Hospice Community Manager

Description

JOB SPECIFICATIONS:

Title: Hospice Community Manager

Location: Lakes Region (Greater Laconia, Meredith, Wolfeboro Areas)

Schedule: Monday-Friday | 8am-4:30pm | Off hour, weekend and holidays work may be required.

Salary: $80,000 - $95,000 / year

Position Overview

Reporting to the Director, the Hospice Community Manager is responsible for supporting the clinical operations of the Community Hospice Program. Manages by planning and priority setting, organizing work, keeping daily operations functioning, setting attainable goals, making decisions based on the mission and services of the agency. The Hospice Community Manager will supervise Registered Nurses and Licensed Practical Nurses, Hospice Care Services Supervisor, and other Hospice employees as assigned.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Builds and maintains positive relationships with our customers (clients, applicants, staff members and managers) by readily responding to their questions and concerns.
• Collaborates with the Hospice Medical Director and providers to ensure that patient plans of care (POC) are appropriate for patients in the community Hospice program. 
• Provides clinical supervision oversight to community hospice nursing staff.
• Assists with patient care coordination, problem solving and/or clinical support needs.
• Oversees and participates in the orientation program of new hospice community staff.
• Participates in the investigation of all patient care complaints/concerns to ensure patient care is being delivered at the highest level.
• Participates i IDG meetings with medical providers and staff to ensure that multi-disciplinary plans of care, goals, interventions and discharge plans are aligned, updated, and coordinated between team members.
• Attends and participates in scheduling meetings to ensure adequate staff for the Hospice community program. 
• Participates in the interviewing and hiring of hospice staff for the Hospice program.
• Participates in the QAPI program, performance improvement projects and medical review.
• Ensures that hospice community staff meet and maintain agency productivity standards.
• Performs supervisory field visits on direct reports in accordance with agency policy and procedure.   
• Assures compliance with all state, federal laws regarding licensure and certification of the agency. Maintain knowledge of the Medicare Conditions of Participation for Hospice and an understanding of NH administrative rules related to Hospice.
• Participates in medical review and surveys related to Hospice services.
• Participates in identifying and planning for nursing clinical competencies. Ensures that required competencies and in-services are completed timely by direct reports.
• Organizes and completes individual case conferences with professional staff bi-weekly. The case conference will focus on:
• identifying that the patient's plan of care is interdisciplinary, patient-focused and that the care team is appropriately interacting with each other, the patient's physician and any other external providers involved with the patient,
• identifying any weaknesses and strengths in the plan of care ensuring that the patient achieves a desired outcome.
• Completes performance evaluations for new staff at 90-days and annually. Participates in performance review input for other members of the hospice team upon request.
• Reviews and has knowledge of management statistical reports directly related to the teams' performance.
• Promotes an atmosphere of unity between professional staff, paraprofessional staff, support staff and clients/families. Seeks to diminish conflict by creating an environment that promotes trust and open communication.
• Collaborates with Managers to deliver care in a coordinated manner for all clinical programs.
• Serves as a member of the Agency's Management Team and participates in the development and implementation of overall policies, programs, objectives and goals.
• Demonstrates flexibility in role by accepting other duties as assigned for which qualified
• Monitors clinical documentation of direct reports to insure compliance with agency policy and procedures, regulatory and accreditation requirements.
• Receives and documents reports of incidents, complaints, and grievances according to Policy and Procedure.
• Supervises Registered Nurses, Licensed Practical Nurses, Hospice Care Services Supervisor and other Hospice employees assigned to patients according to federal and state regulations.
• Collaborate and assist the Director of Hospice in the development, revision and implementation of program policies and procedures.
• Participates in Administrator on Call (AOC) rotation
• Safely operate a personal vehicle while traveling throughout Granite VNA service area to provide patient visits and/or attend meetings.

