At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.
The Hospice RN is responsible for providing skilled nursing care services to patients through Hospice serving a delineated geographic area under this specialized program. This includes providing nursing care to patients in their residence on the basis of the individualized Hospice Plan of Care developed and monitored by the Hospice Interdisciplinary Team that includes the primary physician.This position requires substantial specialized knowledge, judgment, and skill based upon the principles of biological, physiological, behavioral and sociological sciences. The RN uses critical thinking skills in making decisions regarding patient care that includes knowledge and integration of relevant standards, resources, and data. The RN delegates the performance of selected patient care tasks to competent individuals in selected situations. The RN delegating the task retains the responsibility and accountability for the care and coordination of care for the patient. Acting as the patient advocate, the RN has continuous contact with physicianâs, patients, patient families/significant others, contracted facilities, community agencies, patient care staff, and management.Â
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PRINCIPAL ACCOUNTABILITIESÂ
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Provides skilled nursing care to patients in their residence on the basis of the individualized Hospice Plan of Care developed and monitored by the Hospice Interdisciplinary Team to include the primary physicianÂ
Delivers care to patients in their home efficiently and effectively, including planning sequence of visits assignedÂ
Obtains and/or monitors the need to obtain physician orders to modify service intervention, including level of care, visit frequency and specific intervention/ treatment for all interdisciplinary servicesÂ
Participates in on going patient/family unit evaluations to confirm continued Hospice appropriatenessÂ
Participates in the completion of the re-certification process to include the planning for all disciplines that will continue to provide care in the next certification period. The planning based on clinical documentation of the patient current status, direct contact with the primary physician and interdisciplinary team inputÂ
Assesses and documents bio-physiological, psychosocial, growth and developmental, environmental/safety, education, and discharge planning factors of the patientÂ
Anticipates changes in patient status and includes cultural variances into assessmentÂ
Directly communicates to the primary physician and the interdisciplinary team patient status changes and resultant changes in the Plan of CareÂ
Instruct primary caregivers, volunteers, and employed caregivers to provide care as indicatedÂ
Provide appropriate support at time of death and perform bereavement assessment if requiredÂ
Develops and maintains a professional relationship with all Hospice Interdisciplinary Team membersdemonstrating collaborative care planning and coordination directed to achieve measurable outcomesÂ
Participates in proactively planning appropriate and individualized discharge coordination including input from interdisciplinary team members, patient/caregiver and the primary physicianÂ
Conducts admissions as assigned based on a comprehensive in-residence assessment, patient readiness and desire for Hospice services, and patient appropriateness for Hospice services per payor source criteria and Hospice policiesÂ
Communicates to the office staff and/or supervisor discharge plans including projected discontinuation of services provided by all team membersÂ
Communicates to the office staff and/or supervisor transfer plans from Hospice to: Home Health; inpatient, outpatient, or extended care facilities; other community referrals; or other Hospice providersÂ
Participates in the establishment of a Plan of Care that meets patient needs, agency policies and procedures, Medicare Hospice Conditions of Participation, Washington State Hospice licensure, and Joint Commission standards in collaboration with the interdisciplinary team, to include the primary physicianÂ
Ensures that care provided to patients admitted to service meets reimbursement criteria, guidelines and specifications; including Medicare, Medicaid, private insurance, and various managed care health care benefit criteriaÂ
Accesses and inputs documentation using automation through the electronic health record that includes programs for scheduling, billing, payroll and medical records. Maintains integrity of automated data and documentation through accurate, reliable and timely entriesÂ
Maintains Agency credentialing for Hospice to include emphasis on symptom management and palliative and end-of-life nursing careÂ
Identifies patient care needs with reference to psychosocial, spiritual, emotional and physical aspects of the patient/family unit of care to include needed social work, volunteer, bereavement, chaplain intervention; appropriate level of Hospice Care required; secondary referraldiscipline referrals; medical supplies and equipment; medications; Hospice Aide and Homemaker services Â
Participates in the development, implementation and modification of the Plan of Care for all assigned patients in collaboration with the Medical Director, the primary physician, the patient and/or caregiver, and the interdisciplinary team members to meet specific patient and family needs; and to be in compliance with State and Federal regulations, reimbursement guidelines, and policy and proceduresÂ
Communicates appropriate patient information to office staff and/or supervisor and the interdisciplinary team to maintain an automated, proactive and comprehensive patient care schedule for all disciplinesÂ
Communicates canceled visits, physician appointments, physician orders changing visit and treatment assignments, and any patient communication or status that warrants consideration for changing the patientâs care schedule for any disciplineÂ
Participates in agency and community programs as requested to promote professional growth and understanding of Hospice and Palliative CareÂ
Conducts HHA supervisory visits as required, including completion of documentation that meets State and Federal regulations and Agency policyÂ
Participates in department meetingsÂ
Continually seeks out opportunities to promote personal continued education and professional development.  Â
Completes mandatory education and training requirementsÂ
Fill in for after-hours RNs on a limited, as needed basis (to cover illness and vacation time) on a rotating basisÂ
Adheres to MHS Attendance and Punctuality Policy and Procedure standards. Maintains reliable attendanceÂ
Contributes to the success of the organization by meeting organizational competency expectations and core values, continuously learning, and by performing other duties as needed or assignedÂ
EDUCATION & EXPERIENCEÂ
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Graduate of an accredited School of Nursing required.Â
Bachelor's degree in Nursing preferred
Licensed in the State of Washington as a Registered NurseÂ
Current CPR CertificationÂ
One year Home Health or Hospice experience preferredÂ
National Certification in Hospice and Palliative Nursing preferred
Current Washington State Drivers License; and proof of a safe driving record (which meets established MHS Standards) obtained by a motor vehicle report from the appropriate state
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Position Summary
The RN completes individualized patient assessments; develops a care plan based on assessment/history findings; delivers patient-centered care that is culturally appropriate; evaluates a patientâs response to care and revises as needed. The RN is accountable to deliver care as well as to oversee and delegate to other personnel (clinical & non-clinical) in delivering/supporting the delivery of care.
