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RN On Call

Company: US Medical Management
Location: Williamsburg
Posted on: January 11, 2022

Job Description:

RN On Call
U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission - "Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services" - Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).
Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on "We are Unified in our Work through our Continuum of Services" "We can Find Comfort that We are Making a Difference for our Patients" & "We make a Broader Positive Impact on Society", allows USMM to be poised for a phenomenal future.
We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Benefits We Have to Offer:
Health, Dental, Vision, Disability & Life Insurance
401K Retirement Plan
Paid Holidays
Flexible Spending Account
Tuition Reimbursement

Position Description
The - RN On Call -is responsible for providing end-of-life care and hospice services to patients in their home or community setting after regular business hours, weekends, and/or holidays. Under the general supervision of the RN Manager, she/he provides intermittent skilled nursing services; communicates the patient's progress with other disciplines and directs, supervises and instructs non-professional hospice aide staff in the provision of personal care to the patient.

Essential Duties and Responsibilities
As scheduled, nurses in the On-Call position will work in the office assisting with medical records and order processing along with other duties as needed
Assumes primary responsibility for the patient/family caseload that includes assessing, planning, implementing, and evaluating care needs during on-call hours
Reports On-Call activities to the RN Manager and RN Case Managers at the end of the call shift
Maintains and completes appropriate On-Call Log documentation as well as care coordination notes for phone calls and communication, visit notes, and other pertinent clinical information
Assists, provides, or arranges for delivery of medications and supplies needed after business hours, weekends, and/or holidays
As scheduled, attend -interdisciplinary team meetings during on-call period for full team discussion, consultation and evaluation of patient/family needs
Under the Physician's order, admits patients eligible for hospice services
Assesses and evaluates patient needs/problems, identifies mutually agreed upon goals with patients
Reports patient status and need for other disciplines to Clinical Leadership, attending Physician and Hospice Physician
Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals. -Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or recertification
Admits paperwork and patient care plan submitted to Clinical Leadership within 2 days following the admit
Subsequent patient visit documentation submitted daily
Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information
Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy
Submits change order immediately within system
Submits recertification paperwork by the due date provided by Clinical Leadership
Schedules an IDG -meeting with assigned Clinical Leadership to review patient's needs, problems, level of care and any changes in Plan of Care for next cert period
Completes communication note -documenting plans for recertification were discussed and agreed upon between the Physician, patient, and Clinical Leadership
Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable
Participates in discharge planning process
Documents Discharge Planning beginning with admit and documents in advance based on agency policy
Completes and submits along with other notes turned in per agency policy: Patient Care Plan
Discharge Nurse's Note

Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient IDG Plan of Care and as indicated by on-call needs
Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
Reports significant findings to patient's physician and management as they occur
Effectively communicates with all members of the healthcare team
Acts as the patient's advocate and as such is a liaison to assist in communicating the patient's needs to the multidisciplinary team
Provides direction and instruction as it relates to provision of personal care and related support services
Completes documentation on hospice aide supervision
Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to Clinical Leadership At intervals of at least every 14 days, conduct supervisory visits to the patient's home with or without the aide present. More frequent supervisory visits will be necessary when patient care is complicated.
Ability to perform an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide

Acts as a preceptor in the orientation of new nursing staff as directed
Attends staff meetings and educational in-services per agency requirements
Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences and participation in professional and related organizations and individual research reading
Obtains CEU's as dictated by the State Board of Nurses
Attends skilled nurse in-services and meetings provided by agency
Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services
Participates in Quality Assessment and Performance Improvement (QAPI) program -through submission of data collection as it relates to direct patient care problems and serving on QAPI teams
Follows agency policies and procedures to operate and furnish services in compliance with all applicable Federal, State, and local laws and regulations
Will understand and apply basic infection control principles and procedures
Will contact supervisor with any concerns related to infection control
Completes informational visits and obtains patient consents for hospice admission per office procedure
Performs other related duties as assigned.
REQUIRED Knowledge, Skills, and Experience
Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC)
Current driver's license and automobile in good working condition with proof of auto insurance
Two years recent experience as a professional nurse
Is able to meet certain physical demands of standing, bending, lifting, stooping or performing other work requiring light physical exertion (up to 30 pounds) on a continuous basis (over 50% of time); or moderate physical exertion (30 to 50 pounds) on a frequent basis (16 to 50% of time); or heavy physical exertion on an occasional basis (up to 15% of time).
Ability to work in a field setting and exhibited ability to make sound nursing judgments; must be able to work independently
Ability to assess patient needs and formulate individualized patient care plans to meet those needs
Knowledge of physical, psychosocial, and spiritual needs of terminally ill patients and their caregivers
Effective written and verbal communication skills
Preferred Knowledge, Skills, and Experience
Two years' experience within Hospice
Certified Hospice and Palliative Nursing
Electronic Medical Records Experience

Keywords: US Medical Management, Newport News , RN On Call, Healthcare , Williamsburg, Virginia

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