Registered Nurse - Hospice (Flexi)

Provide clinical care management services to identified eligible patients; coordinating care and care transitions to obtain desired health outcomes. Foster collaboration, shared decision-making, and partnership among clinical and non-clinical care team members. Perform patient/family/caregiver outreach according to established protocols. Ensures patient eligibility for assigned Home & Supportive Care services and assists with discharge planning and coordination of admissions upon discharge to home, facility or other residence. Foster collaboration, shared decision-making, and partnership among clinical and non-clinical care team members. Perform patient/family/caregiver outreach according to established protocols. Ensures patient eligibility for assigned Home & Supportive Care services and assists with discharge planning and coordination of admissions upon discharge to home, facility or other residence. Identify, enroll, and manage patients in programs for Supportive Care Advanced Illness Management and Transitions of Care. Co-manage a diverse population living with one or multiple chronic conditions. Collaborate with patient, provider, and care team to develop and implement a plan of care to ensure medically appropriate, cost-effective care. Identify, execute, and track needed referrals to care and community resources. Provide resource management to improve care, patient experience and collaborate with Home & Supportive Care providers to effectively implement a patient-centered care plan. Co-manage a diverse population living with one or multiple chronic conditions. Collaborate with patient, provider, and care team to develop and implement a plan of care to ensure medically appropriate, cost-effective care. Identify, execute, and track needed referrals to care and community resources. Provide resource management to improve care, patient experience and collaborate with Home & Supportive Care providers to effectively implement a patient-centered care plan. Provide comprehensive care for patients with chronic conditions through Connected Care @ Home remote patient monitoring and make impactful judgment calls using clinical data tools. Provide ongoing remote clinical monitoring to patients in partnership with their providers, making informed escalation and triage decisions. Collaborate with care team to provide remote clinical monitoring of physiological data based on outlined pathways and ensure seamless care coordination according to each patient's individual care plan. Engage with patients through text and voice/video calls, remotely reviewing patient/client data and health information. Provide ongoing remote clinical monitoring to patients in partnership with their providers, making informed escalation and triage decisions. Collaborate with care team to provide remote clinical monitoring of physiological data based on outlined pathways and ensure seamless care coordination according to each patient's individual care plan. Engage with patients through text and voice/video calls, remotely reviewing patient/client data and health information. Showcase strong time management skills, enabling the ability to make impactful judgment calls on patient care while balancing all other responsibilities and time engagements. All Home & Supportive Care Registered Nurses may function as a nursing member of the Home & Supportive Care team, performing patient care encounters as assigned.

Reports to:

Nurse Manager and Clinical Coordinator Supervises:

Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)

Responsibilities:

May delegate/assign duties to other members of the healthcare team

Minimum Required Education:

Associates Degree in

Nursing Preferred Education:

Bachelor of Science in

Nursing Experience:

1 year inpatient, outpatient, or home-based nursing experience is preferred. Applicants must have current licensure or be eligible for licensure as a Registered Nurse in the State of North Carolina or compact state. BLS within 90 days. Associates or better in Nursing. Basic Life Saving Registered Nurse Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.