Seeking a compassionate Registered Nurse (RN) for our After-Hours Hospice team. Perform admissions, patient visits, symptom management, and care coordination while enjoying a predictable 7-on/7-off schedule and the opportunity to provide exceptional hospice care. Summary of Responsibilities: Responsible to the Director of Clinical Services. The after-hour on-call RN Case Manager provides hospice nursing care and case management to patients and families within and outside of the Aspire for Well-Being® Hospice. Performs Hospice admissions, makes patient visits, takes calls from the answering service, and deploys back-up on-call nurse as needed. Supervises HHA to deliver care and coordinates care delivery. Essential Functions/Duties: • Completes an initial, comprehensive, and ongoing assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). • Provides professional nursing care by utilizing all elements of the nursing process. • Assesses and evaluates patient’s status by: • Writing and initiating care plans • Regularly re-evaluating patient and family/caregiver needs • Participating in revising the plan of care as necessary • Uses health assessment data to determine nursing diagnosis. • In conjunction with the Interdisciplinary Group (IDG) develops a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions. Includes the patient and the family in the planning process. • In conjunction with the Physician, adds medications and treatments as prescribed by the physician in the Patient’s plan of care. • Counsels the patient and family in meeting nursing and related needs. • Provides health care instructions to the patient/family as appropriate per assessment and plan. • Participate in on-call duties as defined by the on-call policy. • Ensures that arrangements for equipment and other necessary items and services are available. • Supervises ancillary personnel and delegates responsibilities when required. • Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes. • Fulfills the obligation of requested and/or accepted case assignments. • Actively participates in quality assessment performance improvement teams and activities • Participate in and complete all required ongoing training, including monthly online and in-person training, annual skills competencies education, and role-specific certifications, to ensure continued competence and adherence to organizational and regulatory standards. Required Skills/Abilities: • Self-directed and able to work with minimal supervision. • Demonstrates excellent observation, problem solving, verbal and written communications, nursing skills per competency checklist. • Shows ability to organize and prioritize workload independently. Core Values: • AMBASSADOR: Represents The Highlands at Wyomissing® in a positive light with integrity. Takes pride in our community. • COMMITMENT: Dedicated, adaptable, tolerant, dependable, focused, and passionate. Often does more than is required. Reports to work as scheduled and timely. • COMPASSIONATE: Is empathetic, mindful, and kind. • INNOVATIVE: Is curious. Identifies new methods and efficiencies. • RESULTS-DRIVEN: Has a strong sense of urgency about solving problems and completing work. Exerts unusual effort over time to achieve a goal. Maintains commitment to goals in the face of obstacles and frustrations. • TEAM ORIENTED: Works cooperatively and effectively with others to achieve common goals. The Highlands’ Traditions (Customer Service Expectations): • SAFETY: Practices safe behaviors to ensure the safety of all. • KINDNESS: Projects a positive image and energy. Courteous and respectful to all. Goes above and beyond to exceed customer expectations. • SHOW: Takes pride in self-appearance. Stays in “character” and performs the “role in the show.” Ensures work area is show-ready. • EFFICIENCY: Performs role with consistency and efficiency. Uses time and resources wisely. Position Type/Expected Hours of Work: • Position is on-call exempt. Schedule will be seven days on and seven days off. Monday through Friday morning the hours of operation are 4:30pm to 8am. Weekend hours of operation are Friday 4:30pm to Monday 8am. Holidays will alternate per year to include one winter and one summer holiday. Travel: • Travel may be expected for this position, including some local travel in the communities surrounding The Highlands campus. Education and Experience Requirements: • High school Diploma or GED (Required) • PA Registered Nurse License (Required) • Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order. • A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing (Preferred) • CPR Certification (Required) • Completion of the Highlands Hearthstone Ambassador training within 30 days of employment (Required) Work Authorization/Security Clearances: • Medical Screening • Criminal History Clearance • FBI Fingerprint Clearance (Only required if you have not lived in PA for the last 2 years) • Immigration and naturalization (I-9) Clearance • Valid Pennsylvania Driver's License and acceptable MVR (if operating company vehicle) Physical Requirements and Physical Demands: • While performing duties of this job, the employee is occasionally required to climb, kneel, pull with force, reach above head, reach above shoulder, push/pull (up to 100+ lbs.), lift from floor level up, lift from waist level up, lift above shoulders/head, ability to lift, push, pull with assistance (mechanical or co-worker) the weight of the average patient specific to department, Lifting 25 lbs. maximum and frequent lifting and/or carrying of objects weighing up to 10 lbs. Safety Hazards and Physical Environment: • May be exposed to blood borne pathogens - High Risk • May be exposed to communicable diseases • May be exposed to moving mechanical parts • May be exposed to potential electrical shock • May be exposed to toxic, caustic, chemicals, and / or detergents • May be exposed to rare occasions during which it is necessary to interact with a resident exhibiting aggressive behavior.