Careers at Hospice of Southwest Ohio

Hospice of Southwest Ohio is seeking a full time RN Admissions/Resource Nurses. This position will include 3 (12) hour shifts per week with some weekend assistance as needed, hours are 9am-9pm. If you are interested, please respond with a current resume. We offer an excellent benefit package with PTO accrual beginning from date of hire.

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

Hospice of Southwest Ohio is seeking a full time Education and Compliance Manager. This role will work M-F with one night of weekly on call with potential for weekend call.

Education and Compliance Manager:

The Education and Compliance Manager is a professional, registered nurse responsible for the quality and compliance activities of the organization.

The Education and Compliance Manager has accountabilities for the planning, monitoring, implementation and evaluation processes and programs to meet regulatory guidelines, accreditation standards of practice, and quality benchmarks.

1. Oversees implementation and responsible for the monitoring of the organization's Infection Control Program.
2. Ensures that there are processes in place to monitor and measure all activities related to quality assessment, performance improvement, and infection control.
3. Coordinates activities related to clinical record review for data collection.
4. Compiles, trends, and reports quality data in the following areas: patient care, safety, risk management, infection control, outcomes, and customer satisfaction.
5. Works collaboratively with the Director of Clinical Services and Team Managers to assure documentation is complete and consistent with care, and reflects legal requirements.
6. Collaborates with management staff in follow-up of concerns expressed by patients, families and physicians.
7. Establishes a model for improvement and provides education and training to organization personnel on the performance improvement plan and POP team development.
8. Reviews all incident reports for completeness, risk, standard of care determination and appropriate follow-up. Maintains a log for trending and makes recommendations related to trends identified.
9. Maintains current knowledge related to hospice safety and infection control.
10. Reports on a regular basis to CEO and quality activities and data.
11. Collaborates with Human Resources, Director of Clinical Services and Team Managers to promote and ensure employee orientation, competency, and in-service education programs.
12. Assists in the identification of skills for annual competence and participates in training support.
13. Supports Human Resources in the maintenance of records of employee orientation and annual competency requirements.
14. Participates in employee orientation and ongoing education related to quality, compliance and infection control.
15. Maintains record of in-services presented and HHA education house.
16. Monitor organization compliance with regulatory and accreditation standards.
17. Oversees and monitors implantation of Compliance Program.
18. Reports on a regular basis to CEO on Compliance Program implementation and ongoing activities.
19. Collaborates with Human Resources to ensure employees are educated in standards of Conduct and that employee certification signatures are present in employee files.
20. Ensures that independent contractors are aware of the requirements of the hospice's Compliance Program.
21. Assists the hospice's financial management in coordinating internal compliance review and monitoring activities.
22. Independently investigates and acts on matters related to compliance and any resulting corrective action with all hospice departments, subcontracted providers, and health care professionals under the hospice's control.
23. Maintains current knowledge relates to Medicare Conditions of Participation standards to ensure that the organization is compliant with state, federal and accreditation guidelines.
24. Responsible to ensure policies and procedures reflect all related local, state and federal standards and makes recommendations for policy change to the governing body.
25. Acts as a resource for all staff regarding standards, policies, and regulations and assists with in-service training to leadership and staff as needed in these areas.
26. Chairs the Compliance Committee.
27. Provides assistance in meeting community education needs.
28. May participate in public speaking events
29. Maintains positive relationships with referral sources.
30. Maintain positive image in the community
31. May act as representative of the organization at community meetings, civic and professional organizations as needed.

Minimum Education:
Registered nurse in the State of Ohio.

Minimum Experience:
2 years’ experience in hospice, home health, healthcare. 2 years’ experience in education within healthcare and understanding of compliance requirements.

We offer an excellent benefit package including PTO accrual from date of hire.

Hospice of Southwest Ohio is seeking a full time Billing/Accounts Payable Manager. This person will oversee both Hospice and Palliative billing including accounts payable. We off an excellent benefit package available 30 days following the 1st of the month while PTO begins to accrue from date of hire.

Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. The Billing Specialist is a member of a cooperative team providing care that respects the dignity of all patients and serves their needs with competence and compassion. The Billing Specialist takes direction from and assists the Director of Finance in managing and motivating staff in learning and performing safe, caring practices while adhering to facility policies and procedures and federal, state and local regulations.

