Community Hospice Jobs

Assist in the information gathering, education, and form completion aspects of patient intake, admissions, and transition to care. Develop a consultative relationship, in assigned accounts by making effective customer contacts and presentations. Evaluate patients for potential hospice appropriateness (e.g. medical records review) as ordered by the physician. Obtain agreement for admission of referred patients and families who meet admission criteria and who make an informed decision about the services. Maintain clinical and professional competence with emphasis on expertise in clinical appropriateness and pain and symptom management, eligibility requirements and the coordination of care. Take the initiative in developing effective relationships with senior management, admissions, and patient care colleagues. Other duties and responsibilities as assigned. Knowledge of the principles of the education and consultative process with the ability to further develop these skills. Ability to support education activities with referral sources. Ability to communicate effectively with customers individually and in group settings. Knowledge of clinical manifestations of diseases and ability to learn VITAS pain and symptom management guidelines. Ability to use VITAS information system and mobile technology platforms. Must be able to plan and prioritize their responsibilities in a manner that maximizes business results. Must be able to utilize independent judgment and discretion to manage a territory, to set appointments with key individual and/or groups, to conduct calls and presentations to support VITAS. Demonstrated capacity to learn clinical knowledge as well as VITAS pain and symptom management guidelines. Reliable means of transportation. QUALIFICATIONS Previous healthcare sales or service experience preferred. Previous hospital, physician practice, LTC or ALF experience preferred. Strong presentation skills Excellent interpersonal skills EDUCATION Bachelor's degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V

The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team's patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement. Patient Care Services Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care. Reviews information on all pending patient admissions, all new admissions (assessments and history) and “alive” discharges to assure that eligibility and appropriateness criteria are met. Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management. Assures complete and accurate data and documentation are available to make recertification decisions and further assures that those decisions are made on a timely basis. Reviews all imminent “alive” discharges to assure effective discharge planning. Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.) to assure that they are appropriate and responsive to patient/family needs and expectations. Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team. Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family. Participates in on-call rotation. Staff Supervision and Management Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator Assures staff competence and performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and specific team growth needs. Acts as a resource and mentor for staff re clinical issues, documentation, inter- and intra- team problem solving and appropriate customer service behavior Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations. Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses. Quality Improvement/Regulatory Compliance Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies. Develops and implements performance improvement activities to respond to service issues and challenges and participates from time to time in program relating to quality and service improvement. Ensures that team completes proactive and other patient/family satisfaction surveys, and implements Quality Improvement measures and standards. Assists with surveys and requests from regulatory bodies and intermediaries as directed by local program. Performs substantive chart reviews to assure there is evidence that quality care is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review of continuous care and inpatient levels of care for all patients on team. Customer Service/Sales/Marketing Assures that problems/grievances/service failures experienced by individual pa tients/families or physicians/MCOs are addressed with team members, vendors, other VITAS departments, and are resolved promptly and satisfactorily. Analyzes customer service issues on team to identify causes and works with individual team members as well as entire team to improve performance. Personally speaks with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation. Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness. Participates in providing inservices to customers along with other team members, Patient Care Administrators and other program staff. Participates in professional, voluntary or community service organizations Cost Containment Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies. Monitors utilization of resources by every patient to assure cost effective delivery of services. Controls and is accountable for productivity, labor and all related patient care costs with respect to budget. Approves all bills/invoices related to patient care services Professional Development Attends inservices, educational seminars and workshops. Develops and achieves professional growth goals and objectives. Participates as a mentor of newly hired Team Managers. QUALIFICATIONS Reliable transportation with appropriate license and insurance coverage for driver and passengers. Private telephone in home. Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care. Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement. Working knowledge of VITAS information system (Vx) and the ability to utilize management reports. Two years successful supervisory experience or equivalent in a health care organization. EDUCATION Bachelor's degree preferred. Current and valid R.N. License to practice in the state where the VITAS program is located. SPECIAL INSTRUCTIONS TO CANDIDATE EOE/AA M/F/D/V

Development of Sales Team Provides guidance, coaching and direction for team members. Develops each team member and actively coaches them in sales conversations and techniques guided by the VITAS Sales Model. Ensures each team member is consistently using territory and account planning while leveraging the CRM tool. Travels with team members to coach, train and develop relationships with customers while identifying opportunities of strength and development and implementing territory plans. Provides timely, specific coaching feedback related to sales model during all sales interactions. Conducts regular sales meetings based on assessment of market needs, team skill set opportunities inclusive of education component. Supports new hire representatives along with continued development and growth for all sales representatives. Creates positive culture of growth and development on sales team for the purposes of retention. Actively recruits to attract top talent into the organization. Set Expectations and Lead Accountability of Sales Team Ensures successful territory achievement of targeted accounts by increasing market share and growth through planning and executing strategies. Tracks results to plan. Able to set consistent expectations and address adherence to standards. Foster and coach to the importance of account management and progression Engage in the execution of rep quarterly business plans, effective targeting methods, and appropriate sales strategy for account awareness through integration. Able to develop and implement strategies to improve performance and address deficiencies. Drive and Execute Business Opportunities as the Sales Leader Provide leadership and set the direction for the team to achieve targeted sales numbers and successfully execute goals and strategies. Closely collaborate with the team and professional partners to ensure positive customer outcomes. Responsible for developing and maintaining professional business relationships with key stakeholders to include; hospitals, physicians, post-acute care, and assisted living communities. Able to identify opportunities through analysis with given tools as well as specific needs of the market Proactive in capitalizing on market opportunities and improvement on areas of weakness Proficiency in healthcare and market knowledge in order to execute strategies for growth Collaborates with Internal Team Members Works with internal stakeholders throughout the organization including partnering with marketing, patient care, clinical and compliance to execute business strategies. Identify areas where cross functional team members can partner to enhance the sales process through solution based approach. Work with medical director/regional medical director on development of physician peer-to-peer relationships in the community Leverage central support departments for business development opportunities Present program statistics and strategies on a quarterly basis to senior management QUALIFICATIONS Minimum of three (3) years' experience and/or training in leadership capacity At least five (5) years' experience in the health-care/therapeutics, sales or marketing field. Proficiency in business analytics in order to forecast growth opportunities including excel and CRMs Demonstrates experiences of developing strategies and solutions to drive sales Demonstrated prioritization and organization skills. Ability to work effectively as a team leader/member must be a strength. Understanding of collaboration with cross functional teams to develop actionable plans Ability to prepare and execute product presentations to others. Demonstrated ability to write effective business plans and sales plans. Working knowledge of healthcare trends and how they apply to the position Ability to lead a sales team in a positive and productive manner by motivating, developing and managing employees' performance. Expected to also possess the ability to utilize and administer disciplinary procedures, where appropriate, through effective coaching and counseling of staff as they erform the duties and functions of their work. Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions Knowledge of policies and practices involved in the human resources function Ability to work on various assignments simultaneously Strong interpersonal skills within all levels of the organization Ability to navigate within automated systems and proficient with MS office applications including Word, Excel, PowerPoint and Outlook EDUCATION Bachelor's degree in Business Administration, Marketing or related field from an accredited college or university or the international equivalent required. Master's degree preferred. SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V

