction of hospice clinical services with direct day to day oversight of the Team Manager, Weekend Team Manager, IPU/Crisis Care Team Manager, Admissions and Resource Staff. The Director of Clinical Services establishes implements and evaluates goals and objectives for hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy. The Director of Clinical Services is a leader and member of a cooperative management team providing service that respects the dignity and rights of all patients, employees, staff, family, visitors and community and serves their needs with competence and compassion. The Director of Clinical Services is an advisor to both management and line staff in the area of clinical policies and procedures. The Director of Clinical Services motivates staff in learning and performing ethical practices while being knowledgeable and adhering to facility policies and procedures; federal, state and local regulations; and accrediting group requirements including QAPI.

1. Participate in the planning, organizing, directing and controlling of the organization’s clinical policies and procedures, with ongoing evaluation for quality improvement, safety and better utilization of resources.
2. Supervise the implementation of the physician and clinical plan of treatment by auditing, organizing, overseeing, integrating and modifying the resources necessary to reach the desired outcomes with ongoing evaluation for quality improvement.
3. Coordinate and oversee the direct and indirect patient services provided by clinical staff.
4. Lead and manage clinical team, in conjunction with Senior Leadership, in the planning, organizing, directing and controlling of the organizational budget, efficiencies and productivity standards.
5. Maintain comprehensive reporting and consultation system with the marketing team to manage processes, protocols, and timeliness of all referrals to meet the comprehensive needs of the clients.
6. Review plan of care orders as needed to ensure that they are in accordance with Medicare regulations.
7. Recommend quality improvement initiatives, both for quality of patient care and positive budget impact.
8. Facilitates clinical team with the coordination and oversight of all direct and indirect patient care services.
9. Assures an accurate evaluation of client needs and develops and implements a comprehensive care plan that addresses those needs.
10. Evaluate and approve clinical documentation and ensure workflow is in accordance with QAPI standards
11. Provide guidance and counseling to Coordinators and Team Managers to assist them in continually improving all aspects of hospice care services.
12. Audit and maintain current and accurate medical records and clinical documentation in accordance with HSWO policies, federal, state and local guidelines. Ensure action is taken to correct problems identified through clinical record review, clinical audits and fiscal audits.
13. Maintain knowledge of requirements of regulatory agencies, accrediting bodies and professional standards of practice.
14. Serve as a resource to clinical team for questions/concerns regarding federal and state regulations approved accrediting bodies and professional standard of practice.
15. Participates in on-call rotation as needed.
16. Conducts supervised patient visits.
17. Organize and conduct Field Staff competency visits (ride along visits).

We offer a generous benefit package including PTO accruals beginning from date of hire. Health benefits begin 30 days following the first of the month.

Minimum Education: BSN graduate, registered nurse with a current State of Ohio license.

Minimum Experience: Five years’ experience in a hospice organization or equivalent with management experience responsibilities.

Job Type:

Full-time

Experience:

• relevant: 5 years (Required)
• Management: 5 years (Required)
• Hospice Care: 5 years (Preferred)

Education:

• Bachelor's (Required)

License:

• RN for State of Ohio (Required)

Work Location:

• One location

Benefits:

• Health insurance
• Dental insurance
• Vision insurance
• Retirement plan
• Paid time off

We are looking for multiple full time RN Admissions/Resource Nurses.  We have a variety of open shifts from Fri-Sun night shift to day/night shift thru the week. 

Job Description Summary:

The registered nurse plans, organizes and directs the care of the terminally ill patient by promoting patient comfort and optimizing quality of life. This professional nurse builds from the resources of the community to plan and direct these services to meet the needs of the terminally ill individual and their families within the patient’s home and their community.

Essential Job Functions/Responsibilities:

Patient Care

Completes the initial assessment of the patient and family to determine hospice needs. Provides complete physical assessment focused on disease progression and decline including history of current and previous illness(es), pain assessment, safety assessment, wound assessment as applicable.

