We are growing our team and are looking for Registered Nurses for various positions and shifts.

The Hospice RN Case Manager coordinates hospice services for the assigned caseload of patients/caregivers, collaborating with an interdisciplinary team (IDT) and the patient’s primary physician in order to maximize the comfort and health of patients, families and caregivers regardless of the care setting, to promote continuity and adherence to the hospice plan of care.

ESSENTIAL DUTIES:

• Manage a caseload consistent with industry standards being competent in end-stage disease symptom management and act as an advocate and case manager for patients, families and caregivers to assure that the choices of the patient and family/caregivers are honored
• Inform primary physician and/or medical director and other personnel of changes in the patient’s needs and outcome of intervention
• Coordinate all patient/family services and prioritize needs with the members of the IDT; consult with and educate the patient/family/primary caregiver regarding disease process and care techniques
• Provide specialized pain/symptom management related to end of life care
• Determine frequency of visits based on acuity and level of care needs
• Maintain and complete all required computerized and paper documentation in accordance with any applicable agency or federal or state regulations
• Participate in process improvement activities and team meetings as requested
• Share in providing on-call/continuous care coverage as may be needed, completing necessary documentation

Qualifications:

• Licensed to practice as a Registered Nurse in the Commonwealth of Massachusetts 
• Driver's License (Required)
• 1-year of nursing experience is preferred but not required.
• Ability to use good judgment and discretion and to work effectively as a member or part of an interdisciplinary team
• Must have knowledge and understanding of applicable federal, state, and local hospice, Medicare, Medicaid, HMO regulations, as well as HIPAA and other regulations protecting personal health information of patients. 
• Must be able to maintain reliable attendance and be flexible

Old Colony Hospice is seeking a Full Time Weekend RN. The Hospice RN visits patients as scheduled and as needed. This RN is responsible for identifying patient/family needs and for providing supportive care in accordance with the attending physician's orders and plan of care and Old Colony Hospice’s policies and procedures.

Old Colony Hospice and Palliative Care is hiring for full-time and part-time Hospice Aide/CNA positions. We have both day and evening shifts available with flexible start times. The Hospice Aide (CNA) is responsible for providing personal care and designated homemaking services for assigned patients and families whether delivering hospice care in the patient’s home or in a skilled nursing facility during a regularly scheduled shift, as well as provide weekend and holiday coverage as may be required or requested. Essential duties include, but are not limited to:

• Provide direct patient care (whether in the home or other location) consistent with the written instructions and/or as assigned including: bathing, oral hygiene, nail/skin/hair and foot care, pressure relief, dressing and feeding, transferring positions or locations; report to the charge nurse upon arrival and before leaving a skilled nursing facility
• Assist patient with prescribed exercises, with ambulation and repositioning as may be part of the plan of care or as directed
• Provide light housekeeping duties such as: changing the bed, doing patient’s personal laundry, tidying the patient’s room, doing patient’s dishes, and keeping kitchen and bathroom neat and clean after use
• Prepare and serve meals to the patient and/or prepare food to be served later
• Maintain appropriate communication with the Hospice Aide Scheduling Supervisor and/or Clinical Manager on a daily basis including checking telephone messages, text or e-mail every morning before leaving to visit the first patient and between each patient visit.
• Maintain accurate records/documentation of patient care given in the electronic record system application built into the organization-supplied smartphone
• This job requires travel to and between patients' homes and other locations where we visit patients

Old Colony Hospice is an Equal Opportunity Employer

Old Colony Hospice is hiring a full-time Social Worker. The Social Worker, as a member of the Interdisciplinary Team (IDT), meets with and identifies through assessment the psychosocial needs of the patient/family/caregiver, establishes goals and interventions, and provides services in accordance with the hospice plan of care.

• Master’s Degree in Social Work from an accredited program/university; must be licensed by the Commonwealth of MA (LSW, LCSW or LICSW); Bachelor in Social Work acceptable with applicable years’ of experience post-graduation
• 2-4 years’ post-graduate experience with clinical work in a health care setting with a demonstrated ability to work with the dying and bereaved and knowledgeable in the theory, process, and dynamics of counseling individuals, groups, and family systems highly preferred
• Must have knowledge and understanding of applicable federal, state, and local hospice, Medicare, Medicaid, HMO regulations, as well as HIPAA and other regulations protecting personal health information of patients and other sensitive or confidential information
• Must be able to maintain reliable attendance and be flexible in managing time to respond to the needs of the organization with availability for times that are outside of the established schedule for this position
• Excellent interpersonal, communication, and organizational skills; must have exceptional customer service communication skills and ability to establish positive working relationships and interact professionally with others
• Must have at least intermediate level computer expertise using standard computer applications with the ability to learn and apply specialized software to maintain patient records and data
• Ability to use good judgment and discretion and to work effectively as a member or part of an interdisciplinary team
• Must be able to present a professional image as a representative of Old Colony Hospice with colleagues, patients, families, the general public, and the community at large
• Must have reliable transportation and current and valid driver’s license and able to travel from patient home, facility and to office as needed on a daily basis and in all types of weather and road conditions
• Must be able to pass a pre-employment drug test and background check as well as able to provide 3 current professional references that can be checked and verified prior to employment

