Registered Nurse jobs at Hospice Buffalo - 6068 jobs

Fulltime Acute Dialysis RN for Roswell Park and Millard Fillmore The Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment. This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses. Acute nurses may report directly to an Acute Manager, Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH · Assist with clinical and operational processes to improve patient health and minimize hospitalizations and rehospitalization. · Ensure patient and treatment charge information and other related data are accurate and submitted appropriately. · Demonstrate effective use of supplies and staff labor hours. · May participate in inventory management, including end-of-month inventory reporting and adherence to company purchasing protocols. · Perform duties as assigned to meet the patient care or operational needs. OUTCOMES · Administer medications as ordered by the physician.. · Provide patient education and follow up as needed. · Assist with program's target goals in meeting quality metrics for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS · Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. · Perform duties at all times within limitations established by and in accordance with company policy and procedures, hospital policy, applicable state and federal laws and regulations. · Complete water quality verification and equipment safety checks prior to each treatment, to include second verification as required. · Complete pre and post treatment physical assessments. · Complete pre and post Handoff Communication with hospital nurses. · Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites. · Set up dialysis machines; report machine problems to biomedical technician and/or Acute Manager as appropriate. · Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures. · Participate in infection control monitoring, implementation, and recording as requested. · Use personal protective equipment as necessary. · Be familiar with emergency equipment and all emergency operational procedures, as required by hospital. OPERATIONAL READINESS (cont.) · Demonstrate effective staffing based on acuity, skill mix and company guidelines. · Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so. · Participate in all surveys as required. · Ensure nursing care is carried out as directed and treatment is administered in accordance with physician orders. · Ensure appropriate and required information is documented in patient records. · Inform Supervisor, Medical Director or Physician and Hospital Liaison of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. · Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to troubleshoot problems independently. · Notify Bio-Medical Technician regarding machine or water treatment malfunctions, values out of parameters and document as required. PARTNERSHIPS · Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician. · Maintain collaborative working relationship with physicians, nurse practitioners, and other hospital healthcare professionals. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Address patient concerns timely and professionally; following hospital policy. STAFF DEVELOPMENT/ RETENTION · Participate in staff meetings as required. Attend and complete all company and hospital required in-service and continuing education. · May delegate tasks to competent licensed and unlicensed staff per applicable state practice act. · Assist with staff training as requested. · Lead staff in team concepts and promote a team effort. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Current RN license in applicable state or compact. License must be maintained as current and in good standing. 12 months or more current nursing experience preferred. Previous experience in providing nursing care to patients on dialysis preferred. CPR certification required with hospital approved program Ability to pass color screening. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. Must meet any practice requirement(s) for the applicable state. Ability to meet minimum hospital/agency hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment. All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO

The RN - Transitional Care Coordinator is responsible for assessing patients that are medically complex and at high risk for readmission to ensure a successful transition from the hospital to community. The Transitional Care Coordinator RN is accountable to reduce the challenges that patients face post discharge and prevent hospital readmissions. Core Job Responsibilities Assess, plan, implement and evaluate the needs of patients for transitional care needs. Track and report variances in standards of care that impact our readmission rates. Coordinate the post-discharge workflow by anticipating potential gaps in care and education needs. Evaluate and follow-up for assigned patients who require medication reconciliation, adherence assessment, management of acute and chronic disease states, assessment of patient's ability to perform self-care/instructions, coordination of post-discharge appointments and care coordination services. Coordinate processes designed to reduce readmissions with physicians, nursing staff, the patient and care givers. Implement post-discharge plans in accordance with criteria for Medicare, Medicaid coverage, HMO or private insurers. Collaborate with community agencies and service providers to meet transitional care needs. Perform other duties as required. Education/Experience Requirements REQUIRED: Bachelor's degree in Nursing or closely related field; or equivalent nursing experience. 3 years of clinical experience. Strong computer skills. PREFERRED: Case Management, Utilization Management and Quality Management experience Licensure/Certification Requirements REQUIRED: Current NYS Licensed Registered Professional Nurse. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 94395 Department CASE MANAGEMENT Shift Days Shift Hours Worked 8.00 FTE 1 Work Schedule SALARIED GENERAL Employee Status A1 - Full-Time Union Non-Union Pay Range $67k - $106k/Annually