• Performs the admission process to include the following:
• Meets with patient and family/caregiver to present hospice program
• Obtains signed consents by DPOA for HC and patient if patient is alert and oriented
• Obtains verbal physician certification for hospice service with ordered hospice diagnosis
• Completes IPOC indicating hospice covered medications and reviews those medications with patient and family/caregiver
• Documents initial assessment including pain assessment, safety assessment, wound assessment as applicable
• Completes appropriate clinical summary demonstrating hospice appropriateness
• Enters medications to electronic clinical record which mirrors the IPOC
• Copies medical records that support hospice appropriateness
• Copies Advanced Directives or documents discussion of this option with patient and/family
• Documents patient and family/caregiver preference for future hospitalization
• Provides professional nursing care by using the Nursing Process.
• Assumes responsibility and accountability for the practice of professional nursing in accordance with the State Nurse Practice Act and standards for hospice nursing
• Initiates the POC based on the patient and family/caregiver needs reflecting assessment data obtained to determine the nursing diagnosis and establish goals for care incorporating palliative nursing actions. Includes both the patient and family/caregiver in the care planning process. Re-evaluates this POC and revises as needed to reflect the patient and family/caregiver care needs.
• Initiates appropriate palliative nursing procedures. Makes recommendations for symptom management; administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• Counsels the patient and family/caregiver in meeting care needs of the terminally ill patient. Provides health care instructions to the patient and family/caregiver as appropriate per the assessment data and POC.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self sufficiency as consistent with the POC.
• Assists the RN Case Manager, as assigned by the Team Manager, in coordinating the patient care and symptom management for each assigned patient as the need arises.

Communication

• Completes, maintains and submits accurate and relevant clinical notes regarding patient condition and care given at the time the assessment is done or care given. Records pain/symptom assessments and management, changes/outcomes to pain/symptom management as appropriate.
• Communicates with the primary care physician regarding the patient’s needs and reports changes in patient condition; obtains/receives physician orders as needed.
• Communicates with the facility staff or community health related persons to coordinate the plan of care for each assigned patient.
• Teaches the patient and family/caregiver care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician recognizing and using opportunities for health counseling with patient and family/caregiver. Works in concert with the hospice Interdisciplinary Group/Team members.
• Provides and maintains a safe environment for the patient.
• Assists the patient, family/caregiver and other team members in providing continuity of care. Works in cooperation with the patient and family/caregiver and the hospice Interdisciplinary Group/Team members to meet the emotional needs of the patient and family/caregiver.
• Attends the Interdisciplinary Group/Team meetings as needed as assigned by the Team Manager.

Additional duties

• Demonstrates knowledge of Medicare hospice benefit, patients rights, advanced directives, available HSWO services, patient participation requirements for the end of life care, available resources available to patients and families at end of life
• Demonstrates knowledge of the concepts of death and dying including: normal vs. abnormal dying process, cultural attitudes toward death, patient and family values and belief systems, denial and coping mechanisms, patient and family goals for the end of life care, grief and anticipatory grief
• Knowledgeable about and adheres to the HSWO compliance plan
• Clinical Staff involved in direct patient care or patient contact has high potential for occupational exposure to blood borne pathogens or other potentially infectious body fluids.
• Participates in on-call duties as assigned by the Team Manager and defined by the on-call policy.
• Ensures that equipment, medication and other necessary items and services are available to the patient.
• Supervises ancillary personnel and delegates responsibilities when required.
• Assumes responsibility for personal growth and development maintaining and improving professional knowledge and practice skills through attendance and participation in continuing education programs.
• Fulfills the obligation of case assignments.
• Complies with the organization’s standards of professional conduct.
• Actively participates in quality assurance and performance improvement program.
• Performs other job-related tasks not stated in this description.

Position Qualifications:

• Registered Nurse with current licensure to practice nursing in the State of Ohio; eligible for licensure in the State of Ohio.
• One to two years of acute care nursing required.
• One to two years of recent home care of hospice care nursing preferred.
• Bachelor’s degree with one year hospice care experience preferred.
• Management experience not required. Responsible for supervising hospice aides.
• Excellent observation, verbal and written communication skill, problem solving skills, basic math skills; nursing skills per competency checklist.
• Keyboarding and basic computer skills.
• 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 couching. Visual acuity and hearing to perform required nursing skills.
• Must be a licensed driver with an automobile that is insured in accordance with the State of Ohio requirements and is in good working order.
• We offer a full benefit package 30 days following the first of the month, PTO accrual beginning from date of hire and a 401K.