Responsibilities 1. Collects and analyzes pertinent objective and subjective data related to the health status of the patient/client, including biological, psychological, social, emotional, spiritual, and age-specific determinates of health. 2. Plans, implements, and documents plan of care involving family, demonstrating respect for patient rights. Maintains patient privacy and confidentiality; is compliant with HIPAA. 3. Advocates for patient/family. 4. Honors, respects patient/family cultural beliefs and incorporates into plan of care. 5. Communicates plan of care to members of the healthcare team. 6. Delegates selected nursing functions to others in accordance with their education, credentials and demonstrated competence. 7. Evaluates and revises plan of care to address physician/clinical issues. 8. Identifies care concerns and communicates with appropriate individuals or departments to ensure resolution. 9. Knows responsibility/role during all Emergency Codes and Red Rules. 10. Maintains current clinical knowledge and volunteers to share/present information to staff. 11. Maintains competency on all computer systems/software utilized for completion of role responsibilities. 12. Initiates/participates in performance improvement activities. 13. Uses critical thinking skills in making decisions regarding patient care. 14. Demonstrates Memorialâs expectation for customer service. 15. Demonstrates inter/intradepartmental teamwork. 16. Demonstrates flexibility within the RN role.
Requirements Education: Associateâs degree in nursing required; BSN preferred. Experience: Previous acute care nursing experience preferred. Licenses/Certificates/Registration:
Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
. American Heart Association BLS required until certified in ACLS. ACLS required within one year of hire (if applicable).
Our Values
As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.
Why MultiCare?
Belonging: We work to create a true sense of belonging for all our caregivers
Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
Market leadership: Washington state's largest community-based, locally governed health system
Employee-centric: Named Forbes âAmericaâs Best Employers by Stateâ in 2023
Technology: "Most Wired"â¯health careâ¯system 15 years in a row
Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $40.33 - $72.97 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicantâs years of experience align.
Associated benefit information can be viewed here.
Position Type: Full time - Regular Primary Shift: Day Work Schedule: Day
MultiCare is a not-for-profit health care organization with more than 20,000 team members, including employees, providers and volunteers. MultiCare has been caring for our community for well over a century, since the founding of Tacoma’s first hospital and today is the largest community-based, locally governed system of health in the state of Washington, serving communities across Washington and Northern Idaho.
MultiCare’s comprehensive system of health includes numerous primary care, urgent care and specialty services — including Mary Bridge Children’s Hospital & Health Network; MultiCare Indigo Urgent Care; Pulse Heart Institute; MultiCare Medical Associates, affiliated physicians; MultiCare Rockwood Clinic, the largest multispecialty clinic in the Inland Northwest region; and MultiCare Connected Care, our Accountable Care Organization.
Eleven hospitals complete the organization: Allenmore Hospital, Auburn Medical Center, Capital Medical Center, Covington Medical Center, Deaconess Hospital, Good Samaritan Hospital, Mary Bridge Children’s Hospital — the Puget Sound region’s only children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washingt...on — Navos Behavioral Health Hospital, Valley Hospital, Tacoma General Hospital — which is home to the South Puget Sound region’s only Level IV Neonatal Intensive Care Unit — and Wellfound Behavioral Health Hospital.
Our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness, serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.
MultiCare is also proud of our commitment to workforce diversity and culturally competent care. This commitment is led by our CEO and supported through employee education and community outreach.