Duties and Responsibilities

Administrative Functions

• Accurately enters patient billing data, including visit charges and supply charges, into the information system.
• Accurately processes and bills Medicare, Medicaid, private payer and patient claims in accordance with payer requirements and organization policy.
• Assists in the preparation of monthly billing and accounts receivable reports.
• Maintains accurate Medicare and Medicaid billing analysis reports.
• Maintains complete and accurate billing and accounts receivable records.
• Prepares Medicare, Medicaid, private payer and patient remittances for data entry.
• Alerts appropriate management team members regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the CEO of seriously overdue accounts.
• Establishes and maintains positive working relationships with patients, family members, payers and referral sources.
• Performs other specific projects relating to billing, data entry, and computer operations as required.
• Ensures reimbursement through efficient billing and collections operations.
• Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, and federal regulations.
• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
• Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations.
• Entry of patient pay invoices into accounting system in a timely and accurately manner.
• Accurately designates general ledger account numbers to invoices.
• Utilizes scanning system to process Accounts Payable payments for document retention in a timely and accurate manner.
• Communicates professionally with vendors/employees with regards to inquiries about accounts payable processing.
• Maintain and track Account Receivable process and update the Director of Finance on a weekly basis.
• Follow-up and follow-through on all Aging and Collections for Hospice of Southwest Ohio and CareBridge Palliative Care Services.
• 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

Minimum Education:
High School Graduate with certification in Accounting, Finance or coding preferred.

Minimum Experience:
Proven experience as billing specialist. Adherence to laws and best practices in regards to dealing with customers and data. Comfortable dealing with numbers and the processing of financial information.

Hospice of Soutnwest Ohio is seeking an Independent Contractor to help us with preventative maintenance. This role will consist of roughly 6-8 hours per week. Days/nights/weekends the schedule is completely flexible. Since this is a 1099 position there is not eligibility for benefits.

If you have done maintenance in the healthcare industry we are looking for you. If you have done preventative maintenance we can teach the requirements for healthcare.

Please respond to the ad with a resume and references.

Job Type: Contract

Salary: $18.00 to $22.00 /hour

Hospice of Southwest Ohio is seeking a full time salaried RN Team Manager for our Weekend team. Hours will be discussed during interview will work Fri-Sun every weekend. We offer an excellent benefit package including PTO accrual from date of hire.

The Weekend Manager is responsible for utilizing a collaborative process to assess, plan, implement, monitor, and evaluate the options and services required to meet clients' health needs. The Weekend Manager coordinates available resources to promote quality and cost-effective outcomes, assuring compliance with HSWO standards and federal, state and local regulations. The Weekend Manager completes ongoing audits of charts and computer files to continually improve data quality, demonstrates knowledge and support of the philosophy, purpose, goals and policies of HSWO and consistently complies with the Client Bill of Rights in collaboration with QAPI Director. The Weekend Manager is a member of a cooperative management team providing care that respects the dignity of all patients and serves their needs with competence and compassion. The Weekend Manager takes direction from and assists the Director of Clinical Services.

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
  • Completes narrative note indicating who signed legal consents and why
  • Documents initial assessment including pain assessment, safety assessment, and 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 Clinical Director with oversight of care provided by staff that promotes the health and safety of the patient; validates that organization policies are enforced.
• Serve as a liaison between organization personnel and administration.
• Periodically review the department's policies, procedures, job descriptions, etc. and make revision recommendations, as needed.
• Make written and oral reports/recommendations concerning clinical service activities, as required.
• Assist with patient care activities to ensure the delivery of safe, economical and efficient patient care which adheres to relevant standards for accepted nursing, regulatory, medical practice and payer source criteria.
• Provide patient care according to the plan of care as ordered by the physician.
• Ensure that notes are completed in an informative and descriptive manner that reflect the care provided to the patient, as well as the patient's response to the care.
• Maintain strict patient confidentiality.
• Maintain and coordinate the Continuous Care On-Call Schedule
• Supervisory visits for Night Shift Employees in Continuous Care and in the HSWO Care Center, reporting of issues and/or concerns to the Clinical Director.

Minimum Education:
Graduate of an accredited school of nursing; registered nurse with a current State of Ohio license.

Minimum Experience:
One year experience in a hospice setting with supervisory responsibilities or equivalent.