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After Hours Nurse (RN | Full Time)

Navian Hawaii, Honolulu, HI, United States


More than a nursing job, this is a position with a higher purpose - where you impact people's lives on a personal, human level. As a Navian Hawaii hospice nurse, you will guide patients and their family on their journey, delivering comfort and support with a caring heart, replacing fear with hope, helping them find the beauty and joy in every moment, and providing each person with the kindness and dignity they deserve.

Position Summary
Under the supervision of the Patient Care Manager, the After Hours Nurse provides clinical nursing support during non-core business hours. This includes telephone assessments, home visits, and documentation, all in accordance with hospice standards and procedures.

Primary Responsibilities

Uses clinical judgment and assesses needs of the patient and their families and initiates intervention to meet the immediate needs by utilizing principles of palliative care and following (but not limited to) the following guidelines:

Assesses the need for skilled nursing by phone

Makes home visits when necessary to stabilize patient conditions, deliver skilled care, or in the event of a patient death

Communicates patient condition and concerns to the attending physician and implements new medication or treatment orders as instructed

Notifies the Patient Care Coordinator of any complex or escalating clinical or administrative situations

Makes routine/follow up calls or home visits to new admissions and current patients while on duty, utilizing backup system as needed, in accordance with Navian Hawai‘i's 24 hours per day 7 days per week service and admission policy

Obtains and verifies updated patient information and physician orders by:

Reviewing voicemail or reports from the RN Case Managers

Reviewing patient medical records in the EMR system

Communicating with the outgoing or incoming After-Hours Nurse

Remains available by cellular phone during shift

Clears calls with answering service within 10 minutes of receiving a phone message

Documents all phone calls, home visits and medication orders in accordance with Navian Hawai‘i protocol

Provides clinical report to Interdisciplinary Team by 7:00 AM detailing all patient interactions and interventions conducted during the shift

Ensures any patient contact initiated within the final hour of the shift is documented and distributed before shift end

May serve as the primary or backup on-call nurse in the absence of other After Hours staff

Perform other related duties as assigned by the Patient Care Manager or Director of Clinical Operations

Experience And Education Requirements

Valid Registered Nurse License in the State of Hawai’i

Bachelor of Science in Nursing preferred

3 years of experience as a staff nurse in an acute hospital

Hospice and/or home health nursing experience preferred

Employment Requirements

A legally compliant background check

Drug screen & physical exam

Valid Hawai’i Driver’s License

TB clearance

CPR & BLS Certification

Work Location

Indoors in patient homes, nursing and acute care facilities as well as outdoors in all types of weather

This position is based in the field, requiring travel to patient homes, facilities, and offices throughout Oahu using a personal motor vehicle

Shifts

Week Nights

4:00pm-12:30am

12:00am-8:30am

Weekends

8:00am-4:30pm

4:00pm-12:30am

Salary Range
$93,000 - $99,000

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