Hospice Registered Nurse Case Manager 40 hour

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Job Description: Position Title: Hospice Registered Nurse/ Primary Care Nurse/Case Manager Location: New Bridge on the Charles Title of Immediate Supervisor: Hospice Clinical Manager I. Position Summary: The Hebrew SeniorLife Hospice is designed to provide a Jewish Hospice service to terminally ill patients and their families in the greater Boston area. The philosophy of the Hospice is rooted in Hessed (loving kindness), and Kevod HaBeriyot (honoring life), but Hebrew SeniorLife Hospice Care is open to anyone regardless of religious affiliation; our mission is informed by Jewish values that are shared across many faith traditions and spiritual belief systems. Hebrew SeniorLife Hospice works collaboratively with patients and families in the final months, weeks, and days of life, with the goal of achieving optimum healing of body and soul when curing is no longer an option. This means helping the patient and family with: physical comfort, emotional and spiritual support, and companionship. The Hospice goal is to help every patient at the end attain a peaceful and pain free death and support the healing and bereavement of the family. This is an exciting opportunity to come in at the ground level and be part of building an innovative new Hospice program that is poised for clinical excellence and rapid growth. Hospice will complete the continuum of outstanding care delivered by Hebrew SeniorLife, an integrated, eight-site system of health care, housing, research and teaching that serves thousands of seniors in the Greater Boston area and beyond and has been a nationally-recognized industry leader for over a century. As a member of the interdisciplinary group (IDG), the Hospice Registered Nurse provides professional nursing care to the Hospice's patients. Identify patient/family needs and provide supportive care in accordance with the attending physician's orders, the IDG plan of care and the Hospice's policies and procedures. The Hospice Registered Nurse provides care under the direction of the attending physician, the Hospice Medical Director, the Clinical Manager, and the Sr. Director of Home and Community-Based Services (HCBS), and in compliance with the state's Registered Nurse Practice Act. II. Core Competencies: - Communication o Share information with residents, family, staff and providers o Present information in language understandable to all o Listen with an open mind o Express disagreement in a tactful and sensitive manner o Facilitate discussion around different points of view to find resolution - Adaptability o Adjust to meet the individual needs of the resident, family and staff o Consider others' views, education, working styles, culture and values o Appreciate differences and capitalize on them to be most effective o Prioritize effectively o Respond calmly to unexpected change or frustration - Relationship Building o Relate to all in an open, friendly and respectful manner o Instill trust o Create an atmosphere where everyone's story is valued o Encourage and accept expression of both positive and negative feelings o Initiate and develop relationships with new residents, staff and families o Promote a collaborative atmosphere - Excellence o Provide the highest level of care to our residents o Promote a healing environment for physical and spiritual needs o Advocate to foster and maintain a safe environment for our residents, families and facility staff o Foster an atmosphere of autonomy, dignity and choice o Continually evaluate our care and processes, and make improvements based on quality performance o Deliver care that is evidence based o Demonstrate dependability and accountability with all duties III. Position Responsibilities: - Assumes responsibility for a patient visit or on-call schedule which includes the assessing, planning, implementing and evaluating phases of the nursing process. - Provides Hospice nursing care based on systematic assessment focusing on pain control and symptom management. - Initiates communication with attending physicians, other Hospice staff members and other agencies as needed to coordinate care and use of resources for the patient/family. - Assesses the patient and develops an individualized and comprehensive plan of care in partnership with the Interdisciplinary group and in accordance with Hospice regulations/guidelines. Routinely assesses patients' response to plans of care and performs comprehensive assessments, hospice aide supervision, and coordination/oversight of hospice services provided in assisted living, LTC, SNF and hospital settings. - Maintains regular communication with the Clinical Director to review assignments and with the attending physician/medical director concerning patient/family needs. - Obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporates that data into the plan of care. - Maintains up-to-date patient records so that problems, plans, actions and

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