The VITAS Home Health Aide (HHA) is a non-exempt employee, who is trained to provide personal care and services to hospice patients to augment care given by family members or other caregivers. ASSIGNED JOB RESPONSIBILITIES Performs only those personal care activities contained in a written assignment. Home Health Aide (HHA) assignments may include: Home Health Aide (HHA) helps the patient to maintain good personal hygiene. Home Health Aide (HHA) plans and prepare meals. Feeds or assist with feeding the patient when needed. Home Health Aide (HHA) assists the patient ambulation. Home Health Aide (HHA) assists with certain treatments as ordered by the physician, and taught and supervised by the nurse for a specific patient including: assist with the change of the colostomy bag; assist with the use of a walker or wheelchair; reinforcement of a dressing; assist with prescribed range of motion exercises; assist with prescribed ice cap or collar; measure intake and output of fluids; and assist with medications that are ordinarily self-administered. Home Health Aide (HHA) reads and records temperature, pulse and respiration. OTHER RESPONSIBILITIES FOR THE HOME HEALTH AIDE (HHA) NOT INCLUDED IN A WRITTEN ASSIGNMENT MAY INCLUDE: Home Health Aide (HHA) assists in maintaining a safe and healthy environment. Home Health Aide (HHA) promotes the patient's mental alertness through involvement in activities of interest. Home Health Aide (HHA) provides simple emotional and psychological support to the patient, family, and other caregivers. Home Health Aide (HHA) reports any changes in the patient's mental or physical condition or home situation to the VITAS Nurse and members of the interdisciplinary team. Home Health Aide (HHA) teaches basic personal care to the primary caregiver. Home Health Aide (HHA) practices basic infection control measures. Home Health Aide (HHA) observes, reports, and documents patient status and the care and activities provided. Home Health Aide (HHA) completes at least 12 hours of in-service training per calendar year. Home Health Aide (HHA) handles other tasks as assigned. THE HOME HEALTH AIDE (HHA) MAY NOT: Be assigned by VITAS to any institutional setting. Change sterile dressings. Irrigate body cavities (such as an enema). Irrigate a colostomy or wound. Perform a gastric lavage or gavage. Catheterize a patient. Administer medications. Apply heat by any method. Care for a tracheotomy tube. Suction a patient. Provide any personal care that has not been assigned by the VITAS nurse or included in the plan of care. QUALIFICATIONS High School graduate or equivalent preferred. Meets personnel qualifications of a Home Health Aide as specified in 42 C.F.R. Section 484.4 and Section 484.36. Documented evidence of 75 hours of training as specified in 42 C.F.R. Sections 484.36 (a)(1). Documented evidence that Home Health Aide has successfully completed a Competency Evaluation program as described in 42 C.F.R. Section 484.36(b). State Allowable Training/Certification AL, CO, DC, DE, FL, GA, IN, MI, PA, TX, VA, WI CNA, HHA, HA CA CHHA CT Homemaker-Home Health Aide IL HHA, NA KS Home Health Aide certificate MO Home Health Aide NJ Homemaker-Home Health Aide OH Home Health Aide SPECIAL REQUIREMENTS Home Health Aide (HHA) has the ability to read, write, and carry out directions. Home Health Aide (HHA) has the ability to travel per job requirements. Home Health Aide (HHA) has a telephone available in home. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands described for the Home Health Aide (HHA) are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Home Health Aide (HHA), the employee is regularly required to: Assist in lifting and transferring patients, as required. Lift objects in excess of 20 pounds Stand or walk in excess of one hour per day Talk and hear Specific vision abilities required by the Home Health Aide (HHA) include: Close vision Distance vision Ability to adjust focus The Home Health Aide (HHA) will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED Home Health Aide (HHA) reports directly to the VITAS Nurse. Home Health Aide (HHA) receives clinical direction from the VITAS Nurse.

Records physical findings, and formulates plan and prognosis, based on patient's condition. Discusses case with physician and other health professionals to prepare comprehensive patient care plan. Prescribes or recommends drugs or other forms of treatment. Monitors and maintains progress of patients and reports progress to supervising physician. Has the ability to work collaboratively with hospice employees and volunteers as part of an IDT. QUALIFICATIONS Qualified candidates must have a minimum of (2) years experience in hospice, home health or community health in the past five (5) years. While performing the duties of this position, the employee is regularly required to assist in lifting and transferring patients as required. Lift objects in excess of 20 pounds. Specific vision abilities required by this job include: close vision, distance vision and ability to adjust focus. The employee will be required to stand or walk in excess of one hour per day, talk, hear, sit, stoop, kneel and crouch as needed. EDUCATION Requires completion of accredited Nurse Practitioner program. State licensure is also required. SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V

