DescriptionnnJob SummarynnThe RN assesses, plans, implements and evaluates the care for a designated group of patients in their home. The RN coordinates, directs and promotes positive patient outcomes, and contributes to efficient agency operation. In addition, the Hospice RN provides palliative care and support to terminally ill patients and their families.nnEssential Job FunctionsnnIdentify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements.nnEstablish a compassionate environment by providing emotional, psychological, and spiritual support to patients and caregivers.nnPromote patient's independence by establishing patient care goals; teaching patient/caregiver to understand condition, medications, and self-care skills; answering questions.nnMaintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel as indicated.nnDocument patient care services by charting in patient and department records.nnMaintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.nnMaintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results.nnProvide direct and indirect supervision of personal care provided by the Home Health Aides in the patients' homes, in accordance with federal regulation and accrediting bodies.nnResolve patient problems and needs by utilizing multidisciplinary team strategies.nnMaintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods.nnContribute to team effort by accomplishing related results as needed.nnSpecialty Job FunctionsnnHospice Role: Understand the Hospice philosophy and performs care accordingly to enhance the quality of life of the terminally ill patient.nnMaintain and demonstrate an understanding of the Hospice benefit and complies with regulatory conditions of participation.nnFollow established guidelines for pain and symptom management to enhance quality of life.nnEducate patients / caregivers regarding the care needs at the end-of-life, including palliative care measures.nnFunction as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional, and spiritual needs of the terminally ill patient and their family.nnAssess eligibility for Hospice care and obtains the informed consent prior to the initiation of services.nnMental Health Role - In conjunction with the physician, implements mental health concepts and psychiatric nursing principles in the plan of care.nnProvide supportive psychotherapy.nnDemonstrate knowledge of commitment laws, mental health clinical programming, and community resources.nnMake appropriate referrals based on the nursing assessment and in collaboration with the physician.nnFunction as a resource for Agency staff with patients demonstrating mental health issues as a secondary diagnosis.nnProvide overall guidance to Agency staff and managers related to day-to-day operations and long-term use of laptop computers.nnEnsure the process includes education about safely and effectively using medication, pain and pain management.nnAcquire and distribute educational resources to Agency staff.nnComplete medical conditions reports and forwards to physician for signature.nnComplete non-medical nursing visits for private duty division as required (i.e. medication pre-fills).nnComplete care plans for Options consumers for Westmoreland County area of aging, consumers of the Veteran’s Administration H/HHA program and Community Health Choice participants.nnComplete assessments for private duty consumers and completes all associated documentation as requested.nnFunction as a liaison between consumers and participants, families, physician, allied health personnel.nnSupervises Direct Care Partners as requests to assure performance of quality care and adherence to care plans and services delivery plans. Documents supervisor visits per regulatory guidelines.nnProvide guidance and training for Direct Care Partners as needed.nnInterpret extent and limitations of services available from the Private Duty Division of the agency.nnMaternal / Child Nurse Role: Instruct and assess the postpartum patient and newborn for early detection and intervention of complications.nnMaternal / Child Nurse Role: Instruct and assess the newborn and child’s physical and emotional development, adjustment, and / or abnormalities and reports to the physician.nnMaternal / Child Nurse Role: Provides prenatal nursing services, which includes instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection.nnOther related duties as assigned.nnRequired QualificationsnnGraduate of