POSITION TITLE: Access Liaison Nurse

REPORTS TO: Access Team Supervisor

FLSA: Exempt

Position Scope:

The Access Liaison Nurse, under the direction of the , Access Team Supervisor, utilizes effective customer service skills and social marketing strategies to build relationships with territory referral sources in a results-oriented manner. Sets and achieves goals in regard to Access Team goals for referrals, admissions, length of stay, and census.

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

I. Essential Functions/Performance Factors

• Identifies, profiles, and networks with key physicians and hospital professionals to maintain existing relationships and build new relationships; tracks and trends referral patterns.

o Identify and profile key local hospital professional referral sources.

o Maintain existing relationships and build news relationships as new referral sources are identified.

o Utilize reports from Valley Hospice data base, track and trend referral patterns from key hospital providers.

o Participates in agency sponsored events as indicated, e.g. volunteer recognition, bereavement activities, fundraising events, community events, e.g. Relay for Life, Heart Walk or other events as requested.

• Utilizes a scheduled call rotation to actively engage referral sources, assisting them in identifying hospice eligible patients, resulting in an expected relate of hospice referrals.

o Work with Access Team Manager to determine frequency of calls on key hospital referral sources.

o Consult with hospital referral sources to assist them in determining hospice eligibility.

o Work with Access Team Manager to set specific goals for referrals from hospitals.

o Design and employ ethical and effective strategies for meeting referral goals.

• Facilitates admissions by consulting with patients and families to initiate the admission process in the hospital prior to transfer to home or long term care settings.

o Work with hospitals to identify patients who would benefit from hospice and/or palliative care.

o Meet with patients and families to explain hospice services and payment.

o Get consents for hospice care signed.

o Facilitates transition to home care in conjunction with hospital discharge planners, as indicated.

o Manage discomfort and provide symptom relief.

o Utilize specialized nursing skills related to palliative and end-of-life care.

o Assess patient’s physical condition with each contact and document findings.

o Complete a thorough pain assessment, when pain is identified as a problem, identify immediate needs related to pain, and implement appropriate interventions.

o Identify other symptoms, determine immediate needs related to these symptoms and implement appropriate interventions.

o Evaluate the effectiveness of nursing interventions and make appropriate changes to the care plan.

· Facilitates admissions to general inpatient (GIP) level of care under the Medicare Hospice Benefit and other payors; coordinates and manages care for these patients while hospitalized, as needed.

o Work with hospitals to identify patients who would benefit from hospice and/or palliative care.

o Meet with patients and families to explain hospice services and payment.

o Complete paper work associated with direct admissions from acute care to the hospice general inpatient level of care.

o Use the nursing process to assess the impact of the terminal diagnosis on the patient’s physical, functional, psychosocial and environmental needs and activities of daily living and identify immediate needs of those patients who utilize the on-call line.

o Provide education, instruction and support to patients, families and caregivers who utilize the Valley Hospice services.

o Identify the need for nursing, psychosocial, and spiritual visits.

o Inform the physician and other personnel of changes in the patient’s needs and outcomes of interventions.

o Assist with the smooth transfer of patients to other levels of care and facilities as appropriate.

o Effectively communicate outcomes of calls to appropriate members of the appropriate hospice teams.

o Facilitates transfer of patient to the Care Center, as indicated.

• Documents care provided in an accurate, complete and timely manner.

o Complete all admission paperwork accurately.

o Write nursing notes that reflect the patient’s terminal illness according to NHPCO guidelines, Local Medical Review Policies and the care plan.

o Sign all entries with full signature & credentials.

• Provides in-services for referral sources about the hospice concept of care, hospice eligibility, and Valley Hospice services.

o Research and prepare up to date presentations annually to contracted hospital staff.

o Provide individual consultation regarding palliative/hospice care, as indicated.

o Check with all units regularly to obtain information regarding referrals.

• Uses agency resources wisely.
• Participates in performance improvement activities.

II. Values Ownership/Performance Factors

T*eamwork *

· Support and encourage my teammates throughout the organization.

· Provide positive, constructive feedback.

· Consistently “manage up” co-workers.

· Celebrate success – look for the good and share it.

· Be a role model.

