Palliative Care RN/Registered Nurse - Advanced Illness Management

Illumia
US - Texas - Argyle
October 16, 2024

Our Company:

Illumia Health is a fast-growing part of Gentiva, an industry leader in hospice and palliative care.
Our clinical teams serve as an extension of physicians' care, partnering with them and other specialists to offer advanced illness management, a specialized form of high-touch palliative care designed to provide relief from the symptoms and stress of illness while improving quality of life wherever our patients call home.
This flexible, collaborative approach is provided alongside curative treatments as an extra layer of physical, emotional, and social support.
As a close-knit team bringing compassionate expertise to the unique journey of every patient, we proudly celebrate each other's successes in an inclusive atmosphere of generous support and rewarding career growth.

Overview:

Join us to make a difference when life matters most

We believe every day is an opportunity to make care more personal and life more comfortable.
That's why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.

The AIM Palliative RN will report directly to the Director of Palliative Care.
You will work with patients, their families, and other health care professionals to provide and coordinate high-quality end of life care.
AIM Palliative RNs offer in-person and telephonic assessments to palliative care patients in collaboration with the interdisciplinary team.
AIM Palliative RN's primary role provides in-person assessments in private homes, assisted living facilities, and skilled nursing facilities They provide education to patients and families and work to ensure patients are comfortable in their home environment.

As a Registered Nurse / RN, you will:

Conduct in-person/telephonic RN assessments/screenings and provides education to palliative care patients, family members or caregivers as appropriate.
Complete Risk Stratification Assessment to identify patient support needs per established protocols as appropriate in consultation with the NP
Observes patient visit frequency per patient individual need and risk identification
Provide reliable education and instructions to patients and families with consistently excellent customer service bringing calm, comfort and positively to patients and families
Consult with and educate patients/families regarding disease process, self-care techniques, end-of-life care, medications, nutrition, and dietary needs
Communicate any findings that identify appropriate preventive and rehabilitative skilled nursing, or therapy needs to the PCP or AIM Palliative NP
Educate patient and family on medication administration and treatments as prescribed by the nurse practitioner or physician in the plan of care
Coordinate care with palliative team members
Communicate change in condition, or signs and symptoms of decline to Palliative NP and/or PCP
Support hospice referral as appropriate
Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans
Support care plan development and implementation for palliative care from the initial assessment through discharge.
Assessment at a minimum should include:
disease-specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient's condition, caregiver and/or family's quality of life.
Collaborate on development and modifications to the palliative plan of care, individualized for each patient, in consultation with the patient, family and other members of the Palliative Care Team.
Facilitate in providing and/or obtaining care for patient when a need is identified in accordance with the Plan of Care.
Participates in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
Facilitate prescription transmission to pharmacy including controlled substances to the extent delegated and licensed, in accordance with state law.
Receive laboratory results and other diagnostic tests, provide results to nurse practitioner in a timely manner.
Place requests for ordered durable medical equipment as medically necessary.
Communicate clinical findings to the nurse practitioner and/or PCP as needed, but no less than bi-weekly.
Re-assess effectiveness of care plan on a regular basis and modify as needed.
Maintain effective working relationships with supportive care team (e.
g.
, Social Worker), as applicable, and involve team when patient's care plan warrants team participation to achieve desired outc.

Read the full job description and apply online on the recuiter's web-site

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