Hospice of the East Bay (HEB) is a community-based hospice and palliative care program providing services in the home and at our six-bed Hospice facility for terminally ill patients and those in need of palliative care. Care is given to patients and families by an interdisciplinary group. Bereavement care is provided to the family for a minimum of one year after the death. Hospice and palliative care offer a sponsored care program to provide services regardless of patient’s ability to pay. Hospice East Bay has been certified the past five years in a row as a "Great Place to Work". 

      Coverage Areas: American Canyon, Hercules, Richmond, Oakland, Castro Valley, Walnut Creek, Pleasanton, Antioch, Brentwood and the surrounding cities in the area.

      Under the direction of the attending physician and Medical Director (or Hospice Physician, Nurse Practitioner) and in conjunction with the interdisciplinary group, the main role of a Registered Nurse (RN) is providing direct nursing care and coordinating related assistance for patients and families. Although the RN reports to a primary manager, HEB expects the RN to work in home program or Bruns and in any geographical area assigned. 

1. Home Care: Reporting to an IDT Team Manager, the RN assists with covering a caseload for an absent Nurse Case Manager, making home visits and coordinating patient/family needs, providing hospice care for patients residing at home.
2. Long-Term Care (LTC) or Skilled Nursing Facility (SNF): Reporting to an IDT Team Manager, the RN assists with covering a caseload for an absent Nurse Case Manager, making home visits and coordinating patient/family needs. This program provides hospice care for patients residing in facilities and requires close collaboration with facility staff.
3. In-Patient Facility: Reporting to the Director of Inpatient Unit, the RN provides nursing care to patients who require Respite and GIP level of care for end of life symptom management and pain control.
4. After Hours: Reporting to the After Hours manager, the RN is responsible for making home visits, identifying and coordinating patient/family care needs during weeknights and weekends.
5. Admissions: Reporting to the Admissions Manager, the Admissions Nurse is responsible for the onsite assessment of the patient and family for appropriateness of Hospice Services. The RN completes the initial assessment, plan of care and handles all the administrative requirements upon admission (e.g. explanation of benefits, insurance, bill of rights, DNR, etc.)

ESSENTIAL FUNCTIONS:

• Assess all aspects of the patient’s pain and developing an individualized pain management plan.
• Anticipating, preventing and treating undesirable symptoms or secondary symptoms
• Identifying and addressing comfort care needs.
• Supporting, instructing and educating the patient, family and caregiver.
• Documenting problems, nursing assessments, appropriate goals & interventions, care provided, and patient and family outcomes achieved from intervention and care provided.
• Coordinating all patient and family services and community resources as needed.
• Maintaining the dignity, confidentiality and privacy of the dying patient.
• Supporting the patient’s unique spiritual and cultural beliefs.
• Providing holistic, family-centered care across treatment settings to improve the quality of life.
• Consulting and collaborating with the interdisciplinary team and others involved in the patient’s care.
• Attends and participates in nursing staff meetings and mandatory and non-mandatory in-services.
• Attending and presenting appropriate patient-related information at the Interdisciplinary Team Meetings that focuses on open care plan problems and goals for the upcoming 2 weeks.
• Updating the comprehensive assessment and patient’s progress towards desired outcomes at least every 15 days.
• Reassesses patient’s response to care.
• Completing and synching patient-related documentation within 2 hours of the shift worked.
• Adhering to and complies with state and federal regulations, as well as accreditation standards.
• Providing patient and primary caregiver education/training, as appropriate, for care and services identified in the plan of care.
• Adhering to evidence-based standards of practice that are endorsed by the agency.

POSITION REQUIREMENTS: 

• Demonstrates the skills, knowledge, and abilities necessary to be successful in the job as outlined in the position requirements.
• Must have the ability to perform a complete nursing physical assessment, develop a comprehensive care plan and respond to the needs of patients and families in the home setting, which may include SNF, RCFE/Board & Care and Bruns. 
• Must be able to cope with patient/family emotional stress and be tolerant of individual lifestyles without judgment. 
• Must have ability to establish professional boundaries and maintain cooperative relationships with professionals. 
• Must demonstrate excellent interpersonal communication skills, customer service skills, initiative, dependability, and good judgment. 

EXPERIENCE AND EDUCATION: 

• Current California Registered Nurse License required.
• A minimum of one year of experience working as a professional nurse in an acute clinical setting required.
• CPR certification required.
• Must have current California Driver’s License and a car in good working condition.
• Prior experience in hospice and/or home care preferred.
• Hospice and Palliative Care Nurse Certification highly desirable.
• IV knowledge and expertise desirable

Benefits

• 10% Shift Differential
• 403B Participation Plan
• Flexible Schedule
• Quality scores higher than national average
• Certified as a “Great Place to Work”
• Employee Discounts
• Employee Assistance Program

Come join our team and make a real difference when you go to work!