Duties and Responsibilities:

• The LPN will adhere to patient assignments as directed by the Team manager providing personal care, observation and procedures as directed by the RN Case Manager.
• LPN meets the safety needs of the patient using equipment safely and properly
• LPN assists in all aspects of activities of daily living as needed.
• LPN obtains vital signs including temperature, pulse rate, respiratory rate and blood pressure as requested by the RN Case Manager.
• LPN performs skin assessment and proper skin care to prevent skin breakdown and may perform dressing changes as directed by the RN Case Manager.
• LPN reports on patient’s condition and significant changes to the RN Case Manager.
• LPN assists in ambulation and ROM exercise as directed by the RN Case Manager.
• LPN provides assistance as needed with household management.
• LPN provides respite for patient’s family or caregiver when at bedside as needed
• LPN will follow both HSWO and HSWO POC in providing patient care. Documents this care at the time of service either electronically or per paper chart
• Interacts collaboratively with all team members.
• Performs other job-related tasks not stated in this description.
• Assumes responsibility and accountability for the practice of professional nursing in accordance with the State Nurse Practice Act and standards for hospice nursing.
• Demonstrates knowledge of Medicare hospice benefit, patients rights, advanced directives, available HSWO services, patient participation requirements for the end of life care, available resources available to patients and families at end of life
• Demonstrates knowledge of the concepts of death and dying including: normal vs. abnormal dying process, cultural attitudes toward death, patient and family values and belief systems, denial and coping mechanisms, patient and family goals for the end of life care, grief and anticipatory grief.

Job Specifications:

• Graduate of an accredited school of nursing; licensed practical nurse with a current State of Ohio license.
• One year experience in acute care, long term or hospice care nursing
• Shift is 7pm-7am.

Salary is based upon experience.

**Medical, dental and vision are available after 30 days of hire following the first of the month. 401k is available after 6 months of hire. PTO starts accruing from day one.

Job Type: Full-time

Job Summary:

The certified state tested nurse hospice aide will provide basic personal care to the terminally ill patient including bathing, dressing, feeding, incontinence care, personal hygiene and transfers as well as socialization. The certified state tested nurse hospice aide will meet the basic physical and emotional needs of the terminally ill individual and their families within the patient’s home and their community.

Duties and Responsibilities:

• Adheres to patient assignments as directed by Team manager providing personal care needs for patient in a prompt manner. If unable to perform a certain task, reports to the RN case manager immediately.
• Meets the safety needs of the patient using equipment safely and properly.
• Provides personal patient care including bathing, back rubs, oral hygiene, hair washing and changing bed linens as often as assigned by the RN case manager.
• Assists in all activities of daily living as needed.
• Provides assistance with laundry needs.
• Prepares meals as assigned by the RN case manager.
• Assists in feeding the patient as assigned by RN case manager.
• Obtains and records temperature (oral, rectal axillary), pulse and respirations when requested with appropriate completed/demonstrated skills competency.
• Observes patient’s skin and provides proper skin care to prevent skin breakdown over bony prominences. Reports any changes to the RN case manager.
• Assists with ambulation and ROM exercises as instructed by the RN case manager or therapist with appropriate completed/demonstrated skills competency.
• Reports patient condition and any significant changes to the RN case manager.
• Provides respite for the patient’s family or caregiver when at bedside as needed.
• Maintains a clean, orderly living area for the patient.
• Demonstrates respect toward the patient and family/caregiver while providing care adhering to the organizational standards of professional conduct.
• Interacts collaboratively with all team members.
• Attends the Interdisciplinary Group/Team meetings regularly as assigned.
• Perform other job-related tasks other than those stated in this description.

Job Specifications:

• Minimum Education: State Tested Nurse Aide with a current Ohio certification.
• Minimum Experience: One year of recent experience working as a State Tested Nurse Aide without a lapse of 24 consecutive months without services provided for compensation.
• Knowledge of home care principles and practices within the scope of hospice.

Salary is based upon experience

**Medical, dental and vision are available after 30 days of hire following the first of the month. 401k is available after 6 months of hire. PTO starts accruing from day one.

Job Type: Full-time