The Patient Care Secretary is a skilled secretarial person whose job is to support the work of the Team Manager and who is generally responsible for accomplishing all patient care related clerical procedures. Screens telephone calls for Team Manager. Facilitates communication between pa tients/families and other team members, including volunteers. Takes and keeps daily schedule for all team members. Attends weekly team meetings. Prepares agenda for team meeting. Follows through on assignments given by the Team Manager. Establishes, maintains, and closes patient charts in an orderly fashion. This may include but is not limited to the mailing of and follow-up on all required documentation such as Plans-Of-Care, Attending Physician Authorization forms and Medical Information Request forms. Provides back-up documentation to Billing Department routinely and as requested. Orders D.M.E. and maintains record of dates ordered and picked-up. Enters patient care and volunteer data into Vx and event tracking. Communicates with staff and outside agencies as directed by Team Manager. When the program utilizes part time staff, the PCS will maintain a list of all part-time staff jointly with other patient care secretaries. Contacts and schedules part-time staff at the direction of Team Manager. Jointly with other patient care secretaries, orders supplies and documentation forms used by the team. Does routine correspondence for Team Manager and other members of the team. Sorts and processes all patient care mail jointly with other patient care secretaries. Maintains A.D.T. and checks census daily for accuracy. In programs that have more than one patient care secretary, they will cover for each other for lunch, for team meetings, and for other short intervals of absence. Handles other tasks as assigned by the Team Manager. QUALIFICATIONS Three years prior work experience preferred. Good typing skills. Computer literate. Able to handle multiple tasks. Excellent communication skills Good telephone skills EDUCATION High school graduate or equivalent required. SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V

The Chaplain is a member of the interdisciplinary team and focuses on the spiritual needs of patients, families, caregivers and staff, including volunteers. The chaplain provides pastoral care interventions, including pastoral counseling, which are determined by spiritual assessment, the specific setting and sensitivity to a variety of values, beliefs and religious orientations. The chaplain seeks excellence in pastoral care, which requires authentic demeanor, compassion and skill in dealing with the spiritual dynamics of illness, loss and death. QUALIFICATIONS Qualified candidates must have Ordination or Commission to function in a ministry of pastoral care and has received the endorsement of and is in good standing with his/her body of faith. Five years of pastoral experience preferred - two in a clinical setting. A minimum of 1 unit (400 hours), preferably two (2) or more, of Clinical Pastoral Education (CPE) accredited by one of the following: Association for Clinical Pastoral Education, National Association of Catholic Chaplains or the Canadian Association for Pastoral Practice and Education. Equivalencies to CPE may include one of the following: Evidence of clinical pastoral educational experience that includes supervision of ministry, peer group participation and theological reflection; AAMFT, AAPC, or AMHC certification; or DMin or other accredited graduate degree in pastoral care. Knowledge and skill in dealing with spiritual dynamics of illness, loss and death. Ability to function as a member of an interdisciplinary team. Commitment to professional growth and development. EDUCATION Bachelor's degree required from an accredited institution. Master's of Divinity or equivalent graduate degree from an accredited (ATS) seminary or theological school required. SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V

The LPN/LVN administers nursing care according to the plan of care to terminally ill patients admitted to the VITAS program, in accordance with the Nurse Practice Act in the State where the VITAS program is located. JOB RESPONSIBILITIES: Provides direct skilled bedside nursing care. Evaluates patient/family needs and assists in the preparation and execution of the interdisciplinary plan of care for each patient on the team. Performs selected acts in the care of the terminally ill under the supervision of a registered nurse; such acts include the administration of treatments and medications. Evaluates effectiveness of treatments and monitors patient's reactions. Reports significant findings or changes in the patient's condition to the registered nurse, Team Manager or Physician. Documents reports in clinical notes. Maintains a clean and safe environment for the patient and family. Maintain accurate documentation including but not limited to clinical notes on interdisciplinary charts. Evaluates patient/family response to care. Utilizes a wide variety of supportive and technical nursing skills in carrying out specific medical orders for administration of medication, performing specific treatments, monitoring diagnostic, therapeutic, and supportive measures. Assists the interdisciplinary team in the designing and delivering of interdisciplinary plan of care. Establishes therapeutic relationship with patients/families and invites their participation in the plan of care to ensure, as much as possible, their being able to function as independently as possible. Initiates and performs nursing protocols based on patient's needs relating to physical comfort and mental well-being which include, but are not limited to, positioning, mobilizing, bowel and bladder elimination, skin and wound care, personal hygiene and communication. Participates in patient/family teaching during daily care relative to understanding the illness and its treatment; maintaining of activities of daily living; self-care and self- medication, prevention and recognition of complications and preparation for discharge and follow-up. Plans and carries out a program of professional growth including, but not limited to, participating in regularly scheduled in-service programs and appropriate community educational offerings. Cooperates with education and research activities as assigned. 1. Participates in Nurse LPN/LVN on-call rotation/schedule as assigned in order to meet the needs of patients and families. 2. Is willing to work on flexible schedule, i.e., weekends or rotating shifts. JOB REQUIREMENTS Must have and maintain transportation to be used for work with required liability insurance and license. QUALIFICATIONS 1. Graduate of an approved school of Practical/Vocational nursing. 2. Currently licensed to practice nursing in the state where the VITAS program is located. 3. At least one year of satisfactory nursing experience, at least one year of which is an LPN/LVN in a hospital on an adult medical surgical unit. 4. Equivalent experience may be considered. RESTRICTIVE GUIDELINES IN CARE DELIVERY 1. Does NOT make initial patient nursing care assessments. 2. Supervised by a Registered Nurse 3. Reports to the applicable Team Manager ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to: · Assist in lifting and transferring patients, as required. · Lift objects in excess of 20 pounds · Stand or walk in excess of one hour per day · Talk and hear Specific vision abilities required by this job include: · Close vision · Distance vision · Ability to adjust focus The employee will be required to sit and stoop, kneel, and crouch.

