After Hours Triage RN

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect.

TITLE: After Hours Triage RN
OFFICE LOCATION: Sunnyvale, CA
PATIENT TERRITORY: Majority 100% Remote - Will need to come onsite for trainings, meetings, etc.
SCHEDULE: Per Diem - Holidays and Weekends Required
HOURS: Saturdays/Sundays/Holidays: 730am-4pm or 830a-5pm. After hours: 430pm-1230am

The posted compensation range of $43.22 - $64.85/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law.

POSITION SUMMARY:
The After Hours Triage RN is responsible for the coordination of hospice and/or home care service delivery after regular business hours to adult and pediatric hospice and home care patients, including palliative care. Provides clinical and administrative direction to field staff. Works from the office, or home. In an emergency a triage nurse may be required to go to the closest Pathways office to perform their duties.
AREAS OF RESPONSIBILITY:

• Accepts incoming telephone calls or other electronic communication from patients, family members, caregivers, or facility staff.  Assesses information provided and recommends appropriate nursing interventions.
• Consults with Interdisciplinary Group (IDG) members as indicated to determine appropriate interventions and makes recommendations.
• Coordinates with clinical providers to ensure pre-scheduled visits to patients are timely and based on patient/family need.
• Accepts incoming telephone calls or other electronic communication from members of the community inquiring about hospice and home care services.  Provides appropriate information.
• Accepts referrals from and provides information to physicians, discharge planners, and other sources for eligibility and appropriateness for hospice and home care and communicates information to intake staff.
• Assigns unplanned visits for current patients in a timely manner based on the clinical needs of the patient, staff competency, staff workload, and geographical location of the patient.
• Accepts and documents physician verbal and written orders and obtains other patient care information from physician/patient/family/facility staff.  Communicates new orders/information to the case manager or appropriate IDG member, including pharmacy providers.
• Provides consultation as needed to clinical providers and office staff.  Supervises Shared Services After Hours Licensed Vocational Nurse when sent out on visit.
• Maintains current knowledge of regulations pertinent to the delivery of Hospice and Home Health services and demonstrates compliance with such regulations in practice. 
• Knowledgably discusses the overall history, philosophy and services of Pathways Home Health and Hospice.
• Supports, instructs and educates the patient, family, caregivers, and facility staff.
• Documents nursing assessments, problems, appropriate goals, care interventions, patient and family outcomes, and evaluations of these in the electronic record.
• Accesses electronic devices during patient communication/interaction and documents during or immediately after the communication/interaction or per regulation.
• Maintains the dignity of the dying patient and supports the patient’s and family’s unique spiritual and cultural beliefs.
• Supports holistic, family-centered care across treatment settings to improve the quality of life
• Knowledgably discusses and initiates non-pharmacologic interventions as appropriate to promote comfort, improve quality of life, and help manage emotional, spiritual, and physical distress.
• Participates in the hospice program’s quality assessment performance improvement program and in-service education related to areas of practice as appropriate.
• Meets productivity standards as established by the manager.
• Maintains timely communication with patient, family, and facility staff regarding all aspects of patient care.
• Creates, documents, and maintains the medication list. Evaluates medications for side effects or interactions as able and communicates these.   Effectively instructs patient, family, and/or staff use of medications and reconciles medication records.
• Effectively communicates with and uses the hospice prescription plan, formulary/preferred drug list, and general hospice medication coverage philosophy.
• Adheres to all agency policies and procedures, including updates, as communicated in written, spoken, and electronic forms.
• Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments, and actively listening. Positively promotes Pathways by offering assistance and information.
• Assists in development of hospice protocols, procedures and policies as requested.
• Demonstrates all skills of a Registered Nurse, including those skills required by the agency through competency testing.
• Maintains and updates level of knowledge and skills required to provide quality nursing care.
• Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways.

QUALIFICATIONS:

• California RN license required: PHN preferred.
• Recent experience in home care or hospice preferred.
• Minimum of two years of nursing experience.
• Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. Excellent nursing assessment, communication, and problem-solving skills.
• California driver’s license and automobile insurance with minimum Bodily Injury Liability Insurance per agency policy.
• Current CPR certification – American Heart Association “BLS Health Care Provider” required upon renewal.