Careers with Chaplaincy Health Care

Chaplaincy Health Care focuses on the entire person – their physical, emotional and spiritual needs.

Through all our services we guide, comfort, and care for people experiencing serious illness, end-of-life, behavioral health issues, and grief.

The types of people who thrive here are highly committed and place value on service to others and strive for improvement. We are caregivers in service to our clients, patients, families and each other.

If the values and attributes above resonate with you, we invite you to explore our job listings and the possibility of joining our team. We employ ARNPs, RNs, CNAs, Chaplains, Social Workers, and various administrative staff. To apply for employment, please complete our formal application and background check authorization form.

Current Openings 

For more information, please feel free to call us (509) 783-7416 or email us.

In-Home Clinical RN Supervisor

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Full Time / Exempt

Position Summary

Develops and meets the agency’s needs within the in-home hospice nursing care program.  The Clinical RN Supervisor is responsible for coordination, development, implementation and evaluation of the day to day care needs of the in-home hospice nursing program including:

  • Provides leadership, direct supervision and support to “assigned” clinical staff
  • Supports good communication and team work among interdisciplinary members of the team.
  • Directs, coordinates and dispatches clinical staff for patient care needs.
  • Problem solves in relation to patients or the agency in coordination with appropriate team members.
  • Conducts utilization review in conjunction with the Medical Director and Director of Hospice and Palliative Care
  • Provides supervision and evaluates assigned nursing staff and CNA Staff

Required Qualifications

  • Current unrestricted Washington State Registered Nurse’s License
  • Graduate of an accredited school of nursing; Bachelor of Science degree in nursing preferred.
  • Minimum of two years clinical experience (hospice, home health preferred) with a minimum of two years management/supervisory experience.
  • Certification in Hospice & Palliative Nursing preferred or must be attained within 3 years of employment.
  • Experience in program development, coordination, and management preferred
  • Experience in oncology, home health, or hospice nursing preferred
  • Access to transportation
  • Valid driver’s license for your state of residency
  • Automobile liability insurance

Tuberculin skin test by Mantoux Method, or Chest X-Ray (if previous Mantoux positive) References: CFR 418.82 and WAC 248-31-125

Desired Qualifications

  • Certification in Hospice & Palliative Nursing preferred or must be attained within 3 years of employment.
  • Bi-lingual

Required Knowledge, Skills and Abilities

  • Demonstrated knowledge of professional standards of nursing practice
  • Excellent written and verbal communication skills
  • Excellent critical thinking and problem-solving skills
  • Confidentiality and HIPAA competency
  • Skills to self-direct, and provide direct supervision of assigned staff
  • Ability to work independently or as part of a team
  • Strong leadership and mentoring skills
  • Ability to delegate and assign work

Essential Duties and Responsibilities

  • Direct Supervision:
  • Coordinate and supervise the planning and delivery of quality, cost-effective hospice care
    • Ensure completion and coordination of tasks assumed by other clinical staff.
      • Advise and support nurses with symptom management challenges;
      • Act as a resource for nursing personnel in the assessment of patient/family’s knowledge of their disease and their care.
      • Supervise the quality of care provided
      • Nursing orientation, scheduling, education, and support
    • Schedule and facilitate the meetings of the interdisciplinary team.
    • Evaluate patient services provided by the interdisciplinary team.
    • Act as liaison between Hospice staff, patients, families and other care providers
      • Contribute to effective patient and customer relationships by assisting patients, families, providers and staff to resolve expressed concerns.
    • Make at least one supervisory home visit with each assigned RN Case Manager each year;
      • Approve electronic time sheets;
      • Provide yearly written and verbal evaluations for each RN or LPN on the assigned team.
      • Directly supervises NAC Team.
  • Compliance:
    • Maintain knowledge of state licensure, federal certification, and accreditation requirements.
    • Monitor delivery of care and documentation of case managers to ensure compliance with Chaplaincy policies and procedures and Medicare/Medicaid conditions of participation
    • Adhere to the practice of confidentiality regarding patients, families, staff and the organization;
    • Support QAPI, clinical leadership decision making and Chaplaincy policy and procedure development by participation on the Clinical Leadership Team (CLT).
  • Interdisciplinary Support:
    • Assist with utilization review for appropriate use of CHAPLAINCY resources;
    • Serve as liaison between the CHAPLAINCY medical director or designee, Hospice Clinical Director of Operations, and Hospice IDT regarding complicated clinical care issues;
    • Facilitate interdepartmental communication with co-workers and staff when appropriate.
    • Facilitate, advocate and validate the role of the volunteer as part of the interdisciplinary team.
  • Director of Clinical Services (DCS):
  • Serve as liaison between Director of Clinical Services, Medical Director/Hospice ARNP regarding clinical problems and progress in patient care.
    • Communicate with the DCS regarding personnel issues, patient care concerns, and utilization of resources;
    • Participate in the hiring, orienting and evaluation of new nurses;
    • Other tasks as assigned by the DCS