The Social Worker is that member of the core interdisciplinary group whose primary function is to perform an assessment of psychosocial symptoms of the patient and family, develop psychosocial outcomes for alleviating identified symptoms and help provide the psychoeducation, supportive counseling and casework interventions needed to meet these outcomes. The Social Worker also provides psychosocial education and consultation to the IDG. Participates in the preparation, evaluation and execution of the interdisciplinary plan of care to assure that the highest quality psychosocial care is provided to patients/families and that continuity and comprehensiveness of care are Performs bio-psycho-social-spiritual assessments of patient/families, rather than diagnostic Provides individual and family supportive counseling, rather than Refers patient and family to appropriate community resources as Maintains accurate and timely documentation in the patient medical Attends weekly team meeting tor plan of care Participates in patient case Provides psychosocial education and consultation to the core Participates in psychosocial supervision meetings and other trainings. May provide supervision to other psychosocial team members, including social work interns at the direction of the team manager. May act as the coordinator and communicator of volunteer interventions on the plan of care. Provides bereavement care, including bereavement group activities. Participates in psychosocial spiritual on-call rotation/schedule as assigned. JOB REQUIREMENTS Ability to travel per job requirements. Thorough knowledge of community resources or the desire/ability to obtain this knowledge. Knowledge of key psychosocial issues prevalent with terminally ill patients and their family/caregivers, including the knowledge of effective psychosocial inter mentions to address those issues. Capacity to relate and work well with others as a member of an interdisciplinary team. Excellent listening and communication skills. Ability to be an effective patient and family advocate- both within the patient/family unit, within the core IDG, and within community agencies and the like. QUALIFICATIONS Masters of Social Work required from a school accredited by the Council on Social Work Education, unless grandfathered in per the 2008 Medicare Hospice Condition of Participation At least one year social work experience in a health care setting. Experience as a social worker with the terminally ill and their families, preferred License and/or Certification if required by State Minimum State Requirements for the following states: CT: Licensed Master Social Worker (LMSW) DC: Licensed Graduate Social Worker (LGSW) DE: Licensed Master Social Worker (LMSW) GA: MSW must be supervised by LCSW up to obtaining LMSW IL: Licensed Social Worker (LSW) NJ: Licensed Social Worker (LSW) OH: Licensed Social Worker (LSW) TX: Licensed Master Social Worker (LMSW) WI: Social Worker Certificate SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V #LI-MS1

The Admissions RN is a registered nurse and an Interdisciplinary Team member whose primary responsibility is to present VITAS services and philosophy to patients and families in a manner that results in the admission of appropriate patients. Participation in the information gathering, analysis, education and form completion aspects of the admissions process Evaluate patients for hospice appropriateness, e.g. medical records review as requested. Obtain agreement for admission of referred patients and families who meet admission criteria. Analyze data collected by the LPN to facilitate/obtain admission orders Build effective referral source relationships to support the high quality and responsiveness expectations associated with VITAS. Maintain clinical and professional competence. Take the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons. Utilize interpersonal skills to help appropriately educate and address any questions the patient and/or patient's family has concerning hospice and palliative care. JOB REQUIREMENTS Knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas. Ability to communicate effectively with patients and families, physicians, referral sources and colleagues. Knowledge of clinical manifestations of diseases and ability to develop VITAS specific clinical knowledge. Ability to use the VITAS information system and mobile technology platforms. Reliable means of transportation. QUALIFICATIONS Currently licensed as a R.N. in the state where duties are performed. Previous hospital, physician practice, LTC or ALF experience Strong Presentation Skills Previous sales or service experience preferred EDUCATION Bachelor's degree preferred SPECIAL INSTRUCTIONS TO CANDIDATE EOE/AA M/F/D/V #LI-MS1 #LI-Onsite

The VITAS Home Health Aide (HHA) is a non-exempt employee, who is trained to provide personal care and services to hospice patients to augment care given by family members or other caregivers. ASSIGNED JOB RESPONSIBILITIES Performs only those personal care activities contained in a written assignment. Home Health Aide (HHA) assignments may include: Home Health Aide (HHA) helps the patient to maintain good personal hygiene. Home Health Aide (HHA) plans and prepare meals. Feeds or assist with feeding the patient when needed. Home Health Aide (HHA) assists the patient ambulation. Home Health Aide (HHA) assists with certain treatments as ordered by the physician, and taught and supervised by the nurse for a specific patient including: assist with the change of the colostomy bag; assist with the use of a walker or wheelchair; reinforcement of a dressing; assist with prescribed range of motion exercises; assist with prescribed ice cap or collar; measure intake and output of fluids; and assist with medications that are ordinarily self-administered. Home Health Aide (HHA) reads and records temperature, pulse and respiration. OTHER RESPONSIBILITIES FOR THE HOME HEALTH AIDE (HHA) NOT INCLUDED IN A WRITTEN ASSIGNMENT MAY INCLUDE: Home Health Aide (HHA) assists in maintaining a safe and healthy environment. Home Health Aide (HHA) promotes the patient's mental alertness through involvement in activities of interest. Home Health Aide (HHA) provides simple emotional and psychological support to the patient, family, and other caregivers. Home Health Aide (HHA) reports any changes in the patient's mental or physical condition or home situation to the VITAS Nurse and members of the interdisciplinary team. Home Health Aide (HHA) teaches basic personal care to the primary caregiver. Home Health Aide (HHA) practices basic infection control measures. Home Health Aide (HHA) observes, reports, and documents patient status and the care and activities provided. Home Health Aide (HHA) completes at least 12 hours of in-service training per calendar year. Home Health Aide (HHA) handles other tasks as assigned. THE HOME HEALTH AIDE (HHA) MAY NOT: Be assigned by VITAS to any institutional setting. Change sterile dressings. Irrigate body cavities (such as an enema). Irrigate a colostomy or wound. Perform a gastric lavage or gavage. Catheterize a patient. Administer medications. Apply heat by any method. Care for a tracheotomy tube. Suction a patient. Provide any personal care that has not been assigned by the VITAS nurse or included in the plan of care. QUALIFICATIONS High School graduate or equivalent preferred. Meets personnel qualifications of a Home Health Aide as specified in 42 C.F.R. Section 484.4 and Section 484.36. Documented evidence of 75 hours of training as specified in 42 C.F.R. Sections 484.36 (a)(1). Documented evidence that Home Health Aide has successfully completed a Competency Evaluation program as described in 42 C.F.R. Section 484.36(b). State Allowable Training/Certification AL, CO, DC, DE, FL, GA, IN, MI, PA, TX, VA, WI CNA, HHA, HA CA CHHA CT Homemaker-Home Health Aide IL HHA, NA KS Home Health Aide certificate MO Home Health Aide NJ Homemaker-Home Health Aide OH Home Health Aide SPECIAL REQUIREMENTS Home Health Aide (HHA) has the ability to read, write, and carry out directions. Home Health Aide (HHA) has the ability to travel per job requirements. Home Health Aide (HHA) has a telephone available in home. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands described for the Home Health Aide (HHA) are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Home Health Aide (HHA), the employee is regularly required to: Assist in lifting and transferring patients, as required. Lift objects in excess of 20 pounds Stand or walk in excess of one hour per day Talk and hear Specific vision abilities required by the Home Health Aide (HHA) include: Close vision Distance vision Ability to adjust focus The Home Health Aide (HHA) will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED Home Health Aide (HHA) reports directly to the VITAS Nurse. Home Health Aide (HHA) receives clinical direction from the VITAS Nurse.