Provides direct and indirect patient care in the office setting to patients, families and caregivers in the Medical Group practice. Uses the nursing process consistent with acceptable standards of the profession and MVHS Medical Group. Provides high quality patient centered care that reflects initiative, flexibility and responsibility with a minimum amount of administrative supervision. Determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicates with outpatient clinic physicians and NP/PAs (healthcare providers) about changes in patient's status, symptomatology and results of diagnostic studies. Is able to respond quickly and accurately to changes in condition or response to treatment Core Job Responsibilities • Support the PCP in the delivery of care by gathering and documenting relevant clinical data, as appropriate and per patient need. • Participate in the daily huddle to identify individual patient needs for upcoming appointments. • Clinical liaison between patient and provider for questions, concerns and testing results. • Communicate effectively with other members of the care team in coordinating the individualized plan of care. • Support PCP during in office procedures and examinations. • Provide outreach and education to patients in need of services as identified through quality improvement initiatives (Population Health Management). • Perform duties within scope of practice to the highest level of licensure. • Provide direct support & guidance to other members of the care team as appropriate. • Able to perform assessment data collection on all patients utilizing tools / forms in EMR. • Adequately assess and reassess pain. Educate the patient and family regarding pain management. • Provide age appropriate care to patients in the community setting. • Consistently document procedures completed in the EMR, to include medications administered and follow-up assessments • Deliver medication utilizing the five (5) rights and observes patient for desired untoward effects. • Maintain current knowledge of medications and their correct administration. • Establish priorities of patient care based on needs and office resource • Demonstrates the ability to assist providers with procedures and perform services requiring technical and manual skill • Perform other duties as required. Education/Experience Requirements • Graduate of an accredited school of nursing or nursing program. • Current New York State Registered Nursing registration. • BLS Certification. • Minimum one year of nursing experience • Basic computer and EMR knowledge. • Excellent communication and interpersonal skills. • Ability to assimilate information from many different sources. • Must be able to communicate in English both verbally and in writing. Licensure/Certification Requirements • BSN from accredited nursing program • Experience in a specialty medical office. • Certifications applicable to the assigned office's specialty. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Job Details Req Id 95984 Department MG - SPEC - VASCULAR SURGERY Shift Days Shift Hours Worked 8.00 FTE 1 Work Schedule HRLY NON-UNION-8 HR Employee Status A1 - Full-Time Union Non-Union Pay Range $30 - $49 Per Hour

The staff nurse uses the nursing process to provide patient care consistent with acceptable standards of the profession and Community Medicine with a minimum amount of Faxton - St. Luke's Healthcare supervision. Provides direct and indirect care in an office setting. Promotes high quality of care that reflects initiative, flexibility and responsibility. Determines priorities of care based on patient's physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicates with the Community Medicine providers about any changes in a patient's status Core Job Responsibilities Able to perform assessment data collection on all patients utilizing tool / forms in EMR Demonstrates ability to adequately assess and reassess pain. Educates the patient and family regarding pain management. Demonstrates skills necessary to provide age appropriate care to patients in the community setting. Consistently documents procedures completed in the EMR, to include medications administered and follow-up assessments Delivers medication utilizing the five (5) rights and observes patient for desired untoward effects. Maintains current knowledge of medications and their correct administration Demonstrates knowledge of EKG or cardiac tracing Establishes priorities of patient care based on needs and office resources Demonstrates the ability to assist providers with procedures and perform services requiring technical and manual skills Education/Experience Requirements Required: Graduate of an accredited school of nursing or nursing program Licensure/Certification Requirements Required: Current New York State Professional Nursing Registration BLS Certification Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 95513 Department MG - PRIM - TOWN OF WEBB Shift Days Shift Hours Worked 8.50 FTE 0.4 Work Schedule HRLY NON-UNION-8 HR Employee Status A6 - Part-Time (less than 975 hours per year) Union Non-Union Pay Range $30 - $49 Per Hour

The RN - Sepsis Coordinator oversees the hospital's Sepsis Program to improve patient outcomes. Responsibilities include developing and implementing protocols, educating staff, analyzing sepsis-related data, and collaborating with multidisciplinary teams to ensure early identification and treatment of patients with sepsis. Core Job Responsibilities Coordinate and oversee the day-to-day implementation and management of the hospital's sepsis program. Create and implement evidence-based sepsis protocols to ensure consistent and timely patient care. Develop and deliver training programs to educate healthcare staff on sepsis recognition, treatment, and best practices. Educate nurses and providers to identify and treat symptoms in a timely manner. Collaborate with various departments, such as nursing, medicine, and laboratory services, to coordinate care and improve patient outcomes. Ensure the sepsis program meets regulatory requirements and internal quality standards. Act as a clinical resource and subject matter expert for sepsis care throughout the organization. Actively round on patients with suspected or confirmed sepsis to ensure patients receive appropriate care. Evaluate and analyze utilization of treatment protocols for patients experiencing sepsis to reduce mortality rates and decrease patient length of stay Collect, analyze, and report on sepsis-related data to identify trends, monitor performance, and drive quality improvement initiatives. Use data and evidence to drive decisions at point of care that improve and optimize care delivery for patients, and clinical outcomes. Report data to leadership and quality management teams. Lead or participate in meetings with other members of hospital staff related to sepsis or related topics. Actively engage and participate in committees or initiatives that promote patient and workplace safety, optimal clinical outcomes, and satisfaction. Utilize process excellence tools and processes to improve the quality of patient care delivery and outcomes. Perform related duties as directed. Education/Experience Requirements REQUIRED: Bachelor's Degree in Nursing or health-related field required (will consider candidates actively pursuing this degree on an individual basis). Three (3) years clinical experience, with knowledge of sepsis pathophysiology, early recognition, and evidence based treatment of disease and patient management. Excellent verbal, written and interpersonal skills, and the ability to interact with all levels of staff and regulatory agencies. Ability to educate and influence interdisciplinary teams. Proficient with EHR systems (Epic) and data collection tools. PREFERRED: Master of Science in Nursing (MSN). Lean Six Sigma training. Experience as a Clinical Nurse Specialist. Experience with current sepsis guidelines. Completion of Sepsis education/certification courses (e.g., Surviving Sepsis Campaign). Knowledge of Quality Management, Performance Improvement and Utilization Management requirements and methodologies; including data abstraction and analysis. Licensure/Certification Requirements REQUIRED: Registered Nurse licensed in State of New York. