Registered Nurse

  • Self-Help for the Elderly
  • San Francisco, CA, USA
  • Mar 08, 2019
Full time Nurse

Job Description

Title: Registered Nurse (Hospice)

Department: Home Care & Hospice

FLSA Status: Non-Exempt

Reports To: Hospice Director of Patient Care Services

Summary: Provides skilled nursing assessment, planning and care in order to maximize the comfort and health of Hospice patients and families.

Essential Functions:

· Assesses and identifies patient and/or family needs and provides appropriate physical and emotional support in accordance with physician’s orders and plan of care.

· Develops, evaluates and revises patient’s individualized plan of care in collaboration with Hospice and Palliative Medicine Physician and Director of Patient Care Services, and other members of the Inter-Disciplinary Group and patient’s primary care physician.

· Evaluates progress towards desired outcomes and updates the patient’s plan of care as appropriate to changing patient and family needs.

· Coordinates all patient and family services and community resources as needed.

· Assesses all aspects of the patient’s pain and develops an individualized pain management plan.

· Anticipates, prevents and treats undesirable symptoms or secondary symptoms.

· Supports the patient’s unique spiritual and cultural beliefs.

· Maintains the dignity, confidentiality and privacy of the dying patient.

· Provides holistic, family-centered care to improve the patient’s quality of life.

· Identifies and addresses signs of actively dying patients.

· Coordinates physical care of the patient by teaching and/or training patients, primary caregivers, volunteers, employed caregivers, and by providing direct care as appropriate.

· Collaborates and consults with the interdisciplinary group to discuss issues related to patient care.

· Coordinates patient care plan of declining patients with after hours on call staff.

· Coordinates care for patient with staff of SNF and RCFE/Board and Care facilities.

· Supervises performance of Home Health Aides.

· Participates in in-service training programs for professional staff, as well as quality assurance and performance improvement activities.

· Completes patient-related documentation within 24 hours of the shift worked.

· Coordinates and manages patient care with awareness of insurance benefits, necessary authorizations and cost containment.

· Adheres to and complies with state and federal regulations.


· Must be currently licensed by the CA Board of Registered Nurses.

· Prefer minimum one year professional nursing experience in home health, hospice, acute or sub-acute care. Experience with oncology or hospice preferred.

· Must be able to cope with patient and family emotional stress and be tolerant of individual lifestyles without judgment.

· Able to work both independently and as part of an interdisciplinary team.

· Currently CPR Certified.

· Must pass health screening for TB clearance, physical examination and background check.

· Computer proficiency in Microsoft Office 365, and ability to use electronic health record software.

· Knowledgeable of Medicare regulations.

· Bilingual in English and Cantonese. Mandarin & Toishanese a plus.

· Must be able to travel via public transportation or personal/department vehicle for performance of job duties. If driving, must have and maintain a valid CA driver license, satisfactory driving record, and auto insurance coverage as specified in Self-Help's policy.

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