The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team's patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement. Salary Range: $40-$44 Patient Care Services * Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care. * Reviews information on all pending patient admissions, all new admissions (assessments and history) and "alive" discharges to assure that eligibility and appropriateness criteria are met. * Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management. * Assures complete and accurate data and documentation are available to make recertification decisions and further assures that those decisions are made on a timely basis. * Reviews all imminent "alive" discharges to assure effective discharge planning. * Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.) to assure that they are appropriate and responsive to patient/family needs and expectations. * Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team. * Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family. * Participates in on-call rotation. Staff Supervision and Management * Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator * Assures staff competence and performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and specific team growth needs. * Acts as a resource and mentor for staff re clinical issues, documentation, inter- and intra- team problem solving and appropriate customer service behavior * Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations. * Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses. Quality Improvement/Regulatory Compliance * Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies. * Develops and implements performance improvement activities to respond to service issues and challenges and participates from time to time in program relating to quality and service improvement. * Ensures that team completes proactive and other patient/family satisfaction surveys, and implements Quality Improvement measures and standards. * Assists with surveys and requests from regulatory bodies and intermediaries as directed by local program. * Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review of continuous care and inpatient levels of care for all patients on team. Customer Service/Sales/Marketing * Assures that problems/grievances/service failures experienced by individual patients/families or physicians/MCOs are addressed with team members, vendors, other VITAS departments, and are resolved promptly and satisfactorily. * Analyzes customer service issues on team to identify causes and works with individual team members as well as entire team to improve performance. * Personally speaks with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation. * Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness. * Participates in providing inservices to customers along with other team members, Patient Care Administrators and other program staff. * Participates in professional, voluntary or community service organizations Cost Containment * Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies. * Monitors utilization of resources by every patient to assure cost effective delivery of services. * Controls and is accountable for productivity, labor and all related patient care costs with respect to budget. * Approves all bills/invoices related to patient care services Professional Development * Attends inservices, educational seminars and workshops. * Develops and achieves professional growth goals and objectives. * Participates as a mentor of newly hired Team Managers. QUALIFICATIONS * Reliable transportation with appropriate license and insurance coverage for driver and passengers. * Private telephone in home. * Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care. * Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement. * Working knowledge of VITAS information system (Vx) and the ability to utilize management reports. * Two years successful supervisory experience or equivalent in a health care organization. EDUCATION * Bachelor's degree preferred. * Current and valid R.N. License to practice in the state where the VITAS program is located. SPECIAL INSTRUCTIONS TO CANDIDATE * EOE/AA M/F/D/V

The Patient Care Secretary is a skilled secretarial person whose job is to support the work of the Team Manager and who is generally responsible for accomplishing all patient care related clerical procedures. * Screens telephone calls for Team Manager. Facilitates communication between patients/families and other team members, including volunteers. * Takes and keeps daily schedule for all team members. * Attends weekly team meetings. Prepares agenda for team meeting. Follows through on assignments given by the Team Manager. * Establishes, maintains, and closes patient charts in an orderly fashion. This may include but is not limited to the mailing of and follow-up on all required documentation such as Plans-Of-Care, Attending Physician Authorization forms and Medical Information Request forms. * Provides back-up documentation to Billing Department routinely and as requested. * Orders D.M.E. and maintains record of dates ordered and picked-up. * Enters patient care and volunteer data into Vx and event tracking. * Communicates with staff and outside agencies as directed by Team Manager. * When the program utilizes part time staff, the PCS will maintain a list of all part-time staff jointly with other patient care secretaries. Contacts and schedules part-time staff at the direction of Team Manager. * Jointly with other patient care secretaries, orders supplies and documentation forms used by the team. * Does routine correspondence for Team Manager and other members of the team. * Sorts and processes all patient care mail jointly with other patient care secretaries. * Maintains A.D.T. and checks census daily for accuracy. * In programs that have more than one patient care secretary, they will cover for each other for lunch, for team meetings, and for other short intervals of absence. * Handles other tasks as assigned by the Team Manager. QUALIFICATIONS * Three years prior work experience preferred. * Good typing skills. * Computer literate. * Able to handle multiple tasks. * Excellent communication skills * Good telephone skills EDUCATION * High school graduate or equivalent required. SPECIAL INSTRUCTIONS TO CANDIDATES * EOE/AA M/F/D/V

The Social Worker is that member of the core interdisciplinary group whose primary function is to perform an assessment of psychosocial symptoms of the patient and family, develop psychosocial outcomes for alleviating identified symptoms and help provide the psychoeducation, supportive counseling and casework interventions needed to meet these outcomes. The Social Worker also provides psychosocial education and consultation to the IDG. * Participates in the preparation, evaluation and execution of the interdisciplinary plan of care to assure that the highest quality psychosocial care is provided to patients/families and that continuity and comprehensiveness of care are * Performs bio-psycho-social-spiritual assessments of patient/families, rather than diagnostic * Provides individual and family supportive counseling, rather than * Refers patient and family to appropriate community resources as * Maintains accurate and timely documentation in the patient medical * Attends weekly team meeting tor plan of care * Participates in patient case * Provides psychosocial education and consultation to the core * Participates in psychosocial supervision meetings and other trainings. May provide supervision to other psychosocial team members, including social work interns at the direction of the team manager. * May act as the coordinator and communicator of volunteer interventions on the plan of care. * Provides bereavement care, including bereavement group activities. * Participates in psychosocial spiritual on-call rotation/schedule as assigned. JOB REQUIREMENTS * Ability to travel per job requirements. * Thorough knowledge of community resources or the desire/ability to obtain this knowledge. * Knowledge of key psychosocial issues prevalent with terminally ill patients and their family/caregivers, including the knowledge of effective psychosocial inter mentions to address those issues. * Capacity to relate and work well with others as a member of an interdisciplinary team. * Excellent listening and communication skills. * Ability to be an effective patient and family advocate- both within the patient/family unit, within the core IDG, and within community agencies and the like. QUALIFICATIONS * Masters of Social Work required from a school accredited by the Council on Social Work Education, unless grandfathered in per the 2008 Medicare Hospice Condition of Participation * At least one year social work experience in a health care setting. * Experience as a social worker with the terminally ill and their families, preferred * License and/or Certification if required by State Minimum State Requirements for the following states: CT: Licensed Master Social Worker (LMSW) DC: Licensed Graduate Social Worker (LGSW) DE: Licensed Master Social Worker (LMSW) GA: MSW must be supervised by LCSW up to obtaining LMSW IL: Licensed Social Worker (LSW) NJ: Licensed Social Worker (LSW) OH: Licensed Social Worker (LSW) TX: Licensed Master Social Worker (LMSW) WI: Social Worker Certificate SPECIAL INSTRUCTIONS TO CANDIDATES * EOE/AA M/F/D/V #LI-MS1