· Communicate with respect and professionalism to create a safe environment in which open dialogue can take place.

I*ntegrity *

· Be reliable, allowing others to place their trust in me.

· Do the right thing even when no one is watching.

· Respect all individuals through acknowledgment, acceptance, and courtesy.

· Walk my talk.

· Refrain from gossip.

P*erformance *

· Be flexible and willing to adapt to change.

· Be knowledgeable about my job responsibilities and the organization.

· Seek self development-Utilize tools that are provided to grow personally and professionally.

· Take responsibility for my actions; be willing to take both credit and critique.

Conduct myself as a professional at all times by performing my job competently and ethically (i.e, maintaining confidentiality, maintaining boundaries, making eye contact, dressing professionally, using professional demeanor).

· Recognize I am a reflection of Valley Hospice.

· Be on time.

· Set and achieve goals.

S*piritual*

· Recognize the spirituality inherent in each individual without judgement

· Be open and respectful to each individual’s spiritual beliefs

· Meet patients and families where they are and don’t project your spiritual beliefs on others

· Be attentive to your own spiritual needs, as you perceive them

· Live your spirituality in acts of compassion and service in the workplace

· Build one another up and encourage your coworkers in times of distress, personal crisis, and spiritual need

M*ission Focused *

· Recognize the value of each person and accept that value without judgment.

· Be good stewards of time, money and all resources entrusted to me.

· Offer hope, compassion and empathy to coworkers and those we serve.

· Know our mission and apply it to my work every day.

E*ngagement *

· Focus my physical, emotional, and spiritual energy in order to fulfill our mission.

· Take pride and ownership in my performance each day.

· Build professional relationships

· Inspire and Motivate others.

· Consistently ‘manage up’ Valley Hospice.

· Appreciate the efforts of others.

· Support the communities in which I serve.

Supervisor Responsibilities:

None

Education and Work Experience:

• Minimum of 18 months registered nursing experience; home health, medical surgical or hospice nursing preferred.
• Graduate of an accredited school of nursing
• Evidence of clinical experience and skills necessary to perform job
• Exhibits excellent communication skills

Certifications and Licenses:

RN, WV and OH

Certified Hospice & Palliative Care Nurse (CHPN) after two years of hospice experience

Current driver’s license, automobile insurance, and reliable transportation

Confidentiality:

The Access Liaison Nurse must carry out responsibilities in an ethical, professional and confidential manner.

PHYSICAL DEMANDS

Physical Demands

Lift/Carry

Stand

O (Occasionally)

Walk

O (Occasionally)

Sit

O (Occasionally)

Handling / Typing

F (Frequently)

Reach Outward

O (Occasionally)

Reach Above Shoulder

O (Occasionally)

Climb

O (Occasionally)

Crawl

N (Not Applicable)

Squat or Kneel

O (Not Applicable)

Bend

O (Not Applicable)

10 lbs or less

O (Occasionally)

11-20 lbs

O (Occasionally)

21-50 lbs

O (Occasionally)

51-100 lbs

O (Occasionally)

Over 100 lbs

N (Not Applicable)

Push/Pull

12 lbs or less

O (Occasionally)

13-25 lbs

O (Occasionally)

26-40 lbs

O (Occasionally)

41-100 lbs

N (Not Applicable)

N (Not Applicable)

Activity is not applicable to this occupation.

O (Occasionally)

Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently)

Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly)

Occupation requires this activity more than 66% of the time (5.5+ hrs/day)

Other Physical Requirements

Sense of Sound (able to hear normal conversation)

Sense of Touch

Sense of Sight

WORK ENVIRONMENT

While performing the duties of this job, the employee frequently is exposed to outside weather conditions when traveling between sites. Patients’ home environments are variable with regard to heat, noise, air circulation and conditioning, space, cleanliness, accessibility and all other environmental factors. Inpatient and skilled nursing facility environments are standardized. Office environment in a controlled atmosphere building.

Job Type: Full-time

Pay: $55,000.00 - $65,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Experience:

• nursing: 2 years (Preferred)

License/Certification:

• RN License (Required)

Willingness to travel:

• 75% (Preferred)

Work Location: On the road

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