Triage Nurse Support Full Time Manito Home Health

JOB SUMMARY

The Triage Nurse Support is a multirole containing administrative responsibilities with some clinical coverage if/as needed. This is a support role with leadership potential. The position will include the following:

Perform all necessary home health/hospice workflow clinical tasks for multi-site locations to ensure the timely review, edit and flow of tasks within HCHB for all disciplines on the home health/hospice team. This role is responsible for completing workflow as delegated by the Director of Clinical Services or Executive Director. Responsible for ensuring that patient care is coordinated and managed appropriately and ensures that care and services are delivered appropriately and for the supervision of clinical personnel.

Plans, organizes and directs home health/hospice care and is experienced in nursing with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities and coordinates the team.

This position is also responsible for helping to analyze data integrity and consistency of OASIS documentation and assessment processes. 

DUTIES & RESPONSIBILITIES

Workflow:

• Review home health/hospice Start of Care Evaluation
• Review and verify admission entry and create visits with frequencies.
• Review and verify all Initial Plans of Care to ensure adherence to written specifications.
• Review, edit and lock all Hospice Item Sets (HIS) upon admission and discharge.
• Create all Certificates of Terminal Illness (CTI)
• Review, edit and approve all Recertifications.
• Review and approve all physician’s orders.
• Monitor and verify all visit coordination notes.
• Ensure Recertification/Discharge decision workflow is processed timely.
• Utilize current technology to fulfill job functions.
• In conjunction with the Scheduler and Director of Clinical Services and/or Clinical Supervisor is responsible for the day-to-day workflow necessary to get visits/orders processed 
• Scheduling of prn visits, and visit change requests needed during normal work hours 
• Order review and approval including, but not limited to, wording, format, calendaring, medications, and notifications to clinicians 
• Add-On Evaluation processing and notification to clinicians 
• SOC, ROC, Recertification Workflow (Evaluation Documentation) 
• Discharge/Transfer to Inpatient Facility Workflow (Review Assessment Data)  
• Physician Communications.  
• Wound score deviation workflow. Will collaborate with Branch Director and/or Clinical Supervisor for follow-up with clinicians and facilitate training, as needed. 
• Vital Sign alert workflow. Will collaborate with Branch Director and/or Clinical Supervisor for follow-up with clinicians and facilitate training, as needed. 
• Participates in QI/QAPI activities as assigned by the Director of Clinical Services and/or Director of Quality.  
• Coordinates with Branch Leadership to identify and address trends that have the potential to effect agency compliance with State and Federal regulations. 
• Communicates with physician’s and/or clinical offices regarding patient’s needs and reports any changes in patient’s conditions; obtain/receive physician orders as required.  
• Reviews patient’s medical diagnosis, procedures, medications, and clinical course.  
• Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care. 
• Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy. 
• Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee. 
• Assists with other chart audit activities as assigned. 
• Additional workflow as deemed appropriate by Director of Clinical Services and/or Executive Director 

Triage:

• Completes initial, comprehensive and ongoing assessments of patient and family to determine home health/hospice needs via phone.
• Coordinates patient care and assigns visits, calls and admissions to the team.
• Provides professional nursing care by utilizing all elements of the nursing process.
• Assesses and evaluates patient’s status by; writing and initiating plan of care, regularly re-evaluating patient and family/caregiver needs participating in revising the plan of care as necessary.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan that establishes goals, based on nursing diagnosis and incorporating palliative nursing actions. Includes the patient and the family in the planning process.
• Initiates appropriate preventative and rehabilitative nursing procedures.
• Counsels the patient and family in nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physician’s orders as required.
• Communicates with community heath related persons to coordinate the care plan.
• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and families/caregivers. Works in concert with the interdisciplinary group.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregivers and hospice Interdisciplinary group members to meet the emotional needs of the patient and the family/caregiver.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing compliance with federal and state regulations and organization policy.

OASIS Review & Coding:

• Utilizes OASIS variation or alert reports when reviewing OASIS data.
• Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
• Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
• Notifies OASIS Review Nurse and Agency Managers of problematic trends as a result of OASIS review.
• Participates in Quality Improvement and Corporate Compliance activities as assigned.
• Assists with other chart audit activities as assigned.
• Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job.  The employee may be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• Education: Graduate of an accredited school of nursing.
• Credentials: Current RN License with Washington and Idaho state (Compact license considered). Bachelors in Nursing preferred. Certification in Hospice desired. A current CPR Certification, Valid Driver’s License and auto insurance.
• Experience: Home Health experience required. Hospice experience desired.
• Skills: All nursing functions, written and oral communication skills, sympathetic attitude, customer services/relations, ability to work with dying patients, organizational and diplomacy.
• 1-2 years of experience of home health clinical or billing experience required.
• Working knowledge of OASIS and OASIS certification (COS-C) preferred.
• Knowledge of federal regulations and state licensure requirements.
• Working knowledge of computer systems.
• Possess and maintains current CPR certification.
• Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
• Technical aptitude to use a hand held electronic device to perform documentation, send/receive email, and perform other tasks using the Internet, word processing software, and other programs.
• Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
• Shows ability to organize, multitask and prioritize workload independently.
• Detail oriented and able to work with minimal supervision.

*Though this position is located in Spokane, WA, we are willing to consider remote for the qualified candidate.

Benefits: Medical, Dental, Vision, 401k Plan Options, Employee Assistance Program, etc.

Salary: $70,000-$90,000