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Per Diem- PACE RN, Case Manager-PACE Program

Chapters Health System, Port Charlotte, FL, United States


Job Summary
The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.

Qualifications

Current license as RN in the state where the employee will be working

Active BLS for healthcare professionals from the American Heart Association or Red Cross

Minimum one (1) year nursing experience; hospice or hospital experience preferred

Previous experience working with an EMR/EHR system

Mobile Driver – Valid driver’s license and automobile insurance per Company policy

Reliable transportation to meet visit schedule

Ability to use equipment with visual and auditory mechanisms

Ability to effectively communicate in English (verbal and written)

Flexible schedule to meet the needs of Hospice House patients

Ability to manage the emotional stress of working with and caring for terminally ill patients and their families

Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area

Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation

Some Locations May Require

Cross training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing

Completes clinical admissions for all Company services including, but not limited to:

Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner

Identifies admission objections, concerns, or other entry barriers and provides responses

Educates patient/family on admission requirements and addresses immediate needs

Completes informed consents and initial assessment according to regulations and Company policy

Provides information to physicians and initiates Plan of Care to address patient’s immediate needs

Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort

Obtains physician orders

Completes documentation per Company policy

Act as Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.

Communicates frequently with Admissions to ensure timely follow‑up; when assignment is complete, informs Admissions and prepares for next assignment.

Provides all necessary clinical communication timely using SBAR.

Discusses any potential needs with after‑hours staff.

Obtains consents for services and arranges safe discharge efficiently for referred and eligible patients while meeting productivity expectations.

Obtains medical record information for the referral.

Develops strong relationships with case managers, physicians, etc. at facilities.

Works with Professional Relations Representatives (PRRs) to provide education on all available services.

Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.

Competencies
Satisfactorily complete competency requirements for this position.

General Responsibilities of All Employees

Represent the Company professionally at all times.

Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.

Comply with Company policies, procedures and standard practices.

Observe the Company’s health, safety and security practices.

Maintain confidentiality of patients, families, colleagues, and other sensitive situations.

Use resources in a fiscally responsible manner.

Promote the Company through participation in community and professional organizations.

Participate proactively in improving performance at the organizational, departmental, and individual levels.

Improve own professional knowledge and skill level.

Advance electronic media skills.

Support Company research and educational activities.

Share expertise with co‑workers both formally and informally.

Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities

Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow‑up.

Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.

Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, caregiving, dying process and safety practices.

Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.

Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness.

Attends patient deaths; prepares body for transport; oversees disposal of medications.

Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.

Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines.

Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.

Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).

During times of emergencies (i.e., hurricanes, etc.), the Triage RN may be required to report to a location designated by the company to ensure continuity of services; this may include reporting to work ahead of scheduled time and staying overnight based on duration of emergency.

Performs other duties as assigned.

Physical Demands
While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.

Compensation
$45.00

Additional Information
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as ongoing compliance with the Drug‑Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility.

For more information, visit https://info.flclearinghouse.com/

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