Telephone Triage RN - REMOTE, PRN (ccf)

Job Description

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Telephone Triage RN - REMOTE, PRN

                        

Location

Independence

                    

Facility

CC Business Operations Ctr

                     

Department

Hc Hospice Office-Center for Connected Care

                      

Job Code

F99878

                     

Shift

Variable

                       

Schedule

8:00am-6:30pm/12:00pm-10:30pm

                       

Job Summary

Responsible for providing over the phone assessment through active listening and questioning process, documenting phone encounters and providing hospice instruction based on established protocol. Coordinate patient care activities with patient, family, caregivers or hospice staff. Performs direct patient care home visits as assigned.

                         

Job Details

This PRN position is to work from home after orientation. Due to technical support and meetings, this position is  for candidates who live within an hour of Cleveland.

Responsibilities:

• Responsible for effectively triaging and providing resolution to all hospice department telephone calls regarding active or referred patients.
• Accepts verbal telephone orders from physicians to add/change services being provided to active patients and processes accordingly in the system.
• Assesses patient needs, determines and initiates appropriate action or response to meet identified needs.
• Assesses physician needs, provides requested information and/or guidance or service as appropriate or forwards to the appropriate person on the management team.
• Initiates and independently completes appropriate follow-up activities, including appropriate communication with patient/caregiver, agency staff, physician (as applicable) and complete documentation of events and interventions.
• Communicates as applicable to field staff, office staff, and physicians.
• Assists, reviews, researches, and resolves active patient and referral complaints and records outcomes accordingly to meet regulatory compliance standards.
• Performs direct patient care home visits as assigned during periods of high volume, low staffing, or as patient needs indicate the need for increased staffing.
• When working in the field in the role of RN, Hospice:
• Performs accurate and complete admission assessments and reassessments within specified time frame.
• Assesses patient for safety risks, abuse and neglect.
• Assesses and documents patient’s pain using appropriate pain scale and manages patient’s pain.
• Prioritizes and documents patient problems based on assessed needs/problems in collaboration with patient, family and health care team.
• Plans delivery of patient care in collaboration with other disciplines to promote wellness and facilitate the discharge planning process.
• Delegates appropriate components of the care plan to other members of the disciplinary team.
• Provides supervision, assessment, planning and direct patient care to hospice patients in accordance with agency policies and procedures and the plan of care established by the interdisciplinary team.
• Administers medication and treatments safely and accurately with a focus on patient comfort.
• Coordinates care for managing a caseload of patients.
• Documents changes in patient condition and effectiveness and timeliness of care/interventions.
•  Evaluates, updates and revises plan of care to facilitate achievement of expected outcomes.
• Assesses educational needs of patients, care givers and family considering cultural issues and other special challenges.
• Provides teaching and educational material to the patient and/or significant other concerning the following topics when applicable: diagnosis, diagnostic tests and procedures, safe and proper use of equipment, reason for and safe use of medication food/drug interactions, injury prevention, self-care and nutritional needs.
• Other duties as assigned.

Education:

• Graduate of an accredited school of professional nursing required.   BSN preferred.

Certifications: 

• Current state licensure as Registered Nurse (RN).
• Basic Life Support (BLS) through American Heart Association (AHA).
• Valid Ohio Driver's license upon hire; per policy 8-175 thereafter.
• Proof of automobile insurance coverage with $100,000/$300,000 coverage, upon hire; per policy 8-175 thereafter.

Competencies:

• Good clinical judgment, careful listening, critical thinking skills and assessment / problem solving skills.
• Strong customer service skills, including both verbal and written communication skills.
• Strong computer skills.
• The ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.

Work Experience:

• Minimum one year current clinical experience as a registered nurse.
• Minimum one year experience in an acute medical-surgical or critical care setting. 
• Previous hospice experience is preferred. 
• Previous telephone triage experience is preferred.

Physical Requirements:

• Manual dexterity to operate office equipment.
• Requires good visual acuity through normal or corrected vision. Must be able to hear normal conversation.
• Requires full range of body motion including handling and lifting packages, manual and finger dexterity, and eye-hand coordination.
• Requires standing and walking for extensive periods of time.
• Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
• Physical Demand requirements are in excess of those for Light Work.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities