Registered Nurse - Float - Hospice of Hilo dba Hawaii Care Choices

• As part of the admissions team, helps to ensure timely admission of referrals to various HiCare programs (hospice, inpatient and contracted facilities). 
• Provides backup for HiCare’s various service lines (hospice homecare, inpatient, palliative care).
• Assists in maintaining the 24 hour on-call coverage as needed.
• When admitting a new patient to hospice care, performs the required fields in the Initial Comprehensive Assessment.
• Performs appropriate interventions under M.D. orders, making appropriate contact with M.D. as needed.
• Determines urgency of care as needed. Initiates appropriate interventions in urgent situations. 
• Develops the Initial Plan of Care relevant to the immediate patient/family needs.
• Practice clinical standards that comply with HiCare’s mission, vision, values, and policies and procedures. 
• Communicates in an effective and timely manner with team members and staff. 
• Ensures the safe custody and administration of drugs in accordance with the Standards of Practice.
• Ensures adherence with performance metrics – reports all concerns to the immediate supervisor. 
• Actively seeks out and implements evidenced based practices. 
• Attends to own personal and professional development needs as identified in personal development plan.
• Maintains a sound working knowledge of the Hospice Conditions of Participation (COPs). Upholds and maintains the organization's cost containment efforts without jeopardizing the quality of hospice care.
• Provides education and training to patients, care givers, volunteers, and other team members as deemed necessary.
• Participates in meetings and committees as requested.

• Ability to exercise independent sound judgment in planning and providing quality nursing care.  
• Ability to provide unsupervised health care services in private residences, along with handling and administering controlled and prescribed medications.
• Ability to coordinate care with the interdisciplinary team.  
• Requires excellent critical thinking and assessment skills.
• Interest and desire to give care with a special sensitivity to the needs of the dying.
• Maintenance of adequate educational and experiential level to meet the needs of the patients and care givers and regulations established by state and federal laws.
• Positive attitude.
• Possess intermediate knowledge or aptitude to operate a computer, knowledge of basic software programs.
• Strong desire to work as part of a highly interactive team.
• Should be able to prioritize and delegate comfortably.
• Must be a strong patient and family advocate.
• Must be thorough and detail oriented.
• Use ethical principles in decision making and practice.
• Comfortable in maintaining professional boundaries. 

• Graduate of a registered nursing curriculum; BSN degree or higher. 
• Possession and maintenance of a valid Hawai`i State nursing license.
• Valid CPR certification.
• 2 years’ experience in a healthcare environment or equivalent position.

• Regular full-time employee. Block shifts (may start mid-day at times). Schedule determined by Supervisor. 
• Duties may require after hour work including weekends and holidays, as needed.  

• Health Insurance.
• Dental Insurance.
• Vision Insurance.
• Paid Time off.
• 403(b) .
• Life Insurance.
• Disability Insurance.
• Flexible Spending Account.
• Mileage Reimbursement.
• Employee Assistance Program.
• Qualifying Employer for the student federal Public Loan Forgiveness Program.

We are a growing hospice provider that provides palliative, hospice and bereavement services. We support to those facing a life-limiting illness, while enabling them to live with dignity, choice and comfort.We provide exceptional care and solution-based choices that align with patient values.We give support with a patient and family focus and are dedicated to the belief that quality of life matters.