Part-time flexible | 1 p.m. – 9 p.m. or 3 p.m. to 9 p.m. | Possible Full-time with additional weekday hours

Requirements:

Position Education/License:

Currently licensed as a registered nurse pursuant to Massachusetts General Laws.

Skills/Experience:

• Minimum two years in medical-surgical, oncology or community health nursing experience required.
• Hospice experience preferred.
• Strong RN assessment skills with an emphasis on would care, IV therapy and tube feeding.

Responsibilities:

1. Assumes on-call coverage during WEEKEND evening hours and responds to patient/family needs in accordance with CNHC policies and procedures.
2. Able to assess and respond to the needs of patients and families in varied settings.
3. Skilled in nursing practice, able to cope with family emotional stress and tolerant of individual lifestyles.
4. Able to make meaningful observations and write comprehensive accurate reports.
5. Available for holiday duty as scheduled per RN rotation.
6. Communicates with attending physicians, other staff members and other agencies as needed to coordinate optimal care and use of resources for patient/family.
7. Maintain regular communication with the Clinical Manager, and/or other care team members concerning patient/family care needs.
8. Obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care.
9. Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, employed caregivers, or by providing direct care as appropriate.
10. Provide appropriate support at time of death and period of bereavement.
11. Participate in CNHC’s orientation and in-service training programs for professional staff.
12. Participate in agency and community programs as requested to promote professional growth and understanding of home care.
13. Demonstrate familiarity with policies of the agency and rules and regulations of State and Federal bodies which aid in determining policies.
14. Accept other assignments as appropriate.

Full-time: 35 hours / 5 days per week to include Saturday or Sunday

Requirements:

Position Education/License:

• Graduate of an approved school of professional nursing with experience in home care
• Currently licensed as a registered nurse

Skills/Experience:

• Knowledge of home health regulatory standards
• Demonstrates experience in OASIS review, ICD-10 coding, and quality improvement activities
• Must possess excellent communication skills
• Proficiency with Computers – comfort with documenting in patient EMR. Excel, Word
• Ability to develop and maintain working relationships with staff
• Working knowledge of Medicare/Medicaid guidelines and ability to interpret agency, state and federal regulations
• Ability to organize and prioritize

Utilization Review

• Accurately review all OASIS and supporting documentation SOC through D/C
• Submit OASIS timely within 30 days
• Support clinicians to improve patient outcomes
• Provide timely feedback to clinicians and managers regarding areas of concern with each review
• Meet or exceed productivity standards as defined for position for record review

Regulatory Requirements

• Serve as resource regarding home health documentation standards
• Complete weekly analysis of Potentially Avoidable Events
• Complete monthly analysis of Home Health and Hospice infections
• Complete Home Care and Hospice chart audits
• Attend assigned Home Health/Hospice IDT meetings
• Monitor compliance with Home Health Aide, LPN, and Therapy Assistant supervisions
• Support Quality Improvement Manager in the survey accreditation process and in maintaining agency compliance with state/federal regulations
• Ensure timely processing of record requests (KEPRO, Attorney requests, etc.)
• Perform N95 Fit Testing and assign 3M medical evaluations

Quality Improvement

• Analyze LUPA report with prompt feedback to billing and manager
• Support Quality Improvement Manager with ADR process
• Daily review off shift calls (Crocker emails)
• Assist Clinical Educator as needed with planning and teaching in-services
• Stay current with CDC/DPH Infection Control guidelines
• Assist Quality Manager in Emergency Preparedness activities (E-Prep education, drills, etc.)
• Contribute to all phases of the QAPI program. These contributions may include; identification of problem areas; recommendations to address problem areas; data collection; attendance at periodic QAPI meetings or participation in performance improvement projects

Full-time or Part-time flexible | 1 p.m. – 9 p.m. or 3 p.m. – 9 p.m. | Weekend and Holiday Rotation

Requirements:

Position Education/License:

• Currently licensed as a registered nurse pursuant to Massachusetts General Laws.

Skills/Experience:

• Minimum two years in medical-surgical, oncology or community health nursing experience required.
• Hospice experience preferred.
• Strong RN assessment skills with an emphasis on would care, IV therapy and tube feeding.

Responsibilities:

1. Assumes on-call coverage during evening hours and responds to patient/family needs in accordance with CNHC policies and procedures.
2. Able to assess and respond to the needs of patients and families in varied settings.
3. Skilled in nursing practice, able to cope with family emotional stress and tolerant of individual lifestyles.
4. Able to make meaningful observations and write comprehensive accurate reports.
5. Available for weekend and holiday duty as scheduled per RN rotation.
6. Communicates with attending physicians, other staff members and other agencies as needed to coordinate optimal care and use of resources for patient/family.
7. Maintain regular communication with the Clinical Manager, and/or other care team members concerning patient/family care needs.
8. Obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care.
9. Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, employed caregivers, or by providing direct care as appropriate.
10. Provide appropriate support at time of death and period of bereavement.
11. Participate in CNHC’s orientation and in-service training programs for professional staff.
12. Participate in agency and community programs as requested to promote professional growth and understanding of home care.
13. Demonstrate familiarity with policies of the agency and rules and regulations of State and Federal bodies which aid in determining policies.
14. Accept other assignments as appropriate.

Requirements:

Graduate of an approved school for professional nursing, Massachusetts license with at least one year of recent experience in direct patient care nursing.

HealthWyse experience a plus.