The LPN/LVN administers nursing care according to the plan of care to terminally ill patients admitted to the VITAS program, in accordance with the Nurse Practice Act in the State where the VITAS program is located. JOB RESPONSIBILITIES: Provides direct skilled bedside nursing care. Evaluates patient/family needs and assists in the preparation and execution of the interdisciplinary plan of care for each patient on the team. Performs selected acts in the care of the terminally ill under the supervision of a registered nurse; such acts include the administration of treatments and medications. Evaluates effectiveness of treatments and monitors patient's reactions. Reports significant findings or changes in the patient's condition to the registered nurse, Team Manager or Physician. Documents reports in clinical notes. Maintains a clean and safe environment for the patient and family. Maintain accurate documentation including but not limited to clinical notes on interdisciplinary charts. Evaluates patient/family response to care. Utilizes a wide variety of supportive and technical nursing skills in carrying out specific medical orders for administration of medication, performing specific treatments, monitoring diagnostic, therapeutic, and supportive measures. Assists the interdisciplinary team in the designing and delivering of interdisciplinary plan of care. Establishes therapeutic relationship with patients/families and invites their participation in the plan of care to ensure, as much as possible, their being able to function as independently as possible. Initiates and performs nursing protocols based on patient's needs relating to physical comfort and mental well-being which include, but are not limited to, positioning, mobilizing, bowel and bladder elimination, skin and wound care, personal hygiene and communication. Participates in patient/family teaching during daily care relative to understanding the illness and its treatment; maintaining of activities of daily living; self-care and self- medication, prevention and recognition of complications and preparation for discharge and follow-up. Plans and carries out a program of professional growth including, but not limited to, participating in regularly scheduled in-service programs and appropriate community educational offerings. Cooperates with education and research activities as assigned. 1. Participates in Nurse LPN/LVN on-call rotation/schedule as assigned in order to meet the needs of patients and families. 2. Is willing to work on flexible schedule, i.e., weekends or rotating shifts. JOB REQUIREMENTS Must have and maintain transportation to be used for work with required liability insurance and license. QUALIFICATIONS 1. Graduate of an approved school of Practical/Vocational nursing. 2. Currently licensed to practice nursing in the state where the VITAS program is located. 3. At least one year of satisfactory nursing experience, at least one year of which is an LPN/LVN in a hospital on an adult medical surgical unit. 4. Equivalent experience may be considered. RESTRICTIVE GUIDELINES IN CARE DELIVERY 1. Does NOT make initial patient nursing care assessments. 2. Supervised by a Registered Nurse 3. Reports to the applicable Team Manager ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to: · Assist in lifting and transferring patients, as required. · Lift objects in excess of 20 pounds · Stand or walk in excess of one hour per day · Talk and hear Specific vision abilities required by this job include: · Close vision · Distance vision · Ability to adjust focus The employee will be required to sit and stoop, kneel, and crouch.

PRIMARY FUNCTION The Registered Nurse, RN, is a member of the interdisciplinary team who work together to meet the physical, medical, psychosocial, emotional and spiritual needs of hospice patients and families facing terminal illness and bereavement. The Registered Nurse, RN, is designated to provide coordination of care, ensure continuous assessment of each patients and family's needs and implementation of the interdisciplinary plan of care. Salary Range: $38-$40/Hour JOB RESPONSIBILITIES a. Case Management and Supervision for Registered Nurse, RN 1. Registered Nurse, RN, follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license and has knowledge of hospice eligibility requirements 2. Registered Nurse, RN, reports any request to practice outside of scope of license to the manager/supervisor 3. Registered Nurse, RN, performs supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care 4. Registered Nurse, RN, completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement in order to provide palliation of end-of-life symptoms 5. Registered Nurse, RN, appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults 6. Registered Nurse, RN, completes documentation at the time of the event and at the location of care unless otherwise directed 7. Registered Nurse, RN, provides education and training to patients, families, caregivers and referral sources in the care of the patient, including pain management 8. Registered Nurse, RN, participates in patient care meetings as assigned 9. Registered Nurse, RN, participates in weekly team meetings 10. Registered Nurse, RN, provides effective communication/shift reports through written, verbal, reporting and body language 11. Registered Nurse, RN, participates in bereavement support 12. Registered Nurse, RN, participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs 13. Registered Nurse, RN, provides visits/shifts in program coverage area 14. Registered Nurse, RN, works with IDG to develop, coordinate, and follow the patients individualized plan of care 15. Registered Nurse, RN, obtains physician orders when necessary 16. Registered Nurse, RN, provides those services requiring substantial and specialized nursing skill 17. Registered Nurse, RN, evaluates the outcome of services 18. Registered Nurse, RN, appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses a) Connecticut: For activities other than those listed in section 19-13D69(d)(3) of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that: i. All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed ii. Determination that this activity can be delegated safely to a Hospice Aide/Homemaker 19. Registered Nurse, RN, provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HAs and Volunteers 20. Registered Nurse, RN, participates in and monitors patient and family care compliance activities 21. Registered Nurse, RN, professionally manages/coordinates the hospice plan of care 22. Registered Nurse, RN, provides and follows infection control practices 23. Registered Nurse, RN, delivers care in accordance with the patients plan of care. i. Provides primary nursing care for inpatient and continuous care patients as assigned. b. Quality Improvement a. Registered Nurse, RN, participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. For the Registered Nurse, RN, this may include, but is not limited to: b. Registered Nurse, RN, participation in Performance Improvement Project(s) (PIP) c. Registered Nurse, RN, gathering clinical data which is used for quality measures c. Professional Development a. Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned c. Registered Nurse, RN, participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned d. Registered Nurse, RN, participates in training activities internally within VITAS and externally as assigned e. Registered Nurse, RN, provides customer service f. Registered Nurse, RN, maintains focus on the patient and family experience of care g. Registered Nurse, RN, serves as a patient and family advocate h. Registered Nurse, RN, reports patient/family/customer complaints to Team Manager i. Registered Nurse, RN, participates in patient/family/customer conflict resolution as applicable j. Registered Nurse, RN, represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner JOB REQUIREMENTS a. Registered Nurse, RN, has reliable transportation with adequate insurance coverage for driver and passengers. b. Registered Nurse, RN, has telephone available (cellular or land line) ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands for the Registered Nurse, RN described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Registered Nurse, RN, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day 4. Talk and hear Specific vision abilities required for the Registered Nurse, RN include: 1. Close vision 2. Distance vision 3. Ability to adjust focus The Registered Nurse, RN will be required to sit and stoop, kneel, and crouch. QUALIFICATIONS FOR THE REGISTERED NURSE, RN 1. Currently licensed to practice nursing in the state where the VITAS program is located. 2. A minimum of two years of nursing experience in hospice, home health, or community health in the last five years. 3. Equivalent experience or licensure may be considered DIRECTION RECEIVED Reports directly to the Team Manager.