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 96629 Department INFECTION PREVENTION Shift Days Shift Hours Worked 8.50 FTE 1 Work Schedule SALARIED GENERAL Employee Status A1 - Full-Time Union Non-Union Pay Range $73K - $110K Per Year

Coordinates and provides high quality nursing care to Hospice patients and families consistent with Hospice Care philosophy, policy, goals and objectives, and Standards of Nursing Practice. Works under moderate supervision. SCHEDULE: Sunday-Thursday 11:00am-7:00pm • Assesses the physical, social, psychological, living conditions and pastoral care needs of the patient/family through professional knowledge and skills of observation, interviewing and physical examination on an ongoing basis. • Establishes and revises, as necessary, the nursing component of the patient/family plan of care based on goals mutually acceptable to the patient/family and significant others and makes referrals to other services, as necessary. • Coordinates implements and evaluates the effectiveness and outcome of the care plan by ongoing assessment, planning, coordination, counseling, teaching and supervision. • Travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient. • Transports and utilizes required medical equipment and supplies using VNS Health designated/supplied carrying case weighing approximately 25 - 30 lbs. to and from patient homes/care facilities, VNS Health offices and other locations. • Provides nursing care in accordance with Agency policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient care. • Assists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals. • Visits clients every two weeks to assess the clients' condition and update the plan of treatment. • Monitors the effect of the plan of cares on the patient/family and informs physician and other personnel of changes in the patient's needs. • Manages a caseload of patients. • Provides nursing care services and initiates appropriate preventive and rehabilitative nursing procedures. • Participates in interdisciplinary team meetings. • Appraises care provided and revises the goals and approaches to patient/family care in coordination with the interdisciplinary team. • In coordination with the interdisciplinary team, assesses the family's needs during the bereavement period and provides ongoing counseling with referral to community resources, as appropriate. • Initiates and maintains written (including clinical and progress notes) and verbal communications to assure optimal patient care. • Understands and interprets Hospice Care reimbursement policy and determines the billing source for patient care. • Maintains productivity sufficient to meet Hospice goals. • Participates in the orientation of new staff. • Orients, instructs and supervises License Practical Nurses, paraprofessional staff and volunteers. • Consults with and educates the client and family regarding the disease process, self-care techniques, and prevention strategies. • Performs established work procedures in relation to Region/Program workflow. • Understands and interprets the Hospice philosophy and responsibility to other health professionals, laymen and community. • Assumes responsibility for professional growth. • Evaluates conformance of the inpatient facility in carrying out the interdisciplinary team's plan of care for select patients, when assigned. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Education: Associate's Degree in Nursing, with at least one year of experience as a full-time staff nurse in a medical-surgical nursing area or other clinical healthcare experience required or Bachelor's Degree in a health or human services field or Nursing from a State-approved diploma program required Work Experience: Minimum of one year of clinical nursing experience including at least six months of Hospice, Med/Surg, ICU, Emergency Department, Home Care, Palliative Care, Oncology or Long Term Care experience required Demonstrated computer skills may be required based on operational needs Pay Range USD $112,209.00 - USD $138,409.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

The Registered Nurse provides professional nursing care to patients, families and caregivers in the Medical Group. The Registered Nurse promotes, assists and advocates for the patient and families health by completing the nursing process, in support of the patient centered approach and delivery model of care, and is an active care team member. Responsible for collaborating with physicians, providers and multidisciplinary care team members. A Registered Nurse is responsible for assessing, planning, promoting and evaluating quality patient care. Nursing shall perform in accordance with the standards outlined for Registered Nurses in the NYS Education Law, NYS Office of the Professions, by the State Nurse Practice Act, Code of Ethics for nurses, and ANA Standards of Care. A Registered Nurse provides teaching and health promotion to patients and families. A Registered Nurse will follow the mission, vision, I-CARE values, policies and procedures of Mohawk Valley Health System. Core Job Responsibilities (25%) Delivery of Nursing Care - The registered nurse manages the nursing care process and delivers nursing care services to patients in accordance with New York State nurse practice act, regulatory standards and MVHS policies, practices and procedures, including but not limited to: Identify patient care requirements establishing personal rapport with patients, families and care givers and understanding of plan of care throughout the patient's experience; Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, families and care givers; Promote patient independence by establishing patient care goals; teaching patient, family and