Open Job Postings - Desert Valley Hospice LLC

• Apply specific criteria for admission and re-certification to establish the patient’s eligibility and appropriate levels of care.
• Assess the impact of the terminal diagnosis on the patient’s physical, functional, environmental, safety, ADL, and psycho-social needs, including risk for pathological grief.
• Assess all aspects of the patient’s pain and develop an individualized pain management plan.
• Assess the ability of the caregiver to meet the patient’s immediate needs at the start of care and throughout care.
• Develop an individualized palliative plan of care based on the needs identified which demonstrates the management of discomfort and provision of symptom relief.
• Determine the scope and frequency of services based on acuity and patient/family needs.
• Implement the care plan utilizing appropriate preventative and rehabilitative nursing procedures.
• Consult and collaborate with the interdisciplinary team and others involved in the patient’s care.
• Coordinate all patient/family services and participate in prioritizing the needs of members of the interdisciplinary team.
• Use the case management approach, referring to other services as needed.
• Support, consult, and educate the patient, family, and caregiver regarding the disease process, self-care techniques, end-of-life cares, and managing ethical concerns.
• Document nursing assessments, care plans with problems, appropriate goals and interventions identified, care provided, and patient/family outcomes demonstrating progress toward established goals.
• Document and communicate information using current processes and technology available to Agency.
• Attend Interdisciplinary Group meetings and participate in care plan revision/update.
• Work in a team approach with members of the interdisciplinary team to evaluate ongoing patient/family responses to and satisfaction with care.
• Support the patient’s and family’s unique spiritual and cultural beliefs.
• Provide holistic, family-centered care across treatment settings to improve quality of life.
• Perform duties consistent with the Nursing Practice Act including the Standards of Competent Performance.
• Demonstrate the ability to correctly use and direct the use of medical supplies and equipment.
• Provide specialized hospice training to other staff the patient’s family and informal caregivers to ensure adequate care.
• Participate in the On-Call rotation as requested.
• Participate in orientation, in-service education, and performance improvement.
• Prepare and submit, as directed, all case documentation and required payroll information according to Agency policy.
• Prepare re-certification and discharge paperwork as appropriate and submit timely.
• Evaluate own needs for support and communicate concerns to manager.
• Consistently display a professional appearance and conduct in all settings.
• Assume responsibility and display reliability for the completion of all tasks, duties, communications, and actions.
• Support the mission, vision, and goals of the Agency.
• Participate in performance improvement activities.
• Abide by Agency policies and procedures.
• Accept other duties as assigned.

• Current, active license in the state of Arizona Board of Nursing, pursuant to ARS Title 32, Chapter 15 including fingerprint checks Current CPR, health clearance, and clinical skills self-assessment.
• Minimum of one year of professional nursing experience and BSN or one year of professional nursing experience within the last 3 years.

• Apply specific criteria for admission and re-certification to establish the patient’s eligibility and appropriate levels of care.
• Assess the impact of the terminal diagnosis on the patient’s physical, functional, environmental, safety, ADL, and psycho-social needs, including risk for pathological grief.
• Assess all aspects of the patient’s pain and develop an individualized pain management plan.
• Assess the ability of the caregiver to meet the patient’s immediate needs at the start of care and throughout care.
• Develop an individualized palliative plan of care based on the needs identified which demonstrates the management of discomfort and provision of symptom relief.
• Determine the scope and frequency of services based on acuity and patient/family needs.
• Implement the care plan utilizing appropriate preventative and rehabilitative nursing procedures.
• Consult and collaborate with the interdisciplinary team and others involved in the patient’s care.
• Coordinate all patient/family services and participate in prioritizing the needs of members of the interdisciplinary team.
• Use the case management approach, referring to other services as needed.
• Support, consult, and educate the patient, family, and caregiver regarding the disease process, self-care techniques, end-of-life cares, and managing ethical concerns.
• Document nursing assessments, care plans with problems, appropriate goals and interventions identified, care provided, and patient/family outcomes demonstrating progress toward established goals.
• Document and communicate information using current processes and technology available to Agency.
• Attend Interdisciplinary Group meetings and participate in care plan revision/update.
• Work in a team approach with members of the interdisciplinary team to evaluate ongoing patient/family responses to and satisfaction with care.
• Support the patient’s and family’s unique spiritual and cultural beliefs.
• Provide holistic, family-centered care across treatment settings to improve quality of life.
• Perform duties consistent with the Nursing Practice Act including the Standards of Competent Performance.
• Demonstrate the ability to correctly use and direct the use of medical supplies and equipment.
• Provide specialized hospice training to other staff the patient’s family and informal caregivers to ensure adequate care.
• Participate in the On-Call rotation as requested.
• Participate in orientation, in-service education, and performance improvement.
• Prepare and submit, as directed, all case documentation and required payroll information according to Agency policy.
• Prepare re-certification and discharge paperwork as appropriate and submit timely.
• Evaluate own needs for support and communicate concerns to manager.
• Consistently display a professional appearance and conduct in all settings.
• Assume responsibility and display reliability for the completion of all tasks, duties, communications, and actions.
• Support the mission, vision, and goals of the Agency.
• Participate in performance improvement activities.
• Abide by Agency policies and procedures.
• Accept other duties as assigned.