The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team's patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement. Patient Care Services Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care. Reviews information on all pending patient admissions, all new admissions (assessments and history) and “alive” discharges to assure that eligibility and appropriateness criteria are met. Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management. Assures complete and accurate data and documentation are available to make recertification decisions and further assures that those decisions are made on a timely basis. Reviews all imminent “alive” discharges to assure effective discharge planning. Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.) to assure that they are appropriate and responsive to patient/family needs and expectations. Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team. Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family. Participates in on-call rotation. Staff Supervision and Management Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator Assures staff competence and performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and specific team growth needs. Acts as a resource and mentor for staff re clinical issues, documentation, inter- and intra- team problem solving and appropriate customer service behavior Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations. Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses. Quality Improvement/Regulatory Compliance Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies. Develops and implements performance improvement activities to respond to service issues and challenges and participates from time to time in program relating to quality and service improvement. Ensures that team completes proactive and other patient/family satisfaction surveys, and implements Quality Improvement measures and standards. Assists with surveys and requests from regulatory bodies and intermediaries as directed by local program. Performs substantive chart reviews to assure there is evidence that quality care is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review of continuous care and inpatient levels of care for all patients on team. Customer Service/Sales/Marketing Assures that problems/grievances/service failures experienced by individual pa tients/families or physicians/MCOs are addressed with team members, vendors, other VITAS departments, and are resolved promptly and satisfactorily. Analyzes customer service issues on team to identify causes and works with individual team members as well as entire team to improve performance. Personally speaks with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation. Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness. Participates in providing inservices to customers along with other team members, Patient Care Administrators and other program staff. Participates in professional, voluntary or community service organizations Cost Containment Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies. Monitors utilization of resources by every patient to assure cost effective delivery of services. Controls and is accountable for productivity, labor and all related patient care costs with respect to budget. Approves all bills/invoices related to patient care services Professional Development Attends inservices, educational seminars and workshops. Develops and achieves professional growth goals and objectives. Participates as a mentor of newly hired Team Managers. QUALIFICATIONS Reliable transportation with appropriate license and insurance coverage for driver and passengers. Private telephone in home. Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care. Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement. Working knowledge of VITAS information system (Vx) and the ability to utilize management reports. Two years successful supervisory experience or equivalent in a health care organization. EDUCATION Bachelor's degree preferred. Current and valid R.N. License to practice in the state where the VITAS program is located. SPECIAL INSTRUCTIONS TO CANDIDATE EOE/AA M/F/D/V

