On Call Assistant Clincial Director
Crossroads Hospice of Kansas - Lenexa, KS

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REPORTS TO: CLINICAL DIRECTOR

RESPONSIBILITIES:

1. Handle any incoming questions from on-call personnel to provide guidance and education as required.

2. Supervise on- call personnel to ensure that they are providing adequate crisis intervention for patient/family issues arising after hours.

3. Ensure on-call personnel are assessing existing and potential problem areas, needs and resources of individuals, families and significant others; perform appropriate interventions to meet the need of the patient/family.

4. Ensure on-call personnel are coordinating and performing direct call visits, GIP/Watch/EvenMore Care/ Continuous Care/GIP and Respite visits as deemed appropriate by the issues reported during the after hour call.

5. Ensure that on-call staff are making appropriate clinical decisions regarding patient care based on objective and subjective data, nursing assessment and quality assurance criteria as reported by visiting skilled nurse or reporting party.

6. Assist on-call staff with symptom control interventions based on the symptoms the patient is exhibiting.

7. Assist on-call personnel in the planning of nursing care for patients regardless of care setting, utilizing appropriate available resources.

8. Ensure on call personnel are appropriately assisting and guiding patients/families in making decisions pertaining to their health care needs. Ensure involvement of patient and/or significant others in determining care goals, objectives and teaching plans.

9. Assist on-call staff with teaching issues related to care of the patient/significant other, utilizing established available patient education principles, guidelines, and resources. Insure that staff document patient teaching and response in patient record and submit documentation following business day.

10. Monitor and ensure on-call personnel are providing service in accordance with the established Plan of Care and in compliance with third-party regulations, certified hospice care requirements, and standards of practice.

11. Monitor and ensure on-call personnel are coordinating services, medical care, and community resources involved in patient/family care.

12. Monitor, review, and ensure that on-call personnel are accurately and timely documenting all incoming calls on the On-Call Log.

13. Monitor, review, and ensure that on-call personnel are accurately and timely documenting all after hour visits on the Unscheduled / after hour / Emergent Visit note sheet.

14. Monitor, review, and ensure that on-call personnel are submitting all documentation the following business day.(as required per policy)

15. Monitor, review, and ensure that on-call personnel are notifying the appropriate Case Manager / IDG member and Team Leader(s) of any/all changes in patient’s condition and POC changes.

16. Monitor, review, and ensure that on-call personnel are making necessary changes in assignment to compensate for emergency situations and/or acutely ill patients.

17. Monitor, review, and ensure that on-call personnel are accurately and timely updating the Plan of Care as appropriate.

18. Monitor, assess, and ensure that all on-call personnel receive adequate training, education, orientation related to state and federal hospice regulations, approved care modalities, pain and symptom control, disease progression, hospice eligibility guidelines and criteria, agency policy and procedures, formulary for pharmacy, DME and supplies to ensure competency. Identify any on-call staff member’s deficiencies and with the assistance of the management, direct and guide them to the appropriate resources to overcome those deficiencies. Provide ongoing guidance and education to ensure compliance.

19. Perform training, supervision, and guidance with on-call personnel, on site within the field, to monitor for safe and compassionate patient care compliance, HIPAA compliance, documentation compliance and policy and procedure compliance. Document any issues and discuss with the on-call personnel as issues arise. Perform follow-up supervision to ensure correction of issue(s).

20. Monitor, review, and ensure that on-call personnel are ordering prescribed medications, supplies, and/or DME as needed and according to policy and procedure and per formulary requirements.

21. Monitor, review, and ensure that on-call personnel, under the direction of a physician, alter medications within the limits of professional judgment based on a patient’s emotional and physical needs and are transcribing any new orders as required per policy.

22. Monitor, review, and ensure that on-call personnel are performing after hour admissions, timely, as assigned.

23. Provide on-call direct care staff with information, resources, and tools necessary to support the learning process and to perform job duties accurately and safely.

24. Assist with the coordination and manage the daily workload of on-call staff providing direct patient care by offering guidance and oversight with the self-scheduling of clinical staff.

