Nurse Manager Hospice House

Hospice House Nursing Manager

The Hospice House Nursing Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. The Hospice House Nursing Manager is responsible for the management of the nursing staff and clinical care of all patients receiving care at the hospice house. The Nursing Manager is responsible for directing the team in the provision of high quality, effective, and efficient end of life care. Promotes quality in patient care delivery in accordance with agency objectives, policies, and procedures. Supervises, supports, and educates staff at the point of service. The Hospice House team leader is a clinical resource for all staff and remains current in skills and in state and federal regulations.

Essential Duties & Responsibilities including but not limited to :

• Manage care of patients, coordinate all services and facilitate communication between all providers.
• Manage the daily clinical operations of the hospice house
• Oversee all patient care service and nursing personnel at the hospice house
• Provide oversight of skilled nursing care and prescribed treatments to patients residing at the hospice house
• 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.
• Instruct and supervise care given by the Hospice Aides.
• Communicate and coordinate with other health and social agency personnel to assist in planning, implementing, evaluation service to the patient and family.
• Facilitate IDT bi-weekly
• Builds and evaluates team members through employment and termination (recruitment and retention efforts / activities), holding clinicians accountable to established hospice standards of clinical practice and documentation.
• Evaluates clinical competency in area of practice of those with direct reporting responsibility through direct observation, skills assessment, and performance appraisals.
• Oversees compliance with timely and accurate completion and submission / synching of all documentation.
• Collaborates with QI Coordinators regarding hospice eligibility, individual abilities and deficits
• Communicates well with Associate Medical Director
• Ensures adequate coverage for patient care service 24 / 7 in coordination with hospice house director
• Encourages and fosters :
• A positive attitude and high morale toward establishing and maintaining a culture of customer focused service.
• Critical thinking amongst multidisciplinary team members.
• Development and adherence to individualized patient Plans of Care.
• Employee feedback and staff engagement.
• Patient Care
• Assumes responsibility to coordinate patient care for assigned caseload including but not limited to : Appropriate delegation to LPN staff, patient condition change visits, and completion of Hospice Item Set (HIS) time points. Accepts accountability for patient satisfaction scores and quality of care outcome measure results.
• Completes and documents an initial assessment of patient and family to determine hospice care needs. Provides a complete physical assessment and history of current and previous illness(es).
• Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions. Includes the patient and the family in the planning process.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• 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.
• Instructs, supervises and evaluates hospice house nurses and health aide care provided, Supervises the care provided by the hospice aide every two (2) weeks minimally, and as needed.
• Manages the hospice benefit periods in accordance with evolving patient needs and continued eligibility for services.
• Communication
• Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains / receives physician's orders as required.
• Attends and facilitates IDT meetings every two weeks at a minimum, and as needed.
• Communicates and coordinates with the hospice house nurses when delegating appropriate visits.
• Communicates with other community providers to coordinate the care plan (i.e. Insurance case managers, elder services, protective service, etc.).
• Practices confidentiality principles set by the agency and federal HIPAA guidelines.
• Documentation
• Demonstrates proficiency in HIS completion.
• Documentation supports that the patient meets hospice criteria ongoing.
• 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
• Ensures that arrangements for equipment and other necessary items and services are available.
• Participates in in-service programs and supervises, teaches and precepts other nursing personnel as assigned by House Director

Organizational Requirements :

Minimum Qualifications :

Key Relationships :