OverviewCoordinates and provides high quality nursing care to Hospice patients and families consistent with Hospice Care philosophy, policy, goals and objectives, and Standards of Nursing Practice. Works under moderate supervision. • Assesses the physical, social, psychological, living conditions and pastoral care needs of the patient/family through professional knowledge and skills of observation, interviewing and physical examination on an ongoing basis.• Establishes and revises, as necessary, the nursing component of the patient/family plan of care based on goals mutually acceptable to the patient/family and significant others and makes referrals to other services, as necessary.• Coordinates implements and evaluates the effectiveness and outcome of the care plan by ongoing assessment, planning, coordination, counseling, teaching and supervision.• Travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient.• Transports and utilizes required medical equipment and supplies using VNS Health designated/supplied carrying case weighing approximately 25 – 30 lbs. to and from patient homes/care facilities, VNS Health offices and other locations.• Provides nursing care in accordance with Agency policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient care.• Assists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals.• Visits clients every two weeks to assess the clients’ condition and update the plan of treatment.• Monitors the effect of the plan of cares on the patient/family and informs physician and other personnel of changes in the patient's needs.• Manages a caseload of patients.• Provides nursing care services and initiates appropriate preventive and rehabilitative nursing procedures.• Participates in interdisciplinary team meetings.• Appraises care provided and revises the goals and approaches to patient/family care in coordination with the interdisciplinary team.• In coordination with the interdisciplinary team, assesses the family's needs during the bereavement period and provides ongoing counseling with referral to community resources, as appropriate.• Initiates and maintains written (including clinical and progress notes) and verbal communications to assure optimal patient care.• Understands and interprets Hospice Care reimbursement policy and determines the billing source for patient care.• Maintains productivity sufficient to meet Hospice goals.• Participates in the orientation of new staff.• Orients, instructs and supervises License Practical Nurses, paraprofessional staff and volunteers.• Consults with and educates the client and family regarding the disease process, self-care techniques, and prevention strategies.• Performs established work procedures in relation to Region/Program workflow.• Understands and interprets the Hospice philosophy and responsibility to other health professionals, laymen and community.• Assumes responsibility for professional growth.• Evaluates conformance of the inpatient facility in carrying out the interdisciplinary team's plan of care for select patients, when assigned.• Participates in special projects and performs other duties as assigned. QualificationsLicenses and Certifications:License and current registration to practice as a Registered Professional Nurse in New York State requiredEducation: Associate's Degree in Nursing, with at least one year of experience as a full-time staff nurse in a medical-surgical nursing area or other clinical healthcare experience required orBachelor's Degree in a health or human services field or Nursing from a State-approved diploma program requiredWork Experience:Minimum of one year of clinical nursing experience including at least six months of Hospice, or Med/Surg or ICU or Emergency Dep’t or Home care, Palliative Care, Oncology or Long Term Care experience requiredBilingual skills may be required, as determined by operational needs.Demonstrated computer skills may be required based on operational needs. Pay RangeUSD $112,209.00 - USD $138,409.00 /Yr. About UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.