caregiver to understand disease process, health promotion and preventative care, medication management, and self-care skills, and provide time to answer questions and evaluate understanding; In collaboration with care team members and provider supports and adjusts plan of care as appropriate; Assure quality care by adhering to standards measuring health outcomes against patient care goals and standards; Follow the MVHS and Medical Group patient centered care model and standards of care set by the State Board of Nursing, state nursing practice act, and other governing agency regulations. (15%) Safety and Environment of Care - The registered nurse manages the nursing care safety and environment of care processes and care services to patients in accordance with New York State nurse practice act, regulatory standards and MVHS policies, practices and procedures, including but not limited to: Protect patients, families , employees by adhering to infection control policies and protocols, medication administration and controlled substance regulations; Utilize standard precautions and practice at all times; Maintain equipment, supplies, and inventory as appropriate; Maintain a safe and clean work environment by complying with procedures rules, and regulations; utilize safety devices at all times. (15%) Patient Care Administration - The registered nurse manages the nursing care safety and environment of care processes and care services to patients in accordance with New York State nurse practice act, regulatory standards and MVHS policies, practices and procedures, including but not limited to: Document patient care service by charting in patients' medical records accurately and timely in accordance with licensure, regulatory standards; Maintain continuity of care with the nursing team by communicating plan of care and follow through with multidisciplinary team ensuring that patient administration of care for all services provided are organized, planned and delivered; Maintain patient confidence and protect operations by keeping information confidential and maintaining a private environment; Maintain and anticipates needed supplies, equipment and medications verifying receipt utilizing MVHS ordering procedure. (10%) Continuing Education - The registered nurse manages the nursing care safety and environment of care processes and care services to patients in accordance with New York State nurse practice act, regulatory standards and MVHS policies, practices and procedures, including but not limited to: Maintain professional and technical knowledge by attending educational workshops, mandatory in-services; reviewing professional publications and participating in department committee meetings or work groups. Education/Experience Requirements Preferred: Minimum of one (1) year of experience in Medical Office Practice, Outpatient Setting or Specialty Licensure/Certification Requirements Required: Current New York State licensure as a Registered Nurse Basic Life Support Certification - Must receive BLS certification within 6 weeks of hire date Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 96655 Department MG - SPEC - DIGESTIVE DISEASE Shift Days Shift Hours Worked 8.50 FTE 1 Work Schedule HRLY NON-UNION-8 HR Employee Status A1 - Full-Time Union Non-Union Pay Range $30 - $49 Per Hour

The Supervisor Case Management - SNH is responsible for the oversight of the case management staff's authorization/coordination/utilization and provision of member services. Duties include the supervision and mentoring of the case management staff to ensure quality, efficient and comprehensive care to our diverse member population. Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member care needs are met and documented per the managed long term care program (MLTC) insurance regulations. Core Job Responsibilities Coordinates the daily work within the Case Management function. Relays and distributes work assignments and monitors work for quality and completeness. Ensures that the Case Management team works effectively and efficiently with the interdisciplinary health care team to meet patient, departmental and organizational goals. Provides education and training to assist with the day to day operation of the Case Management department. Assists with identifying over-utilization of services and reports trends to Case Management leadership. Ensures that the Case Management team adheres to Conditions of Participation and all regulatory requirements that impact patient rights. Practices in accordance with New York State Practice Act and applicable regulatory standards. Engages in quality improvement initiatives including continuing education, participation in system wide and unit specific teams, identifying nursing practice areas for quality improvement and safe outcomes; maintains a cooperative relationship among the health care team by communicating information; responding to requests; building rapport; participating in team problem solving. Provides service excellence to patients and their families/visitors that meets or exceeds patient expectations through offering empathetic and compassionate patient-centered care; professionally manage patients, families and care givers as needed and concerns using positive service recovery methods; Responds to patient/family requests and makes active referrals to subject matter expert/decision maker who can fulfill patient requests; Provide culturally sensitive care. With leadership and Human Resources guidance, provides input to or makes recommendations on employee hires, performance reviews, transfers, promotions, salary changes, disciplinary actions, terminations and similar actions. Resolves grievances and other staff problems in a fair, timely and consistent manner also in conjunction with HR. Ensures understanding and compliance with all MVHS policies and procedures and regulations. Performs related duties as assigned. Education/Experience Requirements REQUIRED: Registered Nurse licensed in State of New York, Bachelor's Degree in Nursing or health-related field Minimum of 1 year medical surgical experience. 3 years Case Management experience. Ability to travel to work sites and member homes within the community. Proven ability to lead, guide and motivate others. Proficient with MS Office and EHR. PREFERRED: Prior supervisory experience Licensure/Certification Requirements REQUIRED: Licensed and currently registered to practice as a Registered Nurse in New York State. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 94590 Department CARE MANAGEMENT SERVICES Shift Days Shift Hours Worked 8.50 FTE 1 Work Schedule SALARIED GENERAL Employee Status A1 - Full-Time Union Non-Union Pay Range $80K - $128K Annually

Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Promotes continuity of care and cost effectiveness through the integrating and functions of case management. Core Job Responsibilities Coordinates discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment. Coordinate the hospital activities concerned with case management and discharge planning. Ensure compliance with quality patient care and regulatory compliance. Education/Experience Requirements Required: Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: Associate degree in healthcare related filed. Bachelor's degree is preferred. Licensed professional nurse may be considered. Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be considered. Licensure/Certification Requirements Required: Maintain current professional licensure in nursing or professional filed of certification. Preferred: Appropriate certification in the case management preferred (e.g. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses). Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 95651 Department CASE MGMT Shift Days Shift Hours Worked 7.50 FTE 0.94 Work Schedule NYSNA - 7.5 HR Employee Status A1 - Full-Time Union 2004 - NYSNA Pay Range $38.74 - $54.47/Hourly

The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA). Core Job Responsibilities Identifies and coordinates enrollee services as provided by the plan and services that are not a benefit of the plan (Medicare Services). Completes comprehensive assessment using the DOH approved tool to determine eligibility of medically necessary services. Educates and completes with enrollee all necessary consents and documentation. Initiates and carries out continuous assessment of physical, emotional, social, cultural, economic, and environmental needs of the enrollee and coordinates services for needs as determined. Observes the enrollee for changes in condition and follows up with appropriate services or providers to attempt to prevent disease exacerbations. Develops, monitors and revises a Plan of Care with the enrollee or enrollee's designee that has problem, enrollee centered goals and interventions. Implements orders for Durable Medical Equipment items and treatments as prescribed by the physician, submitting and maintaining appropriate medical orders and documentation. Completes documentation per company standards/policy utilizing an Electronic Medical Record (EMR) system. Participates in Marketing Activities as requested by Executive Director or Designee. Accepts assignments and performs duties within their nursing scope of practice, seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting. Participates in departmental and organizational committees and meetings as applicable. Participates in the orientation of new staff, mentors peers, and promotes collaborative teamwork. Performs all duties and responsibilities in accordance with the Nurse Practice Act and in accordance with the basic principles of professional nursing. Maintains a working knowledge of, and adheres to applicable federal/state regulations including, but not limited to, patient confidentiality, release of information, and HIPAA. Performs other related duties as requested by the Executive Director or Clinical Services Manager. Clarifies issues and actively addresses concerns in a timely manner. Ability to manage conflict, stress, and multiple simultaneous work demands in an effective, professional manner. Ability and willingness to self-motivate, prioritize, and be willing to change processes to improve effectiveness efficiency. Adapts to changing enrollee or organizational priorities. Ability to make independent decisions in accordance with established policies and procedures. Performs related duties as assigned. Education/Experience Requirements REQUIRED: Computer literacy, including but not limited to data entry, retrieval, and report generation. Excellent written, verbal and listening communication skills. Strong organizational and time management skills. Ability to work with patients/families of all ages and in a variety of settings, including inpatient facility and patients' homes presenting diverse physical conditions and social/cultural environments. Ability to drive to and from a variety of settings in varying weather conditions. PREFERRED: 1-2 years in community based care or health care area that cares for the community population. Licensure/Certification Requirements REQUIRED: Licensed and currently registered to practice as a Registered Professional Nurse or BSN in New York State, with preferred 1-2 years in community based care or health care area that cares for the community population. Valid New York State driver's license and personal vehicle. Current Basic Life Support (BLS) Certification. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 92468 Department CARE MANAGEMENT SERVICES Shift Days Shift Hours Worked 8.00 FTE 0.19 Work Schedule HRLY NON-UNION-8 HR Employee Status A7 - Occasional Union Non-Union Pay Range $31 - $45 Per Hour

Coordinates and provides high quality nursing care to Hospice patients and families consistent with Hospice Care philosophy, policy, goals and objectives, and Standards of Nursing Practice. Works under moderate supervision. SCHEDULE: Sunday/Monday/Tuesday 9:00m-9:00pm Assesses the physical, social, psychological, living conditions and pastoral care needs of the patient/family through professional knowledge and skills of observation, interviewing and physical examination on an ongoing basis. • Establishes and revises, as necessary, the nursing component of the patient/family plan of care based on goals mutually acceptable to the patient/family and significant others and makes referrals to other services, as necessary. • Coordinates implements and evaluates the effectiveness and outcome of the care plan by ongoing assessment, planning, coordination, counseling, teaching and supervision. • Travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient. • Transports and utilizes required medical equipment and supplies using VNS Health designated/supplied carrying case weighing approximately 25 - 30 lbs. to and from patient homes/care facilities, VNS Health offices and other locations. • Provides nursing care in accordance with Agency policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient care. • Assists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals. • Visits clients every two weeks to assess the clients' condition and update the plan of treatment. • Monitors the effect of the plan of cares on the patient/family and informs physician and other personnel of changes in the patient's needs. • Manages a caseload of patients. • Provides nursing care services and initiates