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Hospice RN Director of Clinical Services

Location: Las Vegas
Posted on: January 24, 2023

Job Description:

QUALIFICATIONS:Registered Nurse from an accredited program currently licensed and in good standing with the State Board of Nursing, with one year of administrative or supervisory experience. Must have strong clinical skills with hospice and/or home health experience. Must have excellent verbal and written communication skills, as well as good community relations. Must have the ability to motivate and work with fellow employees and volunteers. Must be effective in working with different levels of health care providers, and able to express the hospice concept to families, patients, physicians, community, volunteers, staff and other professionals. This position requires planning, supervision and administration. Hospice and Palliative Care certification preferred, or the understanding that this must be obtained within 6 months of being eligible to sit for the certification test.RESPONSIBILITIES:It is the responsibility of the Director of Clinical Services to provide leadership and effective management for the Interdisciplinary Team. The Director of Clinical Services is accountable and responsible for coordination and ensuring the highest level of hospice care is provided to patients and families. The DCS acts as a liaison between the IDT and the Executive Director.The Director of Clinical Services works under the direction of the Executive Director and in conjunction with the Interdisciplinary team to:

  • Monitor to ensure coordination and follow through is complete for all referrals to the hospice program
  • Assist admission team in coordination and assignment of all newly admitted hospice patients to the appropriate team and/or discipline, i.e., admission nurse, care manager or other RN
  • Work collaboratively with the medical records department to ensure all admission documentation is completed within 12-hour period and dispersed among team members
  • Assign a Nurse Care Manager to implement the Plan of Care and oversee the delivery of care to the patient/family
  • Assist the medical records department in monitoring the documentation of all written material related to patient care
  • Act as triage nurse for care managers requiring assistance with symptom management
  • Assist with change in level of care for patients including, locating a facility for placement, ensuring a physician for follow up at the facility, notification of primary care physician and medical director, transport, provision of medications and DME
  • Supervise and evaluate the scheduling of C.N.A.'s, contract employees, nurse care managers, visit nurses, continuous care staff, on call nurses.
  • Ensure communication of all patient admissions and changes in Plan of Care is appropriately relayed to each member of the Interdisciplinary Team and Primary Care Physician
  • Ensure policies and procedures concerning patient care are followed
  • Ensure and participate in annual evaluation of clinical staff
  • Recruit, hire and train all clinical staff
  • Provide orientation of symptom management and medication utilization to all nurses and physicians.
  • Provide and/or assist in ongoing training of clinical staff
  • Participate in the QAPI program
  • Implements practices that ensures Family Satisfaction measures exceed national benchmarks
  • Ensure that the highest ethical standards are practiced throughout the organization
  • Monitor the medication profiles for each patient on service to identify formulary and non-formulary utilization.
  • Identify ways to reduce non-formulary medication utilization
  • Participate with medical directors to ensure appropriate and timely evaluation and treatment of all hospice patients
  • Participate in communication with patients and families with concerns/frustrations related to services and care.
  • Provide continuous support to all clinical staff
  • Monitor for and ensure appropriate utilization of "Resource Book" and "Formulary" medications in the care of hospice patients
  • Participates in all IDT meetings in which admissions, certifications, re-certifications and medical management of the patients are discussed.
  • Coordinate and present or arrange for in-services specific for clinical staff throughout year
  • Meet at least monthly with skilled nursing staff to discuss job related issues and provide support
  • Meet at least monthly with C.N.A.'s to discuss job related issues and provide support
  • Participate in and/or assist with formal evaluation annually for clinical staff
  • Provide annual evaluation for all clinical staff
  • Perform joint visits with clinical nursing staff and certified nursing assistants on a regular basis and minimally annually
  • Ensure required supervisory visits are done on a routine basis for all LPN"s and CNA's
  • Participating in routine visits and admissions of patients in times of high census or low staff availability
  • Participate with the management of admissions and patient care in times of high census or low staff availability
  • Assist in staffing or reassigning visits to other team members when staff member is ill or on vacation
  • Participate with program development, community networking and community/medical staff education to achieve census building
  • Assist with the volunteer and bereavement programs
  • Participate in budgetary decisions related to cost effectiveness, and appropriate decision making by clinical staff, i.e. utilization of pharmaceuticals, DME, and patient care supplies, salary, overtime, etc.
  • In the absence of the Administrator, perform administrative duties as necessary
  • Ensure adequate supervision when utilizing time off
  • Provide input into Policy and Procedure development, i.e. revisions, program development and new markets.
  • Assist with timely and appropriate billing.
  • Provides community education.JOB REQUIREMENTS:Job requires the ability to:
    • Access patients' residence and all rooms therein
    • Reliable transportation
    • Communicate effectively with patient/families both verbally and written
    • Communicate the mission and vision of the hospiceWORK CONDITIONS:May require sitting or standing for prolonged periods of time. Some driving/travel required. May require occasional lifting, pushing or pulling up to 50 lbs.ON CALL:The Director of Clinical Services will be on call, as necessary, and will ensure that a trained RN and other patient care staff are available at all times to provide excellent patient care. The Director of Clinical Services will take administrative call per a rotating schedule.ACCOUNTABLITY:Reports directly to the Executive DirectorJob Type: Full-timePay: $85,000.00 - $95,000.00 per yearCOVID-19 considerations:All PPE provided

Keywords: AVIANT HEALTHCARE LLC, Las Vegas , Hospice RN Director of Clinical Services, Healthcare , Las Vegas, Nevada

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