Related Duties and Responsibilities

  • Participate in and present nursing continuing education;
  • Complete all required agency annual reviews and competencies;
  • Maintain competencies in pain management, symptom management, infusion care, wound care, nursing assessment, medications, and charting in electronic medical record;
  • Assist with coordinating the development of the clinical component of patient care policies and procedures.
  • Participates in the on-call nursing supervisor rotation schedule. Follows through and completes the on-call supervisor duties. Is prepared and ready and able to step into direct patient care as needed.
  • Other duties as assigned.

Agency Requirements

  • Demonstrate support and adherence to the mission and values as set forth by Tri-Cities Chaplaincy Health Care.
  • Responsible for knowledge and compliance with Chaplaincy Health Care fire/safety/disaster, educational requirements and agency policies and practices
  • Responsible for maintaining and protecting patient and agency information in a confidential manner
  • Practice appropriate HIPAA confidentiality accessing patient related information on a “need to know” basis only
  • Perform department specific competencies satisfactorily
  • Ability to meet the physical demands of position: See attached physical requirements/environmental conditions
  • Reliable personal transportation; driver’s license; vehicle insurance.
  • Satisfaction of state and agency requirements for tuberculin testing;
  • Hepatitis B immunization series, proof of series, or signed declination.
  • Criminal background screening; pre-employment drug screening.
  • Complete agency and departmental orientation and training program(s).
  • Work availability: Exempt, expected minimum of 40 hours per week with the expectation that all supervisory/management staff members support the agency in internal team building and community events which may take place outside of normal business hours

Director of Hospice

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Exempt

Purpose

Responsible for assisting and consulting with the Executive Director to provide leadership, direction, growth, outreach, and administration of Hospice operations and to ensure accomplishment of strategic objectives. Responsible for directing, supervising and coordinating activities of various clinical Hospice patient care services. Serves as a member of the Executive Team.

Required Qualifications

  • Current Washington State Registered Nurse’s License.
  • Graduate of an accredited school of nursing; Bachelor of Science degree in Nursing, MSN, MHA, or MBA preferred. Qualified RN may substitute four years of suitable management/supervisory experience and four years of clinical experience in lieu of educational requirements.
  • Minimum of two years clinical experience (hospice, home health preferred) with a minimum of two years management/supervisory experience.
  • Certification in Hospice and Palliative Care Nursing preferred or must be attained within three years of employment.
  • Experience in program development, coordination and management.
  • Experience in oncology, home health, or hospice nursing preferred.
  • Access to transportation.
  • Valid driver’s license and automobile liability insurance for your state of residency.
  • Tuberculin skin test by Mantoux Method, or chest x-ray (if previous Mantoux positive). References: CFR 418.82 and WAC 248-31-125.

