RN HOME HEALTH

Join to apply for the RN HOME HEALTH role at Covenant Health . Overview Full Time, 80 Hours Per Pay Period, Day Shift. M-F dayshift with on-call rotation. $1,500 Sign-on Bonus for candidates with relevant HomeCare Homebase experience. Covenant HomeCare is East Tennessee’s largest non‑profit homecare and hospice provider, serving more than 6,300 patients each year. Position Summary Provides professional nursing care to an assigned group of terminally ill patients; coordinates care planning in conjunction with the interdisciplinary team to ensure the best possible outcomes over the course of life. The Hospice RN reports to the assigned Hospice Clinical Supervisor. Responsibilities Conducts initial and ongoing assessment of the impact of the terminal illness on the patient’s physical, functional, psychosocial and environmental needs and activities of daily living. Facilitates a palliative milieu in the home that promotes a smooth transition at time of death. Risk for pathological grief Cultural and spiritual implications Verbal and non‑verbal communication patterns Implements the individualized plan of care and recommends revisions to the plan as necessary. Symptoms management focused care prioritizing comfort at end of life by reducing pain and suffering. Specialized nursing skills related to palliative and end‑of‑life care Consults with and educates the patient/family regarding: the terminal disease process, self‑care techniques, end‑of‑life care, the processes for dealing with issues of ethical concern. Initiates appropriate preventive and rehabilitative nursing procedures. Pressure ulcer prevention, pain crisis prevention, bowel impaction prevention, care of bed‑confined patient. Prepares clinical and nursing notes that reflect the progression of the disease process at the end of life as it takes its normal course. Coordinates all patient/family services and prioritizes needs with the interdisciplinary team through daily communication and/or bi‑weekly IDG. Uses case management approach and refers to other services as needed. Act as liaison between provider and patient/family; communicates orders received and processed and informs providers and staff of changes in patient needs. Determines scope and frequency of services needed based on acuity and patient/family needs; updates POC as needed and adjusts visit calendar frequency; develops and oversees HHA POC individualized to the patient’s needs. Supervises LPNs and Hospice/Home Health Aides; assists in orienting new employees. Provides specialized hospice training to staff, family members, and informal caregivers. Performs ongoing evaluation of patient/family response to education and care. Assesses caregiver ability to meet patient’s immediate needs upon admission and throughout care; advocates for respite care as needed. Has working knowledge of Medicare guidelines and performs in compliance with such guidelines. Follows appropriate admission, discharge, on‑call, and death procedures as outlined by Covenant HomeCare policy. Performs basic infection control techniques according to Covenant HomeCare policy; examples include proper bag technique, hand‑washing, glove usage, proper handling and disposal of waste, body fluids, contaminated trash, needles, soiled linens, and cleaning equipment used in the home. Pre‑plans appropriately including scheduling with patient/caregiver ETA to the home. Demonstrates knowledge and competency in providing for age‑specific, culture‑specific, and religious‑specific needs of the population served. Demonstrates ability to perform skills on annual skills check list. Requires travel to all counties served by Covenant Hospice. Follows policies, procedures, and safety standards; completes required education assignments annually; works toward achieving goals and objectives and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: Graduation from an accredited school of nursing. Minimum Experience: One (1) year of professional experience in hospital or prior home health experience. Clinical experience relevant to Hospice, including oncology, palliative, end‑of‑life care, etc. preferred. Licensure Requirements Must have and maintain Tennessee RN licensure. CPR required. Employee must have a valid Tennessee driver’s license Class D and state‑mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure. Recruiter Madeline Fornadel | #J-18808-Ljbffr