Other Job Functions

• Clinically triages unscheduled nursing visits as needed.
• Covers nursing visits as needed for staffing gaps and shortages as needed.
• Provides the Education department with input for in-service education needs of the program.
• Develops and implements appropriate plan of care (POC) that complies with referral source orders, specific treatment measures, frequency/expected duration and discharge goals in partnership with the patient, healthcare provider, patient representative (if any) and/or caregiver(s) based on thorough assessment incorporating all aspects of patient limitations and goals, and potential discharge environment
• Documents accurate and ongoing assessment/reassessment, treatment and discharge of the patient: nursing interventions, patient response to care provided, patient/caregiver educational needs, problems, capabilities, limitations and progress toward goals. Documentation includes evidence of appropriate patient/caregiver teaching, and the understanding of these instructions in accordance with agency guidelines
• Engages the patient /caregiver in meaningful education as indicated per care plan.
• Communicates with all physicians involved in the POC and other health practitioners related to the current POC.
• Demonstrates responsibility to effectively coordinate the patient’s POC with members of the Interdisciplinary Team and other health professionals through team/patient care conference. Updates patient’s short-term/long-term goals as appropriate based on interdisciplinary team assessments and re-assessments.
• Attends Agency In-service programs.
• Completes educational requirement to maintain clinical licensure and skills.
• Demonstrates flexibility in the role by accepting other duties as assigned for which qualified. 
• Performs job duties in a safe manner to prevent injury to yourself and others.

Granite VNA Values

• Respect - Treats people without judgment in an appreciative manner. Values the rights, wishes and culture of each individual. Listens to understand by being present and attentive. Treats others with fairness.
• Compassion - Shows kindness and empathy in all interactions. Demonstrates care and concern through active listening. Approaches each interaction with awareness and presence and is sensitive to others' needs and challenges.
• Competence - Encourages continuing education and supports skill development to effectively meet the needs of our community. Uses best practices. Demonstrates critical thinking.
• Culture of Excellence - Promotes the highest quality of care through innovation and resilience to changes. Embraces challenges with creative problem solving and leads with advanced technology and programs.
• Leadership - Provides strong leadership, sets a good example, skilled decision maker and motivator. Creates an atmosphere that encourages risk-taking. Fosters an environment of trust and authenticity. Guides others to a common purpose.
• Stewardship - Moves the Agency's mission forward while respecting its history. Is transparent with all stakeholders. Manages all resources appropriately and cultivates awareness and respect for the Agency's tangible and intangible resources.

Work Environment

The employee will be exposed to a controlled work environment. The employee may also be exposed to blood and bodily fluids, virus, disease and infection from patients and environmental hazards in the work environment. The employee may be required to work extended periods of time using a desktop, laptop and/or other mobile device. No employee is ever required to perform work that he or she believes is unsafe, or that he or she thinks is likely to cause injury or a health risk to themselves or others.  

This is a field position. Primary work location is in the community providing direct patient care not eligible for remote or work from home.

Expected Hours of Work

The employee will be scheduled to work Monday – Friday; 8:00 a.m. – 4:30 p.m. Off hour, weekend and holidays work may be required. Participates in Administrator on Call Rotation.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential function of this job.

• While performing the duties of this job, the employee is regularly required to talk and hear. Specific abilities include reading, writing and speaking in English, normal or correctable vision with the ability to accurately discern colors, and hearing.
• This position requires the ability to use a computer to document patient care. Specific abilities include use of fine motor skills to type, write and perform professional skills.
• This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting and supporting patients.  
• This position requires the ability to minimally lift up to 50 lbs. and the ability to provide up to 75% assistance for patient transfers. 
• This position requires the ability to frequently enter and exit and/or sit in an automobile for prolonged periods while commuting to work assignments.

Requirements

1. Bachelor’s degree in nursing, master’s in health-related field preferred
2. Three to four years of recent nursing experience with two years in a hospice or palliative care setting.
3. Two to four years supervisory experience.