Essential Knowledge, Skills and Abilities

  • Ability to work cooperatively with others and function as a team member.
  • Ability to foster a cooperative work environment.
  • Knowledge and understanding of Hospice Care concepts and philosophies.
  • Completes and maintains Hospice and Palliative Care nurse certification.
  • Leadership skills, including the ability to teach and coach others.
  • Ability to supervise and train employees to include organizing, prioritizing, and scheduling work assignments.
  • Ability to communicate and respond effectively with patients, families and others in both routine and crisis situations.
  • Knowledge of customer service standards and procedures.
  • Ability to develop and deliver presentations to large and small groups.
  • Ability to act as hospice care liaison in the community.
  • Ability to write clearly, concisely and legibly.
  • Ability to organize tasks and manage time effectively.
  • Knowledge of computerized information systems used in electronic medical record applications.
  • Ability to use independent judgment and to manage and impart information to a range of clientele and/or media sources.
  • Knowledge of continuous quality improvement management principles and practices applicable to the clinical setting.
  • Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
  • Knowledge of accreditation and certification requirements and standards.
  • Skill in budget preparation and fiscal management; knowledge of basic finance, accounting, budgeting and cost control principles and practices.
  • Knowledge of applicable legislation, standards, policies and procedures within the health care industry; the ability to understand federal hospice regulations.

Essential Functions:

  • Function as a registered nurse and member of the hospice interdisciplinary teams.
  • Support a culture of safety and quality.
  • Responsible for the overall planning, delivery, and evaluation of quality end-of-life hospice nursing care for patients in their own home (single-family dwelling, retirement community, or other facility serving as the patient’s home) or hospice inpatient facility.
  • Coordinates the services, supervision and evaluation of Clinical Supervisors, Clinical Educator/Infection Control, other RNs/LPNs not assigned to a team, Social Work Supervisor, and Intake/Triage of the agency’s Hospice programs as appropriate and in accordance with approved care plans, policies and procedures, and applicable rules and regulations [WAC 248-31-125(3)].
  • In coordination with the Social Work and Chaplain Supervisors, provide psycho-social and spiritual care services to ensure patients receive holistic, patient- and family-centered care.
  • In coordination with the Hospice Liaison’s conduct end-of-life care presentations in the community and in clinical settings. Promote agency hospice services at community events. Serve as hospice liaison in area hospitals and clinical facilities when needed.
  • Manage compliance with documentation processes to ensure that the clinical records meet legal, regulatory, payer and agency requirements.
  • All agency employees will follow the minimum standard regarding PHI when accessing patient information on a need to know basis only. All employees will practice appropriate safeguards when accessing this information and approve and monitor subordinate PHI systems access.