appropriate preventive and rehabilitative nursing procedures. • Participates in interdisciplinary team meetings. • Appraises care provided and revises the goals and approaches to patient/family care in coordination with the interdisciplinary team. • In coordination with the interdisciplinary team, assesses the family's needs during the bereavement period and provides ongoing counseling with referral to community resources, as appropriate. • Initiates and maintains written (including clinical and progress notes) and verbal communications to assure optimal patient care. • Understands and interprets Hospice Care reimbursement policy and determines the billing source for patient care. • Maintains productivity sufficient to meet Hospice goals. • Participates in the orientation of new staff. • Orients, instructs and supervises License Practical Nurses, paraprofessional staff and volunteers. • Consults with and educates the client and family regarding the disease process, self-care techniques, and prevention strategies. • Performs established work procedures in relation to Region/Program workflow. • Understands and interprets the Hospice philosophy and responsibility to other health professionals, laymen and community. • Assumes responsibility for professional growth. • Evaluates conformance of the inpatient facility in carrying out the interdisciplinary team's plan of care for select patients, when assigned. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Education: Associate's Degree in Nursing, with at least one year of experience as a full-time staff nurse in a medical-surgical nursing area or other clinical healthcare experience required or Bachelor's Degree in a health or human services field or Nursing from a State-approved diploma program required Work Experience: Minimum of one year of clinical nursing experience including at least six months of Hospice, Med/Surg, ICU, Emergency Department, Home Care, Palliative Care, Oncology or Long Term Care experience required Demonstrated computer skills may be required based on operational needs Pay Range USD $112,209.00 - USD $138,409.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Works as a member of an interdisciplinary care team at a NORC (Naturally Occurring Retirement Community) or Senior Living Retirement Community location and is responsible to coordinate a broad range of health and social services to help support older residents to age in their own homes. NORCs do so by facilitating and integrating the health and social services already available in the community while organizing additional services and supports necessary to help meet the goal of enabling older adults to remain in their community. Locations available throughout NYC. Works under general direction What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities What You Will Do Collaborates with the Site staff to ensure residents engage in self-care management health strategies. Provides health focused outreach to seniors who may benefit from supportive services provided by the program. Promote and encourage healthcare activities such as health screening, health assessments, health care linkages, and health presentations. Makes telephone calls and home visits to individual residents aimed at assessing their needs and supporting successful community living activities. Makes referrals to appropriate health services based on the assessed needs of the resident. Provides Health Care Advocacy by acting as a liaison between the various healthcare systems during times of transition. Assist residents needing direct patient care to connect with their physician or other appropriate health care services to address their individual needs. Documents all nursing interventions provided as required by site location. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required CPR/BLS Certification required Education: Associate's Degree in nursing required and Bachelor's Degree in nursing preferred Work Experience: Minimum of two year of experience working as an RN in LHCSA or CHHA. required and Prior experience working with an aging population and providing clinical assessments of their health needs. required Pay Range USD $40.95 - USD $51.19 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Works as a member of an interdisciplinary care team at a NORC (Naturally Occurring Retirement Community) or Senior Living Retirement Community location and is responsible to coordinate a broad range of health and social services to help support older residents to age in their own homes. NORCs do so by facilitating and integrating the health and social services already available in the community while organizing additional services and supports necessary to help meet the goal of enabling older adults to remain in their community. Locations available throughout NYC. Works under general direction • Collaborates with the Site staff to ensure residents engage in self-care management health strategies. • Provides health focused outreach to seniors who may benefit from supportive services provided by the program. • Promote and encourage healthcare activities such as health screening, health assessments, health care linkages, and health presentations. • Makes telephone calls and home visits to individual residents aimed at assessing their needs and supporting successful community living activities. • Makes referrals to appropriate health services based on the assessed needs of the resident. • Provides Health Care Advocacy by acting as a liaison between the various healthcare systems during times of transition. • Assist residents needing direct patient care to connect with their physician or other appropriate health care services to address their individual needs. • Documents all nursing interventions provided as required by site location. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required CPR/BLS Certification required Education: Associate's Degree in nursing required and Bachelor's Degree in nursing preferred Work Experience: Minimum of two year of experience working as an RN in LHCSA or CHHA. required and Prior experience working with an aging population and providing clinical assessments of their health needs. required Pay Range USD $40.95 - USD $51.19 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