Responsibilities include but not limited to:

1. Give skilled comprehensive nursing care to all age, gender, and cultural groups.
2. Assess client status upon initial home visit to identify needs in order to develop comprehensive case management plan.
3. Develop an individualized plan of treatment to address identified needs and measurable outcomes.
4. Implement measures as defined in plan of care.
5. Coordinate services through organizing, securing, integrating and modifying the resources necessary to accomplish goals set forth in the case management plan.
6. Facilitate transition of patient across the continuum to achieve positive patient outcome. Refer to the most appropriate and cost effective setting, thereby obtaining optimum value for both client and reimbursement source.
7. Document in an accurate and timely manner. Maintain a clinical record for each morbidity patient.
8. Communicate any changes in patient condition and needs to physician and other personnel.
9. Using basic teaching principles, counsel and instruct the patient, family and/or significant other in meeting nursing and related needs.
10. Perform other duties as assigned.

Full Time  |  Monday – Friday  |  9 a.m. – 5 p.m.  
Every 6th weekend  |  2 – 3  Holidays / Year

Requirements:

• Graduate of an approved school for licensed practical nursing with at least three years of experience in direct patient care nursing.
• Currently licensed as a licensed practical nurse pursuant to Massachusetts General Laws Chapter 112

Responsibilities include but not limited to:

1. Provides skilled comprehensive nursing care to all ages, genders and cultural groups.
2. To coordinate optimal care and use of resources for the patient/family by communication with the primary nurse, other staff members and other agencies.
3. Utilize data on physical, psychosocial, social and spiritual factors that may influence patient/family health status.
4. Maintain up to date and accurate records so that problems and changes are reflected as they occur.
5. Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support. Accept telephone orders from physicians.
6. Assist in patient care by: teaching primary caregivers, or by providing direct care as appropriate.
7. Meet regularly with nursing staff to review problems or unique issues, share professional support, and exchange feedback aimed toward enhancing professional growth.
8. Attend meetings and facilitate discussion of issues from patient care for staff discussion, consultation and evaluation.
9. Inform the primary nurse of unusual or potentially problematic patient/family issues.
10. Function as associate nurse when responding to patients/families of the primary nurse.
11. Assists in providing intermittent care to patients as the need arises.
12. Participate in Community Nurse’s orientation and inservice training programs for professional growth.
13. Participate in community programs as requested to promote professional growth.
14. Demonstrate familiarity with policies of the agency and rules and regulations of State and Federal bodies which aid in determining policies.
15. Contributes to the process of Agency Performance Improvement.

Full Time

Qualifications

A Hospice Registered Nurse Case Manager provides nursing care with an emphasis on comfort and dignity at end of life. Hospice nursing includes psychological, emotional and spiritual support provided to the patient and the patient’s caregivers. He/She is part of the Hospice Team and acts as primary clinician and coordinator of care for patients. A Hospice Nurse also carries a caseload of Advanced Illness patients for which he/she acts as primary clinician and coordinator of care for patients. He/She coordinates clinical personnel appropriate for the case in addition to providing direct nursing care. He/She assist the physician in preparing the patient family for end of life care.

Skills/Experience Requirements:

The RN Case Manager is currently licensed as a registered nurse in the state of Massachusetts with at least two years of experience in medical-surgical oncology or community health nursing.

Responsibilties include but not limited to:

1. Provide skilled comprehensive nursing care to to all age, gender, and cultural groups.
2. Assess and respond to the needs of patients and families in varied settings.
3. Skilled in nursing practice, able to cope with family emotional stress and tolerant of individual lifestyles.
4. Able to make meaningful observations and write comprehensive accurate reports.
5. Provide appropriate support at the time of death and period of bereavement.
6. Assumes responsibilities for weekend and holiday duty as scheduled and consistent with CNHC’s policies and procedures.
7. Documents observations and interventions, including teaching, in patient records.
8. Communicates appropriate information and/or problems to the Hospice Coordinator and/or other Hospice team members.
9. Participates in Hospice IDT meetings; biweekly Wednesday 2:30pm.
10. Supervise and document the HHA plan of care every 2 weeks.
11. Informs the Manager of Hospice or designee of unusual or potentially problematic patient/family issues.
12. Participates in agency and community programs as requested to promote professional growth and understanding of Hospice care.
13. Demonstrates familiarity with policies of the agency, and rules and regulations of State and Federal bodies which aid in determining policies.
14. Accepts other assignments as appropriate.
15. Adheres to personnel policies.
16. Supports the philosophy of the agency.

Full-Time

Requirements:

• Graduate of an approved school for professional nursing, Massachusetts license with at least one year of recent experience in direct patient care nursing.
• HealthWyse experience a plus.

Responsibilities include but not limited to:

1. Give skilled comprehensive nursing care to all age, gender, and cultural groups.
2. Assess client status upon initial home visit to identify needs in order to develop comprehensive case management plan.
3. Develop an individualized plan of treatment to address identified needs and measurable outcomes.
4. Implement measures as defined in plan of care.
5. Coordinate services through organizing, securing, integrating and modifying the resources necessary to accomplish goals set forth in the case management plan.
6. Facilitate transition of patient across the continuum to achieve positive patient outcome. Refer to the most appropriate and cost effective setting, thereby obtaining optimum value for both client and reimbursement source.
7. Document in an accurate and timely manner. Maintain a clinical record for each morbidity patient.
8. Communicate any changes in patient condition and needs to physician and other personnel.
9. Using basic teaching principles, counsel and instruct the patient, family and/or significant other in meeting nursing and related needs.
10. Perform other duties as assigned.