an accredited Nursing Program required.nnStrong leadership ability, good organizational skills, independent thinking and decision-making ability, analytical problem solving skills, sound judgment, excellent oral and written communication skills, must be able to function in a team environment, and knowledge of legal aspects and liability of nursing practice.nnPreferred QualificationsnnOne (1) to two (2) years’ RN experiencennOne (1) to two (2) year’s prior hospice and/or oncology experience; Hospice and Palliative Care CertificationnnBachelor of Science Degree in NursingnnLicense, Certification & ClearancesnnCurrent licensure to practice as a Registered Nurse in the State of Pennsylvania required.nnCurrent Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required.nnAct 33 with renewalnnAct 34 with renewalnnAct 73 FBI ClearancennValid Pennsylvania Driver’s License (if out of state hire current Department of Motor Vehicle record report required and obtain PA Current Driver License within 30 days of hire).nnSupervisory ResponsibilitiesnnThis position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department.nnPosition Type/Expected Hours of WorknnRegular, consistent, on-site and timely attendance.nnIncumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).nnTravel may be expected locally between Excela Health locations.nnLEANnnActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values.nnAAP/EEOnnExcela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations.nnAbility to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.nnWork EnvironmentnnEffective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelinesnnWhen lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.nnEssential – Absolute Necessity.nnMarginal – Minimal Necessity.nnConstantly – 5.5 to 8 hours or more or 200 reps/shift.nnFrequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.nnOccasionally – 0.25 to 2.5 hours or 2-32 reps/shift.nnRarely – Less than 0.25 hours or less than 2 reps/shift.nnPhysical ConditionnnEssentialnnMarginalnnConstantlynnFrequentlynnOccasionallynnRarelynnNevernnExtreme HeatnnXnnExtreme ColdnnXnnHeightsnnXnnConfined SpacesnnXnnExtreme Noise(>85dB)nnXnnMechanical HazardsnnXnnUse of Vibrating ToolsnnXnnOperates VehiclennXnnOperates Heavy EquipmentnnXnnUse of Lifting/Transfer DevicesnnXnnXnnXnnRotates All ShiftsnnXnnXnn8 Hours ShiftsnnXnnXnn10-12 Hours ShiftsnnXnnXnnOn-CallnnXnnXnnOvertime (+8/hrs./shift; 40/hrs./wk.)nnXnnXnnTravel Between SitesnnXnnDirect Patient CarennXnnXnnRespirator Protective EquipmentnnXnnXnnEye ProtectionnnXnnXnnHead Protection (hard hat)nnXnnHearing ProtectionnnXnnHand ProtectionnnXnnXnnFeet, Toe ProtectionnnXnnBody ProtectionnnXnnXnnLatex ExposurennXnnXnnSolvent ExposurennXnnPaint (direct use) ExposurennXnnDust (sanding) ExposurennXnnEthylene Oxide ExposurennXnnCytotoxic (Chemo) ExposurennXnnBlood/Body Fluid ExposurennXnnXnnChemicals (direct use) ExposurennXnnXnnMist ExposurennXnnWax Stripper (direct use)nnXnnNon-Ionizing Radiation ExposurennXnnIonizing Radiation ExposurennXnnLaser ExposurennXnnPhysical DemandsnnWhen lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.nnEssential – Absolute Necessity.nnMarginal – Minimal Necessity.nnConstantly – 5.5 to 8 hours or more or 200 reps/shift.nnFrequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.nnOccasionally – 0.25 to 2.5 hours or 2-32 reps/shift.nnRarely – Less than 0.25 hours or less than 2 reps/shift.nnPhysical ConditionnnEssentialnnMarginalnnConstantlynnFrequentlynnOccasionallynnRarelynnNevernnBending (Stooping)nnXnnXnnSittingnnXnnXnnWalkingnnXnnXnnClimbing StairsnnXnnXnnClimbing LaddersnnXnnStandingnnXnnXnnKneelingnnXnnXnnSquatting (Crouching)nnXnnXnnTwisting/TurningnnXnnXnnKeyboard/Computer OperationnnXnnXnnGross GraspnnXnnXnnFine Finger ManipulationnnXnnXnnHand/Arm CoordinationnnXnnXnnPushing/Pulling(lbs. of force)nnXnn10#nn50#nnCarrynnXnn25#nnTransfer/Push/Pull PatientsnnXnnXnnSeeing Near w/AcuitynnXnnXnnFeeling (Sensation)nnXnnXnnColor VisionnnXnnXnnHearing ClearlynnXnnXnnPulling/Pushing Objects OverheadnnXnnXnnReaching Above Shoulder LevelnnXnnXnnReaching ForwardnnXnnXnnLifting Floor to KnucklennXnn10#nnLifting Seat Pan to KnucklennXnn50#nnLifting Knuckle to ShouldernnXnn20#nnLifting Shoulder to OverheadnnXnn10#nnWhen lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.nnEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesnnThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)