25. Monitor, review, and ensure that on-call personnel demonstrate understanding of LCD criteria eligibility requirements and must demonstrate ability to document related to patient’s eligibility related to disease specific LCD guidelines.

26. Work collaboratively with staff members to assess the overall effectiveness of care provided.

27. Share information with appropriate staff personnel about the communities in which they work, such as resources available to the patient, significant others and organizations which may contribute to the implementation of the Plan of Care.

28. Maintain and monitor, review, and ensure that on-call personnel maintain collegial relationships with other disciplines, interpreting the role and responsibilities of the On Call /after- hour personnel, related to their specific discipline.

29. Monitor, review, and ensure that on-call personnel are identifying and providing placement as required, the need for level of care changes with hospice patients, based on the needs of the patient and/or family.

30. Monitor, review, and ensure that on-call personnel receive report prior to beginning shift and provide report after ending shift to the team leader (or designee) and/ or incoming on-call personnel.

31. Assist, monitor, review, and ensure that new personnel hired to the after hour team are receiving appropriate orientation. Adjust or recommend extended orientation when the need arises to ensure competent, compliant on-call personnel.

32. Participate in the QAPI Program activities as assigned.

33. Attend, monitor, review, and ensure that on-call personnel receive mandatory inservice education programs.

34. Monitor, review, and perform on-call personnel skills competency(s), 90-day and annual performance evaluations, as required by policy.

35. Perform and document, as needed, on-call personnel Employee Counseling and Corrective Action Plan(s) as dictated by substandard performance, failure in following policies and procedures and other infractions. Coordinate and communicate with the Clinical Director.

36. Act independently and responsibly to perform duties on a consistent basis.

37. Monitor, review, and ensure that on-call personnel demonstrate financial responsibility in developing and facilitating delivery of care.

38. Monitor, review, and ensure that on-call personnel understand all form(s) and proper usage, and all documentation requirements.

39. Ensure that on-call nursing personnel follow and honor all rules and regulations within the State Nurse Practice Act.

40. Must independently follow and honor all rules and regulations within the State Nurse Practice Act.

41. Monitor, review, and ensure that on-call nursing personnel maintain an active, non-restricted nursing license at all times.

42. Must individually maintain an active, non-restricted nursing license at all times.

43. Monitor, review, and ensure that on-call nursing and clinical personnel ongoing continuous education related to the field of nursing or related discipline and hospice trends and maintain state required CEU’s (based on state of licensure).

44. Monitor, review, and ensure that on-call nursing and clinical personnel attend and participate in any required IDG team meetings, and understands and follows the DARE format.

45. Individually attend and participate in any required IDG team meetings, and understands and follows the DARE format.

46. Must individually maintain ongoing continuous education related to the field of nursing and hospice trends. Maintain state required CEU’s (based on state of licensure).

47. And any other duties assigned by the Executive Director, Clinical Director, Assistant Clinical Director(s), and Carrefour personnel.

48. Must work well with others.

49. Must be able to stand or sit for extended periods of time.

50. Must be able to lift, at minimum 25 lbs without restrictions.

51. Promote, provide, and assist with the Gift-of-A-Day and/or Veteran’s Recognition program / activities, and ensure on-call personnel promote, provide, and assist as deemed necessary.

QUALIFICATIONS:

1. Requires current nursing license or permit from State Board of Nursing. (As of July 1, 2003, nurses residing in a state designated as a compact state may only hold one nursing license as directed by the Nurse Licensure Compact Law).

2. Graduation from an accredited school of nursing .

3. Two or more years of current professional hospice nursing, home health, acute care, oncology, or radiation oncology experience.

4. Must possess interpersonal skills sufficient to interact effectively with patients and their families, as well as all interdisciplinary caregivers, peers, subordinates and supervisors.

5. Must exhibit excellent time management skills. Ability to delegate tasks and duties to others and the ability to triage emergent situations appropriately.

6. Must demonstrate appropriate leadership abilities.

7. Must exhibit or demonstrate the ability to learn computer skills related to required clinical software and electronic clinical record utilization.


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