• Current, active license in the state of Arizona Board of Nursing, pursuant to ARS Title 32, Chapter 15 including fingerprint checks Current CPR, health clearance, and clinical skills self-assessment.
• Minimum of one year of professional nursing experience and BSN or one year of professional nursing experience within the last 3 years.

• Assist patient with personal hygiene, elimination, nutritional support / feeding, ambulation and exercise, and medication reminders according to the patient’s needs and nursing orders. 
• Provide care consistent with written instructions. 
• Provide support for and reinforce the team’s teaching of patient’s caregivers. 
• Perform other related supportive tasks as specified by Agency policy. 
• Communicate with the hospice nurse regarding services provided, significant findings regarding the patient’s functional status and change in care needs, and changes in condition. 
• Document the care provided and the patient’s response to care. 
• Prepare and submit, as directed, all case documentation and required payroll information according to Agency policy. ▪ Participate with the interdisciplinary team in the development and implementation of the patient’s and family’s plan of care. ▪ Provide services within the Agency's catchment area. 
• Acknowledge patient rights including privacy and confidentiality. 
• Consistently display a professional appearance and conduct in all settings.  
• Interact with internal and external customers using positive and professional approach. 
• Assume responsibility and display reliability for the completion of all tasks, duties, communications and actions. ▪ Support the mission, vision and goals of the Agency. 
• Participate in orientation and performance improvement activities. 
• Participate in in-service education earning 12 contact hours per year. 
• Abide by Agency policies and procedures. 
• Accept other duties as assigned. 

• Must have visual and hearing acuity and be able to communicate clearly verbally. 
• Must be able to read, write and speak English fluently. 
• May be exposed to minor hazards/communicable diseases. 
• Physically active walking, standing, bending, lifting, and climbing stairs. 
• Must be able to perform fully assisted transfers, with or without transfer devices. 
• Must not have any back lifting/moving restrictions. 
• Must provide proof of auto insurance upon hire and each renewal and maintain a safe driving record. 

• A training program and competency evaluation pursuant to Federal/State law
• A competency evaluation program pursuant to Federal /State law 
• A state approved nurse aide training and competency evaluation program pursuant to Federal/State law and is currently listed in good standing on the state nurse aide registry
• A state licensure program pursuant to Federal/state law 
• NOTE: Aide must NOT have had a continuous 24-month gap in furnishing services for compensation since program completion. 
• DMV and criminal background check/OIG Exclusion list/National Sex Offender Registry/fingerprint card as appropriate. Current CPR, TB and health clearance  
• Completed skills assessment 
• Successful passage (80%) of Agency competency exam and core competency checklist 
• Have the orientation and training appropriate to the care of the patient and his/her family 

Job Description:

We are currently seeking a dedicated and compassionate On-Call Hospice Nurse to join our team. In this role, you will be responsible for providing high-quality end-of-life care to our patients in their homes or facilities. As an On-Call Hospice Nurse, you will work closely with our interdisciplinary team to ensure that our patients receive the best possible care and support during this sensitive time.