VNS Health Home Care RNs redefine the standard of patient-centered care for New Yorkers while keeping them out of the crowded hospital system so they can heal and age where they are most comfortable- in their homes and community. Our nurses provide the Future of Care by meeting patients where they are. We design and deliver individualized care plans and exceptional clinical outcomes to our neighbors most in need. Be part of our 130-year history and innovative Future of Care built by visiting nurses like you. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 31 days and 9 paid company holidays No employee contribution cost or annual deductible for health insurance including Medical, Dental, and Vision for you and your loved ones w (Medical, Dental, Vision); Life and Disability Insurance Training: 4-weeks paid clinical orientation, preceptorship, and ongoing skills labs Tuition reimbursement following 6 months and CEU credits Employer-matched retirement savings program Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Opportunities to contribute to clinical research and other organizational projects What You Will Do Practice independently in the community as part of an interdisciplinary care team. Deliver personalized nursing and care management to patients in their home or care facilities. Constantly evaluate evolving patient needs and respond with plan of care adjustments. Qualifications Current license to practice as a Registered Nurse in New York State Minimum of one year nursing experience in a medical/surgical environment Valid driver's license or NYS Non-Driver photo ID card may be required For Hospice Only: Wound Care Certification required or willingness to obtain within one (1) year of hire preferred Certification in Hospice and Palliative Care Nursing preferred Pay Range per Visit: If you are applying to the per diem per visit version of this job, the hiring range is as follows: $69.34- $110.00 per visit. Pay Range USD $112,209.00 - USD $138,409.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Monitors and assesses the delivery of home health field services. Supervises the activities of the field Home Health Aides (HHA). Provides case management support, clinical intervention, development of care plan and follow up as needed. Works under general supervision. • Performs initial and ongoing supervisory field visits to patients' homes to provide assessment, training support, in-home coordination and/or crisis management. Conveys any significant changes in the patient's condition, emergency intervention, or care plan changes. Reports all interventions made to the clinical manager and documents findings electronically. • Collaborates with the primary care physician and clinical team to perform a full patient assessment by gathering the patient's medical history and medication information. • Supervises the initial home patient assessment to ensure the HHA is following VNS guidelines and regulations. • Identifies continued training needs of the home health aide and documents the information electronically. • Delivers the start of care packet and provides an overall review with the patient/caregiver on initial visit. • Educates and reviews the paraprofessional plan of care with the Home Health Aide (HHA). • Participates in quality assurance and education programs as requested by management. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in the State of New York required CPR/BLS Certification required Education: Associate's Degree in Nursing from an approved program required Bachelor's Degree in Nursing from an approved program preferred Work Experience: Minimum of two years in a clinical background as a Registered Nurse required Home care experience in a licensed home care service agency or CHHA settings preferred Pay Range USD $40.95 - USD $51.19 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Monitors and assesses the delivery of home health field services. Supervises the activities of the field Home Health Aides (HHA). Provides case management support, clinical intervention, development of care plan and follow up as needed. Works under general supervision. • Performs initial and ongoing supervisory field visits to patients' homes to provide assessment, training support, in-home coordination and/or crisis management. Conveys any significant changes in the patient's condition, emergency intervention, or care plan changes. Reports all interventions made to the clinical manager and documents findings electronically. • Collaborates with the primary care physician and clinical team to perform a full patient assessment by gathering the patient's medical history and medication information. • Supervises the initial home patient assessment to ensure the HHA is following VNS guidelines and regulations. • Identifies continued training needs of the home health aide and documents the information electronically. • Delivers the start of care packet and provides an overall review with the patient/caregiver on initial visit. • Educates and reviews the paraprofessional plan of care with the Home Health Aide (HHA). • Participates in quality assurance and education programs as requested by management. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in the State of New York required CPR/BLS Certification required Education: Associate's Degree in Nursing from an approved program required Bachelor's Degree in Nursing from an approved program preferred Work Experience: Minimum of two years in a clinical background as a Registered Nurse required Home care experience in a licensed home care service agency or CHHA settings preferred Pay Range USD $40.95 - USD $51.19 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Monitors and assesses the delivery of home health field services. Supervises the activities of the field Home Health Aides (HHA). Provides case management support, clinical intervention, development of care plan and follow up as needed. Works under general supervision. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Performs initial and ongoing supervisory field visits to patients' homes to provide assessment, training support, in-home coordination and/or crisis management. Conveys any significant changes in the patient's condition, emergency intervention, or care plan changes. Reports all interventions made to the clinical manager and documents findings electronically. Collaborates with the primary care physician and clinical team to perform a full patient assessment by gathering the patient's medical history and medication information. Supervises the initial home patient assessment to ensure the HHA is following VNS guidelines and regulations. Identifies continued training needs of the Home Health Aide and documents the information electronically. Delivers the start of care packet and provides an overall review with the patient/caregiver on initial visit. Educates and reviews the paraprofessional plan of care with the Home Health Aide (HHA). Participates in quality assurance and education programs as requested by management. