The RN Admissions Nurse is a registered nurse and a Team member whose primary responsibility is to present FHC services and philosophy to patients and families in a manner that result in the admission of appropriate patients.

• Evaluates patients for hospice appropriateness using medical records review and consultation with Supervisor, DPCS and Medical Director.
• Explain benefits of hospice program and obtain signature of informed consent.
• Admit patients, develop plan of care and complete and submit relevant paperwork in accordance with FHC policies.
• Obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate into plan of care.
• Utilize work time and resources effectively and efficiently by completing assigned tasks within specified time limits while maintaining high productivity and performing efficiently regardless of whether the work volume is high or low.
• Orders DME, Medications and supplies as needed.
• Build referral source relationships to support the growth of FHC.
• Maintain clinical and professional competence.
• Assist with the continuity of care and discharge planning from facilities.
• Following admission, ensure smooth transition of new patients to case manager assigned.
• Perform other duties as assigned.

(10220)

• Current California RN license.
• Two to three years nursing experience, hospice or home health experience preferred.
• Knowledge of state and federal regulations relating to hospice participation.
• Able to multi-task effectively and work as a team.
• Works well independently.
• BLS required within 60 days of hire. Excellent observation, diagnostic, medication management and clinical documentation skills.
• Travel required.  Current California driver's license and proof of insurance.
• Other duties as assigned.

• Exercise discretion, use independent judgment and perform thorough assessment of psychosocial, mental health, finances and support of the family system which could potentially effect coordination of member care.  (This includes understanding insurance benefits/coverage, Medi-Cal, etc.).  Assessments will be completed within specified time frames for the Palliative Care and Family Hospice Care programs.
• Screen for depression, anxiety and other mental illness and assist with facilitation to Mental Health provider as per health plan benefit. In addition and as appropriate, the Palliative Care social worker, will establish services with the Behavioral Health clinic per protocol.  
• Determine appropriate interventions needed and communicate with the Interdisciplinary Group to ensure positive member outcomes while coordinating immediate and long term goals.
• Provide psycho-social and emotional support by acting as a liaison between the member, family, Interdisciplinary Group and any other appropriate parties in the Family Hospice Care/Desert Oasis Healthcare system or community to assure well informed health care decisions and continuity of care.
• Participates in the preparation, evaluation and implementation of the Interdisciplinary Group and develop a plan of care to assure the highest quality of social services is offered to members/families, as well as follow-up.  Educates, coordinates and/or facilitates with the member and/or family any needed community resources.
• Assist RN Case Manager with member/family education regarding “Life Planning”. This includes completion of POLST, Advance Directive, Serious Illness Discussion, Funeral Plans if applicable and Long Term Care plan. In addition, the Palliative Care social worker will update the Life Planning Template in the EMR and the Hospice social worker will update the entire plan in the EMR and at every IDG.
• Long Term Care plan. In addition, the Palliative Care social worker will update the Life Planning Template in the EMR and the Hospice social worker will update the entire plan in the EMR and at every IDG.
• Perform detailed documentation of assessments, follow-up and coordination of care will be completed in the electronic medical record according to organizational policy.
• Utilize work time and resources effectively and efficiently, complete assigned tasks within specified time limits while maintaining high productivity. 
• Be available for attending deaths and/or telephone call to the bereaved within 5 days of death.
• Participate in on-call rotation. 
• Participate in mandatory and one voluntary in-service education program.
• Perform other duties as assigned. 

• Master of Social Worker Degree (MSW) from a school accredited by the Council on Social Work Education and clinical experience relevant to the psychosocial needs of patients and families. Licensure if Licensed Clinical Social Worker (LCSW).
• One year of social work experience in a health care setting.
• Knowledge of stress of repeated loss as well as to provide support to the rest of the team.  Knowledge of community resources and the ability to utilize these resources.  Knowledge of the end of life process and bereavement.  Knowledge of non-invasive pain and symptom control.
• Demonstrates the ability to use good listening and communication skills. 
• Able to multi-task effectively.
• Capacity to relate and work as a member of an IDG.
• Current California driver's license and proof of insurance.
• Travel required.
• At the discretion of DOHC/FHC management, this position has the potential to be a full or hybrid telecommuting position.