NURSE, PUBLIC HEALTH-HOSPICE & PALL
Posted on: March 20, 2023
The self-directed Hospice and Palliative Care Public Health
Nurse (HPCPHN) provides skilled nursing assessment, planning and
coordination/care management across settings to patients in a
private home, adult foster home, residential/assisted living care,
intermediate care, skilled nursing facility, inpatient hospice
facilities and hospital settings in order to maximize the comfort
and health of patients and families consistent with hospice
philosophy and CCS policies and procedures.
- Assume initial responsibility for assessing patient/family
needs and consulting with attending physician, Hospice and
Palliative Care Physician (HPCP) , other IDT staff members or other
appropriate community or facility contacts as indicated by patient
location and needs at the time of the assessment and care
provision. Obtain data on physical, psycho/social, emotional and
spiritual factors that may influence patient/family health status
and incorporate that data into the plan of care. Facilitate
advanced illness and/or end of life discussion with patient and
family members to assist with choice of hospice or palliative care.
Determine patient appropriateness for palliative care or hospice
services (including hospice level of care and care site) in
consultation with the HPCP. Case Management: assume primary
responsibility for a patient/family caseload that includes the
assessing, planning, implementing and evaluating phases of the
nursing process; including scheduling visits to reflect patient
care needs in order to maintain continuity of the plan of care; and
advocate for patient and family. Participate as an active member of
the IDT to coordinate information and services to update the plan
of care. Maintain up to date patient records so that problems,
plans, actions and goals are accurately and clearly stated and
changes are reflected as they occur in accordance with CCS policies
and procedures. Instruct primary caregivers, family members,
employed caregivers and facility staff to provide hospice specific
care as indicated. Attend weekly case conferences and actively
participate in discussion of patient needs and care planning.
Coordinate hospice care across settings to achieve smooth
transitions of care and assure compliance with the hospice plan of
care through communication and documentation for family members,
caregivers, facility staff as appropriate. Supervise and document
Hospice Aide care delivery every two weeks. Provide adequate
emotional and clinical support at the time of death. Provide input
into the bereavement assessment and plan of care. Provide phone
triage and support to patients/families as needed and requested.
Partner with agency management in the development and review of
programs within Continuing Care Services Department. Facilitate the
initiation of cost effective and safe hospice and palliative care
and provide consultation to clinicians regarding appropriate care
- Assure professional competency through maintaining
state-of-the-art skills and knowledge consistent with state and
Medicare regulations, Joint Commission accreditation standards,
applicable nurse practice acts and agency policies. Participate in
CCS and KP orientation and in service training for professional
staff as well as agency and community programs as requested to
promote professional growth and understanding of hospice and
palliative care. Demonstrate familiarity with policies of the
agency and rules and regulations of state and federal bodies which
aid in determining policies. Participates in department quality
management/improvement activities; including but not limited to
clinical record review, occurrence reporting, focused studies,
process and outcome measurement, peer review, continuous quality
improvement projects. Partner in defining and achieving agency
- Participates in hospice and palliative care 24 hour call duty
consistent with agency policy.
- Performs other duties as requested.
- One (1) year of medical-surgical nursing experience in an acute
care setting or home health, hospice or palliative care, SNF, ALF
- Two (2) years of hospice experience (within the last five (5)
years) as an LPN may be substituted for one year of nursing
- Baccalaureate degree in nursing or commensurate knowledge and
experience (Commensurate knowledge and experience may include
recent experience in areas of care coordination, case management,
community hospice, pallative care or home health, and public
License, Certification, Registration
- This job requires credentials from multiple states. Credentials
from the primary work state are required before hire. Additional
Credentials from the secondary work state(s) are required post
- Registered Nurse License (Washington) within 3 months of hire
- Registered Nurse License (Oregon) within 3 months of hire
- Drivers License (in location where applicable)
- Basic Life Support
- Able to perform complete physical, psychosocial, spiritual
- Able to operate stethoscope and sphygmomanometer.
- Keyboarding or typing skills.
- Able to learn to operate a laptop computer to perform clinical
- Working knowledge of concise, yet thorough clinical
documentation of patient assessments and care.
- Effective problem solving, written and verbal communication and
organizational and time management skills required to accomplish
case management responsibilities within allocated time frames.
- Note: This position requires completion of a typing test.
- Note: This position requires a reliable automobile to travel to
and from patient homes.
- Experience working as a member of an interdisciplinary
- Certification in Hospice and Palliative Care Nursing.
- Hospice care and the dying process.
- Peripheral and central line IV management.
- Able to perform venipuncture and IV insertion.
- Able to operate multiple IV pumps.
- Operational knowledge of computerized clinical documentation
and office application systems including the use of laptop/notebook
- Working knowledge of the managed care industry.
- Knowledge of Medicare regulations/requirements.
- Excellent time management, problem solving and customer service
- Excellent written and verbal communication skills.
- Able to work autonomously and manage patient caseload.
- Knowledgeable of the care for the chronically ill and frail
- Working knowledge of Hospice and palliative care for the
terminally ill patient.
- Variable shifts/days/weekends/holidays
Job Category: Nursing Licensed & Nurse Practitioners
Keywords: Kaiser, Portland , NURSE, PUBLIC HEALTH-HOSPICE & PALL, Healthcare , Yacolt, Oregon
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