SUMMARY: The Palliative Care Nurse Practitioner (NP) serves as a representative of Old Colony Hospice within the Palliative Care Consultation Service (PCCS). The NP provides consultative care to patients and families, including but not limited to pain and symptom management, goals-of-care conversations, and advance care planning. Working in collaboration with patients’ providers and facilities, the NP makes clinical recommendations but does not write orders.

This position requires travel, as consultations are provided in patients’ homes, hospitals, and other care settings. The role calls for a compassionate professional who can deliver expert symptom management, dedicate time to meaningful communication about goals and treatment options, and guide patients and families in navigating the healthcare system.

ESSENTIAL DUTIES:

• Provides palliative care consultations wherever the patient calls home at the time; coordinate palliative care services to patients and their families in collaboration with the patient’s physician and agency staff in order to maximize comfort

• Obtain a medical history, perform pertinent physical examination and provide follow up care on patients as well as develop, implement and evaluate appropriate plans of care for patients referred to the PCCS

• Evaluate patients in specific setting that have been referred to the PCCS and may determine their appropriateness for hospice care

• Provide pain and symptom management consultation, participates in advanced care planning discussions, and patient/family meetings at assigned sites

• Assess and modify the plan of care as needed to achieve, physical, spiritual, and psychosocial goals in accordance with patient/family needs and preferences Collaborate with agency physicians and/or other clinicians, keeping them informed of patient status through timely submission of documentation and regular telephone or other contact

• Coordinate optimal patient care and use of resources for the patient/family through effective collaboration with facility staff members, attending physicians/clinicians, and outside agencies

• Improve clinical outcomes by conducting research or applying research findings of others

• Maintain regular communication with manager/supervisor.

• Represent the programs and services associated with Old Colony Hospice & Palliative Care specifically to physicians/clinicians, insurance representatives, case managers, social workers, and in general at professional meetings; promote concept and philosophy of hospice and palliative care

• Responsibilities require familiarity with relatively broad range of situations that may result in formulating independent decisions regarding practice standards as promulgated by relevant organizations including the American Nurses Association, the Hospice and Palliative Care Nurses Association, and the American Academy of Hospice and Palliative Care Medicine. Decisions must conform to established policies and procedures of the Palliative Care Consultation Service as outlined for each participating organization.

QUALIFICATIONS:

·        Current state license or certificate as an Advanced Practice Registered Nurse (APRN); familiarity with and practices according to 4:00 Massachusetts Regulations Governing the Practice of Nursing in the Expanded Role CMR 244, 4.00-4.28. Current registration in or eligibility for controlled substance prescribing through the Drug Enforcement Administration and the Commonwealth of Massachusetts is required

• Prior experience in hospice, medical-surgical or oncology nursing is required, along with demonstrated understanding of hospice and palliative care principles.

• Must demonstrate the ability to be self-directed, flexible and cooperative in fulfilling role obligation and the ability to work collaboratively with hospice, hospital/facility staff and others as appropriate and applicable

• Must have knowledge and understanding of applicable federal, state and local hospice, Medicare, Medicaid, HMO regulations, as well as HIPAA and other regulations protecting personal health information of patients and other sensitive or confidential information

• Must be able to maintain reliable attendance and be flexible in managing time to respond to needs of organization with availability for times that are outside of the established schedule for this position

• Excellent interpersonal, communication and organizational skills; must have exceptional telephone and customer service skills and ability to establish positive working relationships and interact professionally with others

• Must have at least intermediate level computer expertise using standard computer applications with the ability to learn and apply specialized software to maintain patient records and data

• Must be able to present a professional image as a representative of Old Colony Hospice with patients, families, the general public and community at large

• Must have reliable transportation and current and valid driver’s license and able to travel from patient home, facility and to office as needed on a daily basis and in all types of weather and road conditions

• Must be able to pass a pre-employment drug test and background check as well as able to provide 3 current professional references that can be checked and verified prior to employment