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in the State of New York required CPR/BLS Certification required Education: Associate's Degree in Nursing from an approved program required Bachelor's Degree in Nursing from an approved program preferred Work Experience: Minimum of two years in a clinical background as a Registered Nurse required Home care experience in a licensed home care service agency or CHHA settings preferred Pay Range USD $77,200.00 - USD $96,500.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Monitors and assesses the delivery of home health field services. Supervises the activities of the field Home Health Aides (HHA). Provides case management support, clinical intervention, development of care plan and follow up as needed. Works under general supervision. • What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program Generous tuition reimbursement for qualifying degrees Opportunities for professional growth, career advancement and CEU credits What You Will Do Performs initial and ongoing supervisory field visits to patients' homes to provide assessment, training support, in-home coordination and/or crisis management. Conveys any significant changes in the patient's condition, emergency intervention, or care plan changes. Reports all interventions made to the clinical manager and documents findings electronically. Collaborates with the primary care physician and clinical team to perform a full patient assessment by gathering the patient's medical history and medication information. Supervises the initial home patient assessment to ensure the HHA is following VNS guidelines and regulations. Identifies continued training needs of the home health aide and documents the information electronically. Delivers the start of care packet and provides an overall review with the patient/caregiver on initial visit. Educates and reviews the paraprofessional plan of care with the Home Health Aide (HHA). • Participates in quality assurance and education programs as requested by management. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in the State of New York required CPR/BLS Certification required Education: Associate's Degree in Nursing from an approved program required Bachelor's Degree in Nursing from an approved program preferred Work Experience: Minimum of two years in a clinical background as a Registered Nurse required Home care experience in a licensed home care service agency or CHHA settings preferred Pay Range USD $77,200.00 - USD $96,500.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

What's in it for you? Hospice offers a Robust Total Rewards Package Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation Health Insurance with vision component copayment plan, or high-deductible plan (FT status) HSA with high-deductible health plan twice annual Employer contribution (FT status) Dental Insurance (FT status) Flexible Spending Account (FT status) Paid Time Off PTO & NYS Sick Leave Tuition Assistance Program And Much More! 8am-4pm Monday-Friday. Holiday rotation. The majority of our patients prefer to receive hospice and palliative care at home to maintain their independence and live their lives to the best of their ability. Symptoms are managed so that the patient can live a full life with the support of family and friends and the comforts of home. A Hospice Home Care Registered Nurse renders professional nursing services, in accordance with physicians' orders, for individualized patient care and psychosocial/ spiritual interventions for assigned patients/families. Provides nursing care in accordance with Hospice objectives, as well as, policies and procedures of the organization and the State Nurse Practice Act. Essential Duties and Responsibilities for a Hospice Home Care Registered Nurse: Demonstrates ability to perform comprehensive assessments to identify all physical, psychosocial, environmental, safety, emotional and spiritual needs related to the terminal illness that must be addressed in order to promote the patient's well-being, comfort, and dignity throughout the dying process and documents findings on all appropriate forms and on the plan of care. Performs pain assessments using Edmonton Scale, adhering to pain protocols, knowledgeable in equi-analgesic dosing and assures optimal pain relief using an interdisciplinary focus and timely appropriate interventions. Organizes and prioritizes assignments to consistently meet productivity standards and complete documentation requirements within identified time parameters. Appropriately explains duties and functions of the interdisciplinary team; articulates disease progression of cancer(s), lung disease, heart disease, liver disease, dementia, and other neurologic disease states. Able to articulate etiologies of symptom manifestation (nausea, vomiting, anorexia, fluid and electrolyte imbalance, diarrhea, constipation, mucositis, weakness/fatigue, dysphasia, edema, dyspnea, cognitive impairment, urinary retention, depression, delirium) related to a disease process. Modifies the plan of care timely and appropriately with a demonstrated skill in anticipating problems that may cause or create a threat to patient safety or lack of symptom control. Demonstrates knowledge in usage, indication, adverse side effects, contraindications and negative interactions of most commonly used steroids, NSAIDs, benzodiazepines, antidepressants, anticonvulsants, narcotics, antifungals, and diuretics. Documents to agency standards, timely completion, timely signatures, and documents care using A-I-R protocol to support hospice stay in program and level of care. Elicited no founded patient/family complaints or unusual occurrences (i.e. reportable incidents). Demonstrates proper sharps disposal, hand hygiene, waste disposal, use of personal protective equipment. Adheres to requirements of both CHPC and Hospice Buffalo policies and procedures that are both patient focused (clinical) and organizational focused (administrative); Adheres to HIPPA regulations and policies. Maintains the security of patient electronic/written records. Incorporates computer documentation into patient visit and/or as much as appropriately possible without compromising the quality of care and/or communication. Assures the timely completion and return of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance. Expected to perform additional duties as requested. Qualifications for a Hospice Home Care Registered Nurse: Education/Certification Graduate of an accredited school of nursing with current RN licensure in the State of New York. Certification in Hospice and Palliative Care Nursing preferred. Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call. Experience Year of nursing practice as a professional nurse is preferred.