PRIMARY FUNCTION The Registered Nurse, RN, is a member of the interdisciplinary team who work together to meet the physical, medical, psychosocial, emotional and spiritual needs of hospice patients and families facing terminal illness and bereavement. The Registered Nurse, RN, is designated to provide coordination of care, ensure continuous assessment of each patients and family's needs and implementation of the interdisciplinary plan of care. JOB RESPONSIBILITIES a. Case Management and Supervision for Registered Nurse, RN 1. Registered Nurse, RN, follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license and has knowledge of hospice eligibility requirements 2. Registered Nurse, RN, reports any request to practice outside of scope of license to the manager/supervisor 3. Registered Nurse, RN, performs supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care 4. Registered Nurse, RN, completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement in order to provide palliation of end-of-life symptoms 5. Registered Nurse, RN, appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults 6. Registered Nurse, RN, completes documentation at the time of the event and at the location of care unless otherwise directed 7. Registered Nurse, RN, provides education and training to patients, families, caregivers and referral sources in the care of the patient, including pain management 8. Registered Nurse, RN, participates in patient care meetings as assigned 9. Registered Nurse, RN, participates in weekly team meetings 10. Registered Nurse, RN, provides effective communication/shift reports through written, verbal, reporting and body language 11. Registered Nurse, RN, participates in bereavement support 12. Registered Nurse, RN, participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs 13. Registered Nurse, RN, provides visits/shifts in program coverage area 14. Registered Nurse, RN, works with IDG to develop, coordinate, and follow the patients individualized plan of care 15. Registered Nurse, RN, obtains physician orders when necessary 16. Registered Nurse, RN, provides those services requiring substantial and specialized nursing skill 17. Registered Nurse, RN, evaluates the outcome of services 18. Registered Nurse, RN, appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses a) Connecticut: For activities other than those listed in section 19-13D69(d)(3) of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that: i. All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed ii. Determination that this activity can be delegated safely to a Hospice Aide/Homemaker 19. Registered Nurse, RN, provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HAs and Volunteers 20. Registered Nurse, RN, participates in and monitors patient and family care compliance activities 21. Registered Nurse, RN, professionally manages/coordinates the hospice plan of care 22. Registered Nurse, RN, provides and follows infection control practices 23. Registered Nurse, RN, delivers care in accordance with the patients plan of care. i. Provides primary nursing care for inpatient and continuous care patients as assigned. b. Quality Improvement a. Registered Nurse, RN, participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. For the Registered Nurse, RN, this may include, but is not limited to: b. Registered Nurse, RN, participation in Performance Improvement Project(s) (PIP) c. Registered Nurse, RN, gathering clinical data which is used for quality measures c. Professional Development a. Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned c. Registered Nurse, RN, participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned d. Registered Nurse, RN, participates in training activities internally within VITAS and externally as assigned e. Registered Nurse, RN, provides customer service f. Registered Nurse, RN, maintains focus on the patient and family experience of care g. Registered Nurse, RN, serves as a patient and family advocate h. Registered Nurse, RN, reports patient/family/customer complaints to Team Manager i. Registered Nurse, RN, participates in patient/family/customer conflict resolution as applicable j. Registered Nurse, RN, represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner JOB REQUIREMENTS a. Registered Nurse, RN, has reliable transportation with adequate insurance coverage for driver and passengers. b. Registered Nurse, RN, has telephone available (cellular or land line) ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands for the Registered Nurse, RN described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Registered Nurse, RN, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day 4. Talk and hear Specific vision abilities required for the Registered Nurse, RN include: 1. Close vision 2. Distance vision 3. Ability to adjust focus The Registered Nurse, RN will be required to sit and stoop, kneel, and crouch. QUALIFICATIONS FOR THE REGISTERED NURSE, RN 1. Currently licensed to practice nursing in the state where the VITAS program is located. 2. A minimum of two years of nursing experience in hospice, home health, or community health in the last five years. 3. Equivalent experience or licensure may be considered DIRECTION RECEIVED Reports directly to the Team Manager.

PRIMARY FUNCTION The Registered Nurse, RN, is a member of the interdisciplinary team who work together to meet the physical, medical, psychosocial, emotional and spiritual needs of hospice patients and families facing terminal illness and bereavement. The Registered Nurse, RN, is designated to provide coordination of care, ensure continuous assessment of each patients and family's needs and implementation of the interdisciplinary plan of care. JOB RESPONSIBILITIES a. Case Management and Supervision for Registered Nurse, RN 1. Registered Nurse, RN, follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license and has knowledge of hospice eligibility requirements 2. Registered Nurse, RN, reports any request to practice outside of scope of license to the manager/supervisor 3. Registered Nurse, RN, performs supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care 4. Registered Nurse, RN, completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement in order to provide palliation of end-of-life symptoms 5. Registered Nurse, RN, appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults 6. Registered Nurse, RN, completes documentation at the time of the event and at the location of care unless otherwise directed 7. Registered Nurse, RN, provides education and training to patients, families, caregivers and referral sources in the care of the patient, including pain management 8. Registered Nurse, RN, participates in patient care meetings as assigned 9. Registered Nurse, RN, participates in weekly team meetings 10. Registered Nurse, RN, provides effective communication/shift reports through written, verbal, reporting and body language 11. Registered Nurse, RN, participates in bereavement support 12. Registered Nurse, RN, participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs 13. Registered Nurse, RN, provides visits/shifts in program coverage area 14. Registered Nurse, RN, works with IDG to develop, coordinate, and follow the patients individualized plan of care 15. Registered Nurse, RN, obtains physician orders when necessary 16. Registered Nurse, RN, provides those services requiring substantial and specialized nursing skill 17. Registered Nurse, RN, evaluates the outcome of services 18. Registered Nurse, RN, appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses a) Connecticut: For activities other than those listed in section 19-13D69(d)(3) of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that: i. All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed ii. Determination that this activity can be delegated safely to a Hospice Aide/Homemaker 19. Registered Nurse, RN, provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HAs and Volunteers 20. Registered Nurse, RN, participates in and monitors patient and family care compliance activities 21. Registered Nurse, RN, professionally manages/coordinates the hospice plan of care 22. Registered Nurse, RN, provides and follows infection control practices 23. Registered Nurse, RN, delivers care in accordance with the patients plan of care. i. Provides primary nursing care for inpatient and continuous care patients as assigned. b. Quality Improvement a. Registered Nurse, RN, participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. For the Registered Nurse, RN, this may include, but is not limited to: b. Registered Nurse, RN, participation in Performance Improvement Project(s) (PIP) c. Registered Nurse, RN, gathering clinical data which is used for quality measures c. Professional Development a. Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned c. Registered Nurse, RN, participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned d. Registered Nurse, RN, participates in training activities internally within VITAS and externally as assigned e. Registered Nurse, RN, provides customer service f. Registered Nurse, RN, maintains focus on the patient and family experience of care g. Registered Nurse, RN, serves as a patient and family advocate h. Registered Nurse, RN, reports patient/family/customer complaints to Team Manager i. Registered Nurse, RN, participates in patient/family/customer conflict resolution as applicable j. Registered Nurse, RN, represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner JOB REQUIREMENTS a. Registered Nurse, RN, has reliable transportation with adequate insurance coverage for driver and passengers. b. Registered Nurse, RN, has telephone available (cellular or land line) ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands for the Registered Nurse, RN described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Registered Nurse, RN, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day 4. Talk and hear Specific vision abilities required for the Registered Nurse, RN include: 1. Close vision 2. Distance vision 3. Ability to adjust focus The Registered Nurse, RN will be required to sit and stoop, kneel, and crouch. QUALIFICATIONS FOR THE REGISTERED NURSE, RN 1. Currently licensed to practice nursing in the state where the VITAS program is located. 2. A minimum of two years of nursing experience in hospice, home health, or community health in the last five years. 3. Equivalent experience or licensure may be considered DIRECTION RECEIVED Reports directly to the Team Manager.