Key Responsibilities:

- Conduct new admission assessments for patients entering our hospice care program

- Coordinate and provide comprehensive care for patients and their families according to their individual care plans

- Perform same-day and bedside documentation to ensure accurate and timely patient records

- Collaborate with physicians and other healthcare professionals to optimize patient care

- Provide emotional support and guidance to patients and their families

- Respond to patient and family needs promptly and with empathy

-Answer phones and triage calls appropriately 

Qualifications:

- Registered Nurse (RN) license in the state of Arizona 

- Minimum of 2 years of nursing experience, preferably in hospice or palliative care

- Strong assessment and critical thinking skills

- Excellent communication and interpersonal skills

- Ability to work independently and as part of a team

- Willingness to work flexible hours, including evenings, weekends, and holidays

- BLS certification required, ACLS certification preferred

Schedule: 7 on 7 off, starting Friday 5:00pm. 

If you are a caring and dedicated nurse looking to make a difference in the lives of patients and their families during their end-of-life journey, we encourage you to apply for our On-Call Hospice Nurse position. Join our team and help us provide comfort, dignity, and peace to those in need.

• Assist patient with personal hygiene, elimination, nutritional support / feeding, ambulation and exercise, and medication reminders according to the patient’s needs and nursing orders. 
• Provide care consistent with written instructions. 
• Provide support for and reinforce the team’s teaching of patient’s caregivers. 
• Perform other related supportive tasks as specified by Company policy. 
• Communicate with the hospice nurse regarding services provided, significant findings regarding the patient’s functional status and change in care needs, and changes in condition. 
• Document the care provided and the patient’s response to care. 
• Prepare and submit, as directed, all case documentation and required payroll information according to Company policy. ▪ Participate with the interdisciplinary team in the development and implementation of the patient’s and family’s plan of care. ▪ Provide services within the Agency's catchment area. 
• Acknowledge patient rights including privacy and confidentiality. 
• Consistently display a professional appearance and conduct in all settings.  
• Interact with internal and external customers using positive and professional approach. 
• Assume responsibility and display reliability for the completion of all tasks, duties, communications and actions. ▪ Support the mission, vision and goals of the Company. 
• Participate in orientation and performance improvement activities. 
• Participate in in-service education earning 12 contact hours per year. 
• Abide by Company policies and procedures. 
• Accept other duties as assigned. 

• Must have visual and hearing acuity and be able to communicate clearly verbally. 
• Must be able to read, write and speak English fluently. 
• May be exposed to minor hazards/communicable diseases. 
• Physically active walking, standing, bending, lifting, and climbing stairs. 
• Must be able to perform fully assisted transfers, with or without transfer devices. 
• Must not have any back lifting/moving restrictions. 
• Must provide proof of auto insurance upon hire and each renewal and maintain a safe driving record. 

• A training program and competency evaluation pursuant to Federal/State law
• A competency evaluation program pursuant to Federal /State law 
• A state approved nurse aide training and competency evaluation program pursuant to Federal/State law and is currently listed in good standing on the state nurse aide registry
• A state licensure program pursuant to Federal/state law 
• NOTE: Aide must NOT have had a continuous 24-month gap in furnishing services for compensation since program completion. 
• DMV and criminal background check/OIG Exclusion list/National Sex Offender Registry/fingerprint card as appropriate. Current CPR, TB and health clearance  
• Completed skills assessment 
• Successful passage (80%) of Agency competency exam and core competency checklist 
• Have the orientation and training appropriate to the care of the patient and his/her family 