Essential Duties and Responsibilities

  • Manage quality and safety of patient care through oversight of hospice patient care nursing and ancillary clinical staff.
  • Manage administration, planning, oversight and evaluation of assigned programmatic areas.
  • Manage day-to-day operations of assigned programmatic areas through delegation of responsibility to supervisory personnel.
  • Provide oversight of interdisciplinary teams for quality and safe patient care and regulatory compliance.
  • Work closely with Executive Director to accomplish the following: respond positively to future challenges and opportunities with the goals of the highest quality of patient care, plus growth of the organization in terms of patient access and related services; identify and resolve operational and regulatory issues while keeping the Executive Director fully informed of activities, decisions and plans, and compile, prepare and submit reports as required or requested; and actively promote and engage in community activities to grow hospice services.
  • Work in collaboration with other members of leadership to further the overall goals of the organization. Is a leadership member of the Hospice Management Team, the Leadership Team, and the Executive Team, and attends and participates in these meetings.
  • Ensure safe and quality patient care through the effective communication, collaboration, and liaison with the Hospice Medical Director, patients’ primary physicians, and other health care facilities, agencies and professionals who provide services to Hospice patients. [WAC 248-31-125(4)]
  • Assist in the direction and coordination of services between nursing, therapies, pharmacies, other pertinent vendors, and clinical support staff.
  • Oversee all purchasing activities related to medical supplies/equipment and pharmaceuticals.
  • In collaboration with the Clinical Educator, identify and schedule in-services needed to keep staff knowledgeable about care for the terminally ill.
  • Participate in the on-call nursing supervisor rotation schedule. Follow through and complete the on-call supervisor duties. Is prepared and ready and able to step into direct patient care as needed.
  • Ensure that the agency is maintaining an adequate inventory of medical supplies and pharmaceuticals including the ordering, maintenance, and accounting of all items in accordance with hospice protocol.
  • Ensure Clinical Supervisors are fulfilling their assigned job tasks including but not limited to the need for all RNs and NACs document their activities in the patient’s clinical record in accordance with established record keeping procedures and requirements; and conduct ongoing Performance Improvement monitoring of patient clinical records.
  • Provide and document orientation, instruction, and regular supervision (including periodic direct observation) and feedback to all direct reports.
  • Work closely with Volunteer Coordinator to meet hospice program objectives including superior patient and family support.
  • Coordination and development of clinical component of patient care policies and procedures.
  • Provide leadership and formal/informal education to Chaplaincy staff through in-services, orientation of new staff, annual reviews, care conferences and group discussions on hospice philosophy, operations, policy and procedures, pain and symptom management, and problem solving.
  • Conduct nursing staff meetings to report, reinforce, develop, discuss and or inform nursing teams of policy and procedure changes, process review or changes, QAPI projects, education.
  • Support a culture of safety and quality by participating actively in the Quality Assessment Performance Improvement (QAPI) committee by meeting attendance and other activities as needed (i.e. planning, chart reviews, reporting, and participating in Performance Improvement Projects (PIPs)).
  • Work with Human Resources to recruit and retain competent nursing staff. Assist Clinical Supervisors in interviewing and selecting RNs and NACs who provide direct patient care services in both hospice programs.
  • Supervise direct reports, including but not limited to mentoring, recruiting, training, and conducting performance reviews
  • When requested, provide feedback to the Executive Director to evaluate the performance of other staff who the Clinical Director collaborates with.
  • Maintain and enhance knowledge and skills in hospice nursing care by attending educational workshops, participating in professional organizations, and through individual research and reading.
  • Participate in the development and revision of written patient care and administrative policies and procedures related to each service provided.
  • Review all nursing policies and procedures at least annually.
  • Prepare and recommend revisions as needed to ensure that policies and procedures accurately reflect current practice and standards of care. [WAC 248-31-125 (2)]
  • Maintain knowledge of: the duties and responsibilities of all interdisciplinary team embers; community resources and services available to patients; participate in the coordination of interdisciplinary and interagency services [WAC 248-31-125(4)]; current applicable regulations, agency, and program policies and procedures pertaining to: patient care, safety, patient rights, professional practices, continuing quality improvement, record keeping, and other related subjects; accurately explain and interpret requirements to team members; and monitor compliance.
  • Participate in the planning, operation, and evaluation of clinical services.
  • Ensure that all members of the nursing staff are sufficiently trained regarding procedures and requirements to provide backup to, and act when requested, in the absence of the In-Home Hospice Clinical Nursing Supervisor or Team Leaders. [WAC 248-31-125(1)]
  • Participate in budget development and adheres to the board approved budget model. Monitors compliance of expenditures.
  • Responsible for monitoring of clinical budgets.
  • Provide utilization review regarding patient care expenditures and provides the billing department with payment authorization.
  • Work with Executive Director and other leadership to determine staffing needs and staffing patterns according to program requirements and with consideration for utilization of personnel at their maximum potential.
  • Assist with new program development.
  • Assume responsibility for agency administration in the absence of the Executive Director.
  • Receives, investigates, follows up and documents response to clinical occurrence/ incident reports, patient, family, health care provider complaints or grievances, negative family survey responses.
  • Responsible for activating the Emergency Preparedness Plan or assigning designee in Executive Director absence.
  • Participate in community education and public relations programs as requested by the Executive Director.         

Supervisory Responsibilities

  • Programs – Hospice Services (In Home Hospice and Hospice House)
  • Direct Reports – In Home Hospice and Hospice House Clinical Supervisors; Infection Control/Clinical Educator; Intake/Triage; and Social Work Lead and co-report on Chaplain Lead Supervisor
  • Other duties as assigned by the Executive Director

Agency Requirements

  • Demonstrate support and adherence to the mission and values as set forth by Chaplaincy Health Care.
  • Responsible for knowledge and compliance with Chaplaincy Health Care fire/disaster/safety educational requirements and Agency policies and practices.
  • Responsible for maintaining and protecting patient and agency information in a confidential manner.
  • Practice appropriate HIPPAA confidentiality accessing patient related information on a “need to know” basis only.
  • Perform department-specific competencies satisfactorily.
  • Ability to meet the physical demands of position (see attached Physical Requirements/Environmental Conditions).
  • If working in a clinical capacity; Hepatitis B immunization series, proof of series, or a sig a declination.
  • Reliable personal transportation, and current and valid driver’s license and vehicle insurance.
  • Satisfaction of state and agency requirements for Tuberculin testing.
  • Criminal background screening and pre-employment drug screening.
  • Complete agency and departmental orientation and training program(s).
  • Work availability.

