RN Care Coordinator PEDS Pool

March 12, 2019


Chapters Health System
Lakeland, FL, United States


The Pool RN is responsible for assessing and identifying patient/family needs using a palliative and supportive nursing process for new and existing patients/families in coordination with the Plan of Care and Interdisciplinary Group (IDG).

Responsibilities of all employees:

Represent the Company professionally at all times through care delivered and/or services provided to all clients.
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
Comply with Company policies, procedures and standard practices.
Observe the Company's health, safety and security practices.
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
Use resources in a fiscally responsible manner.
Promote the Company through participation in community and professional organizations.
Participate proactively in improving performance at the organizational, departmental and individual levels.
Improve own professional knowledge and skill level.
Advance electronic media skills.
Support Company research and educational activities.
Share expertise with co-workers both formally and informally.
Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.Job Responsibilities:

Assess patient/family and identify immediate and ongoing needs and appropriate nursing interventions, including change in level of care.
Coordinate patient care, including assessing psychosocial, spiritual care, and volunteer needs, and make appropriate referrals, as needed.
Continually assess patient’s eligibility for hospice care and facilitate medical review, as needed.
Provide and manage direct nursing care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
Coordinate the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.
Demonstrate clinical skills regarding: case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.
Facilitate coordination of care and documentation for change in level of care, team transfer and hospice discharge.
Update interdisciplinary group and other health care professionals about pending medical appointments/ diagnostic testing and outcome/result(s).
Consult, refer, and collaborate with other professionals to promote quality and continuity of patient/family care.
Take verbal orders from physicians, ARNPs and physicians’ assistants.
Educate patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.
Report changes in the patient’s condition to appropriate members of the IDG or other health professionals.
Attend patient deaths; prepare body for transport; oversee disposal of medications.
Provide appropriate bereavement interventions to the family and caregiver in conjunction with social services staff.
Accept responsibility and is accountable for nursing actions: demonstrate an understanding of the legal consequences of nursing actions; request supervision when needed; perform within the guidelines established by the Florida Nurse Practice Act.Administrative
Document assessment, plan, intervention and evaluation on appropriate Company forms with accuracy, timeliness, legibility, professional terminology and awareness of legal and regulatory implications.
Document patient condition and decline to support hospice and level of care appropriateness.
Request medical records from physicians, hospitals, laboratories and other outside sources for use to determine patient’s eligibility for hospice.
Review documentation of own care team and audit medical records to ensure compliance with standards and quality of care.
Present concise and pertinent oral and written reports to IDG; respect and encourage input from all disciplines.
Communicate accurately and completely to physicians, staff members, patients, families, and supervisors; utilize positive approaches when working with others.
Facilitate care team meeting by incorporating input of LPN and hospice aide to establish, evaluate, and revise patients’ Plan of Care and prepare for interdisciplinary group meeting.
May schedule LPN and hospice aide schedule for own care team.
Mentor LPN and hospice aide through demonstration of skills, providing feedback on job performance and coordinating activities to enhance job performance.
Apprise Clinical Manager of changes in patient’s condition, care needs and concerns of patient, family and other health care providers.
May participate in orienting new staff, students, volunteers and board members.
Supervise patient care given by other nursing team members; i.e., LPNs, Hospice Aides, and contract nurses.
Exemplify behaviors supportive of internal mission statement.
Participate on committees and projects, as assigned.
Act as a resource to peers, students, orientees and other staff members.
Participate in activities and professional development that enhance hospice nursing skills.
Participate in the broad education process of the Company, both to the medical and lay communities. Professional Development
Pursue own professional growth through attendance at required in-services and other educational offerings.
Establish professional goals for self and continually evaluate self in the attainment of these goals.Financial
Utilize supplies, equipment, medications, laboratory and patient therapies within the Company philosophy.
Employ palliative and home care management modalities in care of the patient prior to hospitalization.
Demonstrate knowledge of payment structures and paperwork necessary to change financial classes.
Collaborate with Clinical Manager about clinical authorizations.Other
Perform other duties as assigned.

Current Florida license as RN, or current licensure from another state plus a temporary Florida permit
Mobile Driver - Valid driver’s license and automobile insurance per Company policy
Reliable transportation to meet visit schedule
Minimum one (1) year in-patient nursing, hospice, or home health experience
Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
Ability to use equipment with visual and auditory mechanisms
Ability to effectively communicate (written and oral) in English
Flexible schedule to meet the needs of hospice patients
Ability to physically access any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) in any area Company serves
Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation


Satisfactorily complete competency requirements for this position.


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