• Utilize the nursing process by demonstrating appropriate assessment of urgent needs, planning, implementation, and evaluation of the patient's care.
• Assess the patient and document (same day) the patient's current health status in the Electronic Health Record. Make an accurate assessment of the patient's status and respond appropriately.
• Plan/Implement: Set priorities for nursing action in a logical sequence according to patient's needs and revise the plan of care by the appropriate selection of nurse practice standards. The plan is based on patient/caregiver-centered goals and is agreed upon by the patient/Power of Attorney.
• Evaluate outcomes related to situation/reason for care and revise plan of care based on new data and patient's condition/needs.
• Document patient care which reflects focused nursing assessment, intervention, patient response to care provided, patient needs, problems, capabilities, and limitations. Documentation includes evidence of appropriate patient/caregiver teaching, and the understanding of these instructions is noted in the medical record.
• Communicate with the patient’s Attending Physician & specialists regarding patient needs, nursing assessment, and recommendations. Follow through with provider’s orders.
• Collaborate with other interdisciplinary team members, as well as facility staff when appropriate to ensure the patient's safety and well-being.
• Teach patient/caregiver appropriate health information in a timely manner. Document-level of understanding of education provided.
• Perform direct patient care, utilizing established procedures, policies, and standards. 
• Administer medications according to policy and procedure.
• Observe and document patients' responses to medications and treatments.
• Demonstrate ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and policy and procedure.
• Demonstrate necessary skills and knowledge to provide care for patients according to policy and procedure and based on palliative-specific competencies.
• Demonstrate ability to handle emergency situations in a prompt, professional manner.
• Provide personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychological needs.
• Give a thorough, concise report with any changes in the patient’s condition or levels of care.
• Communicate pertinent information to the appropriate person(s) in a timely manner.
• Demonstrate accurate and timely documentation according to agency guidelines.
• Accurately transcribe physician orders according to policy and procedure.
• Maintain a clean and safe environment for patients & staff according to policy and procedure.
• Demonstrate correct and safe techniques in the use of equipment according to specific product information.
• Follow appropriate procedures for obtaining and returning or cleaning/disposing of equipment and supplies.
• Participate in economical utilization of supplies and ensure that equipment is maintained in a clean and safe manner.
• Remain conscientious in regard to personal hygiene and comply with dress code policy.
• Comply with specific policies and procedures concerning safety.
• 100% attendance to mandatory skill updates yearly required.
• Attend discipline-specific meetings and read and sign all minutes of meetings not attended.
• Assist patients and family members with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner.
• Answer and refer phone calls or other inquires to ensure and timely communications are facilitated.
• Identify yourself in a pleasant and positive manner.

• Consistently work in a positive and cooperative manner with fellow team members.
• Assist other team members in the performance of their assignments.
• Seek out opportunities to help rather than waiting to be asked.
• Consider the impact of your actions on team members throughout the agency.
• Recognize the need for variations in staffing and volunteer to fill open shifts.
• Will need to rotate with other team members fairly in covering holiday shifts.
• Take direction and initiate actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless patient care.
• Demonstrate flexibility to perform duties wherever volume deems it necessary within the agency.

• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns.
• Investigate and follow through on unusual orders or requests for service or information.
• Follow proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur.
• Record/report the need for service maintenance or repair of equipment and remove any faulty equipment from service.
• Contribute to the achievement of Performance Improvement and participate in QAPI activities utilizing problem-solving methodology for performance improvement.
• Evaluate work and determine if further steps are needed to meet patient expectations.
• Ensure compliance with regulatory standards.

• Consistently demonstrate the ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Minimize non-productive time and fill slow periods with activities that will enable you to prepare to meet the future needs of the agency (education, audits, assisting others).
• Organize job functions and work areas to be able to effectively complete varied assignments within established time frames.
• Consistently demonstrate the ability to take the initiative to make decisions/choices within the scope of practice without direct supervision.

• Attend required annual in-service programs.
• Participate in continuing education activities and obtain required education hours.

• Demonstrate knowledge and understanding of all policies and procedures and the ability to reference them from appropriate books and manuals.
• Comply with the infection control policies and procedures including the Exposure Control Plan which reflects OSHA Bloodborne Pathogens Standard to ensure a safe working environment for self and others.

• Must meet Desert Valley Hospice & Palliative Care requirements for employment.

• Graduate of an accredited school of Nursing.
• Valid registration as a Licensed Practical Nurse in the State of Arizona.
• Current CPR card.

• Previous experience in hospice or palliative care is required.
• Knowledgeable regarding the nursing process and its application, including the assessment, planning, implementation, and evaluation of nursing care.

• Intermittent physical activity includes walking, standing, sitting, lifting, and supporting patients.
• The position will be exposed to viruses, diseases, and infections from patients and specimens in the working environment.
• The position will be required to work at any facility or patient’s home and be responsible for its own transportation.
• The position will be scheduled based on operational needs.