Residential Home Health and Residential Hospice

Nurse

• Complete initial, comprehensive, and ongoing patient and family assessments to determine hospice needs
• Obtain accurate demographic information and medical history, including diagnosis and primary care physician information
• Introduce the agency to patients and caregivers and explain hospice and skilled services
• Coordinate start-of-care visits
• Order DME, supplies, and medications related to hospice care
• Deliver community education to assisted living facilities, skilled nursing facilities, and hospitals
• Provide bedside education about hospice, disease progression, and end-of-life care
• Attend discharge planning meetings and support safe discharge home
• Determine hospice eligibility and appropriate level of care
• Communicate with the clinical team regarding complex, chronically ill patients to help prevent re-hospitalizations
• Partner with field staff and leaders to support patients

Transitional Nurse Liaison

Medical Director

• Provide overall medical direction and consultation for hospice services and programs
• Supervise hospice physician employees and contract hospice physicians
• Ensure compliance with organizational policies, Medicare Conditions of Participation, CHAP, and federal and state statutes
• Establish and review policies and procedures for patient care, medical education, and emergency procedures
• Develop and evaluate physician, personnel, and volunteer education programs
• Evaluate quality assurance and performance improvement plans and identify medical education needs
• Propose and assess programs addressing identified education needs
• Liaise with community physicians and provide consultation and education on hospice and palliative-care admission criteria
• Provide training on caring for terminally ill patients
• Review patients' hospice eligibility and establish plans of care with attending physicians and the interdisciplinary group
• Certify terminal illness and provide clinical narratives for subsequent benefit periods
• Consult with attending physicians on pain and symptom management
• Manage patient medications and treatments, including prescribing, changing, and discontinuing medications
• Serve as a medical resource to the interdisciplinary group and attend interdisciplinary group meetings
• Review and update plans of care every 15 days or as needed
• Document care and evidence of end-stage disease progression in clinical records
• Serve as primary physician when referring or attending physicians relinquish care or are unavailable
• Maintain current knowledge of hospice research, trends, and pain/symptom management
• Review and develop treatment protocols and propose current intervention options
• Counsel patients and families regarding end-of-life issues
• Participate in resolving interpersonal conflicts and clinical or ethical concerns
• Ensure competent physician services are available 24 hours a day as needed
• Assist with evaluating protocols and procedures for quality and cost outcomes
• Travel by automobile to patient locations and work in an office setting

• Complete initial, comprehensive, and ongoing patient and family assessments to determine hospice needs
• Obtain accurate demographic information and medical history, including diagnosis and primary care physician information
• Introduce the agency, explain services, and coordinate start-of-care visits
• Order DME, supplies, and medications related to hospice care
• Deliver community education for assisted living facilities, skilled nursing facilities, and hospitals
• Provide bedside education regarding hospice, disease progression, and end-of-life care
• Attend discharge planning meetings and collaborate with facility teams to support safe discharge home
• Determine hospice eligibility and appropriate level of care
• Communicate with clinical teams regarding complex, chronically ill patients to help prevent rehospitalizations

Hospice Transitional Nurse Liaison

• Deliver skilled, patient-centered care in a home health setting in collaboration with an interdisciplinary team
• Perform patient assessments, medication management, and care planning
• Educate and empower patients and families on disease management and treatment plans
• Think critically, solve problems in real time, and ensure thorough, compliant EMR documentation
• Work independently while receiving team support
• Travel to patient homes within assigned territory

Home Health Registered Nurse

• Deliver skilled, patient-centered care in a home health setting in collaboration with an interdisciplinary team
• Perform patient assessments, medication management, and care planning
• Educate and empower patients and families on disease management and treatment plans
• Think critically, solve problems in real time, and ensure thorough, compliant EMR documentation
• Work independently while collaborating with the support team
• Travel to patient homes within the assigned territory

Sales

• Maintain relationships with all existing referral sources
• Actively prospect for new referral sources based on the Agency’s scope of service
• Educate Hospice Consultants on the benefits of Residential’s service offering
• Analyze sales statistics to determine business growth potential
• Establish performance goals for all Hospice Consultants and monitor and document performance continually
• Work with Hospice Consultants to develop, maintain, and improve business relations with company customers
• Lead sales meetings for the Hospice Consultant team
• Collaborate with Marketing, Agency Administrator, and Clinical Management to align demand for clinical care with capacity and protect quality patient care

Transitional Nurse Liaison

Medical Director

Hospice Transitional Nurse Liaison

Home Health Registered Nurse

Home Health Registered Nurse

Regional Sales Director – Hospice