Hospice Care Registered Nurse - Fee for Service

This is a fee-for-service field-based position for a Registered Nurse providing hospice care to a designated group of patients. You will conduct comprehensive nursing assessments, develop and implement individualized plans of care, and coordinate with physicians and interdisciplinary team members to deliver compassionate end-of-life care in patients' homes. This role requires clinical judgment, leadership skills, and the ability to manage complex patient needs while supervising support staff and evaluating the effectiveness of care provided.

Responsibilities

• Conduct pre-admission screenings and initial nursing health assessments on new patients, including assessment of body systems (cardiac, vascular, neurological, gastrointestinal, etc.)
• Develop nursing plans of care and goals based on individual patient needs
• Provide direct nursing care including supervision of diet, medication, activity levels, and safety in the home environment
• Supervise and support patients' activities of daily living
• Evaluate the provision of nursing care and the effectiveness of physical therapy, occupational therapy, speech therapy, nutritional counseling, and respiratory therapy services
• Train, evaluate, and supervise home health aides, homemakers, and personal care workers; recommend personnel changes as necessary
• Determine the need for and recommend rental or purchase of medical equipment and supplies
• Conduct ongoing evaluation of equipment for defects, repairs, or additional needs
• Recommend to the Hospice Interdisciplinary Group (IDG) when specialized therapies are warranted based on clinical assessment
• Request physician written orders for changes in the plan of care as appropriate
• Participate in on-call coverage on a rotating basis
• Serve as liaison in maintaining patients' plans of care during inpatient stays
• Refer major or recurrent problems to the supervising nurse
• Participate in the ongoing Quality Improvement Program
• Perform related duties as required

Physical Demands

• Constant: standing and walking
• Frequent: stooping, bending, stretching, lifting, pulling, pushing, and turning; lifting objects from 10 to 150 pounds; pushing objects up to 200 pounds
• Occasional: sitting; lifting objects greater than 150 pounds with assistance

Required Qualifications

• Graduate from an accredited School of Nursing
• Current License to practice as a Registered Professional Nurse in New York State
• Two or more years of nursing experience (med/surg, hospice, or home care preferred)
• Minimum one year of experience in acute care (med/surg strongly preferred)
• Experience in inpatient facilities and hospice care

Education Requirements

• Bachelor's Degree in Nursing preferred
• Must be enrolled in an accredited BSN program within two years of job entry date
• Must obtain a BSN Degree within five years of job entry date

Additional Requirements

• This is a field position; may need to see pediatric patients
• Specialized certifications as needed
• Participation in on-going orientation and in-service training

Compensation

• Per-visit rate for regular assignments (minimum and maximum rates apply)
• Voluntary work opportunities outside the normal scope of duty may pay an alternate per-visit rate depending on region, type of visit, and discipline
• Hourly rate of $30.00 paid for certain administrative tasks (orientation, training, meetings, etc.) following completion of new hire orientation

Note: Voluntary work opportunities may be offered on an occasional, as-needed basis.