Registered Nurse

**Working title:** Registered Nurse (RN) **Classification title:** Registered Nurses **Division: Home Health & Hospice** **Program: Hospice** **Reports to:** Hospice Manager **FLSA status:** Non-Exempt;PRN **Wage Range:** $31.48 to $44.37 hourly in addition to 10% PRN premium; depending on number of years of transferrable experience and internal equity ### RiverStone Health: Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. **Health, Education, Leadership and Protection – HELP** is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. ### Hospice Overview: The RiverStone Health Hospice Services care for terminally ill patients who want to receive comfort-oriented care rather than continue to seek a cure. Hospice care emphasizes quality of life. Care and grief support services are provided wherever home is. Most hospice patients receive care in their home, or the home of a relative or friend. Hospice care can also be provided in nursing homes or other facilities. Working together with patient and family, our team of hospice professionals and volunteers help relieve physical symptoms and decrease psychological, social, emotional, or spiritual distress of patients and their caregivers. Our 24 hour on-call nursing services are available to meet urgent needs. ### Job Summary: Provide direct care of patients. Assess patient health problems and needs, develop and implement care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Must keep all information confidential. Licensing or registration required. ### Essential Functions/Major Duties and Responsibilities: Nursing Services 95% - Ability to work independently and collaboratively to provide end of life care and instruction for patients and families based on established clinical nursing practice standards. - Directing end of life care, symptom management, medication administration in compliance with physician’s orders and plan of care and informs the primary medical provider of any changes in patient’s condition or needs and coordinates any modifications in treatment with other appropriate personnel. - Monitoring and interpreting symptoms and treatments and developing a plan of care in collaboration with an interdisciplinary team. - Providing education and support to patients and families. - Assesses and determines the physical, social, and environmental needs of clients and develops a plan of treatment with other team members. - Responsible for evaluating patient referrals and doing admissions and nursing visits as assigned. - Initiating the plan of care and priority setting to ensure effective and efficient patient care deliver and achievement. - Consulting and coordinating with the interdisciplinary team members to assess, plan, implement and evaluate patient’s plan of care. - Following a plan of care that assures the patient and family needs are identified, prioritized, and met in order to achieve desired clinical outcomes/goals. - Regularly reevaluates the patient’s nursing needs and makes the necessary revisions in the plan of care. - Assures that care, educational and end of life planning needs of patients are met. - Directs and supervises, including supervisory visits, within the area of responsibility including Licensed Practical Nurses (LPN) and Certified Home Health Aides (CHHA). - Communicates a report to the appropriate team members for the continuation of care, including reporting any changes in patient’s condition to the physician and family as needed. - Demonstrates th…