When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Hospice Triage Nurse
Provides appropriate palliative and hospice care through telephonic support, assessment, teaching, counseling to patient and/or family members. Coordinates care with RN Case manager and IDT
Job Description:
Essential Duties & Responsibilities including but not limited to:
• Provides telephone triage for symptom management and follows up to determine effectiveness
▪ Provide documentation of services utilizing problem-oriented record.
▪ Plan for continuity of care with nursing team members, patient, family, and other disciplines.
▪ Use opportunities for teaching nursing care, comfort measures and health practices to the patient, families and others.
▪ Communicate and coordinate with other health and social agency personnel to assist in planning, implementing, evaluation service to the patient and family.
▪ Coordinates Prescriptions that are requested, transcribes into electronic prescription software for MD signature
▪ Coordinates with contracted hospice pharmacy regarding delivery, enters medication profile into prescription software, faxes face sheet, and medication list to pharmacy
Patient/Family:
Assists RN Case manager with patient/family including but not limited to:
▪ Counsels the patient and family in meeting patient needs related to physical, emotional, and spiritual needs.
▪ Respects and supports patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
▪ Provides information to the patient and family regarding the dying process and expectations.
▪ Provides instruction regarding medication actions, side effects, dosage, route, and frequency.
▪ Assists with obtaining prescriptions and refills as needed
Communication
▪ Communicates with the physician and the Hospice RN Case Manager regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
▪ Communicates and coordinates with the RN Case Manager visit needs of patient as appropriate.
▪ Collaborates, communicates, and cooperates as appropriate with other health care providers to ensure quality end-of-life care.
Documentation
▪ Documentation supports hospice eligibility.
▪ Documentation includes all recommendations and follow up
▪ Completes documentation in accordance with agency timeliness policies.
Professional Development
▪ Maintains and updates clinical knowledge and skills based on current nursing practice.
▪ Adheres to departmental requirements for required training.
▪ Identifies specific learning needs & goals and collaborates with nursing leadership in developing a plan to meet them.
Additional Duties
▪ Participates in the weekend/holiday/on-call rotation as defined by BILH at Home.
▪ Ensures that arrangements for equipment and other necessary items and services are available.
▪ Participates in in-service programs and teaches and precepts other nursing personnel as assigned by Clinical Manager.
Organizational Requirements:
• Maintain strict adherence to the Continuing Care Confidentiality policy.
• Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities.
• Comply with all Continuing Care Policies.
• Comply with behavioral expectations of the Continuing Care Division.
• Maintain courteous and effective interactions with colleagues and patients.
• Demonstrate an understanding of the job description, performance expectations, and competency assessment.
• Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participate in departmental and/or interdepartmental quality improvement activities.
• Participate in and successfully completes Mandatory Education.
• Perform all other duties as needed or directed to meet the needs of the department.
Minimum Qualifications:
Education: • Graduate from a Licensed Practical Nursing program accredited by the National League of Nursing (NLNAC).
Licensure, Certification & Registration: • Current licensure to practice as an LPN in the state of Massachusetts and New Hampshire
• Maintains CPR certification.
Experience: • Minimum of 3-5 years nursing experience in hospice
• Phone Triage Experience a plus
Skills, Knowledge & Abilities: • Demonstrates excellent observation and problem solving/critical thinking skills.
• Well-developed verbal and written communication skills
• Essential computer skills to work with EMR.
• Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
• Self-directed and able to work with minimal supervision
• Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist.
Key Relationships:
Title Nature of Relationship To Position
1 All other clinical positions Work collaboratively in a multi-disciplinary team for quality patient outcome.
2 Clinical Manager Reports to – case conferences with on a weekly basis
3 Office Support Staff Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts
Scope/Impact Statement:
Work Schedule: Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business/department.
On Call: Yes Shift Rotation: Yes Weekends: Yes
Physical Requirements & Environment:
For each category, select ONE option from choices below by placing an X in the space to the left of the entry.
Mental and Visual Attention
a) The position requires basic mental and visual attention much or all of the time
b) The position requires periods of concentrated mental and visual attention.
c) X The position requires a high degree of mental and visual concentration.
Physical Exertion
Weight
d) Nature of work requires lifting or moving light weight (up to 20 pounds).
e) X Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).
f) Nature of work requires lifting or moving heavy weight (over 75 pounds).
Dexterity
g) Flow of work and nature of duties require average manual coordination.
h) Flow of work and nature of duties require above average manual coordination.
i) X Flow of work and nature of duties require high manual coordination.
Range of Motion
j) Responsibilities require average range of motion.
k) Responsibilities require above average range of motion.
l) X Responsibilities require high range of motion.
Physical Conditions
m) X Performance of duties allows for variation in positioning and tasks.
n) Performance of duties requires remaining in position for prolonged periods of time.
Repetitive Motion
o) Responsibilities require occasional repetitive motion.
p) X Responsibilities require frequent repetitive motion.
q) Responsibilities require constant repetitive motion.
Working Conditions
r) Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.
s) Working conditions include occasional exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.
t) X Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.
Exposure to Hazardous Materials
u) Performance of duties generally does not involve exposure to hazardous materials.
v) Performance of duties occasionally involves exposure to hazardous materials.
w) X Performance of duties frequently involves exposure to hazardous materials.
Patient Care Conditions (select ALL that are applicable)
x) X Responsibilities entail exposure to blood and body fluids; standard precautions must be used.
y) X Responsibilities include transporting, transfer and positioning of patients.
z) X Incumbent must be continuously prepared to prevent a patient fall.
Sensory Requirements (select ALL that are applicable)
aa) X Performance of duties requires the ability to discern and identify colors
bb) X Performance of duties requires the ability to discern sharp from dull and hot from cold
cc) X Performance of duties requires the ability to hear soft and loud noises
Patient Care/Patient Contact Designation (check only one of the items listed below)
X Position has a direct impact upon health outcomes of the patient.
__ Position facilitates the process that may impact patient access to services.
__ No patient care/contact, and does not facilitate the patient care process or directly impact health outcomes.
Pay Range:
$32.00 – $43.07
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