CLASSIFICATION OF EMPLOYMENT

The position of Director of Hospice is on an at-will basis. This means that either the employee or the employer may terminate the employment relationship at any time, with or without notice or reason, unless expressly prohibited by law.

Licensed Therapist

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Purpose

The Licensed Therapist is part of Chaplaincy Health Care’s Behavioral Health Team. You provide evidence-based treatment and support the physical, emotional, and mental well-being of our clients. In this role, you will work directly with clients to actively listen and improve the client’s quality of life and relationships. This role requires someone who enjoys working closely with people—not just with clients, but also with other members of our team and occasionally outside agencies.

Required Qualifications

  • Minimum of a Master’s degree in psychology, counseling, social work; or a related field
  • Current Licensure in WA State Mental Health Counselor (LMHC), Independent Clinical Social Worker (LICSW) or Marriage and Family Therapist (LMFT)
  • Credentialed with Medicaid
  • Maintain professional licensure and/or certification throughout employment with the agency
  • Ability to work independently, as a team member and cooperatively
  • Minimum of 500 hours of clinical experience in a mental health setting
  • Excellent oral and written communication skills
  • Enjoys working as a member of an interdisciplinary team
  • Bilingual English/Spanish a strong advantage
  • Current First Aid/CPR Certification

Required Knowledge, Skills and Abilities

  • Knowledge, skill, ability, and competence are continuously assessed utilizing processes that include, but are not limited to this evaluation tool. Other duties may be assigned.

Essential Functions:

  • Intake/Assessment

    • Completes all required intake/assessments following Chaplaincy Behavioral Health guidelines and polices for content, format and timeliness.
    • Obtains appropriate and essential information during client intake.
    • Establishes rapport with clients and obtains and documents the essential clinical data which is age, culturally and disability sensitive and specific.
    • Interprets clinical data to establish and substantiate medical necessity and diagnosis.
    • Develops treatment recommendations, case conceptualization and goals.

     

    Crisis Evaluation/Intervention

    • Utilizes appropriate crisis intervention techniques for client stabilization.
    • Accurately assesses risk to self, others or property and the presence of a grave disability.
    • Formulates clinical decisions and makes appropriate referrals.
    • Applies QPRT principles in assessing risk and in safety and treatment planning (Question, Persuade, Refer, and Treat).
    • Develops and documents appropriate safety plan.

     

    Behavioral Health Groups

    • Conducts group therapy following Chaplaincy Behavioral Health guidelines and policies.
    • Leads groups using effective group facilitation skills that promote participation and interaction among group members.
    • Utilizes group process to develop insight, practice skills, and motivate client for change.
    • Follows lesson plan or curriculum and connects presented material to individual treatment plan goals.
    • Creates opportunities within the group, or through outside activities/assignments, to learn and practice new skills and/or behaviors related to group and individual goals.

     

    Individual Therapy

    • Conducts individual therapy following Chaplaincy Behavioral Health guidelines and policies.
    • Conducts individual therapy following Chaplaincy Palliative Care guidelines and policies.
    • Integrates an effective theoretical orientation, knowledge (including conceptualization) and clinical skills of treatment/therapy protocols into an effective therapeutic process.
    • Demonstrates appropriate clinical skills and techniques for client population served to engage clients in meeting treatment and recovery goals.
    • Provides specific evidence-based practice treatment consistent with training received.

     

    Family Therapy

    • Conducts family therapy following Chaplaincy Behavioral Health guidelines and policies.
    • Conducts family therapy following Chaplaincy Palliative Care guidelines and policies.
    • Applies family systems theoretical orientation, systems knowledge (including conceptualization) and family clinical skills and techniques into a therapeutic process.
    • Demonstrates appropriate clinical skills and techniques for client population served to engage clients in meeting treatment and recovery goals.
    • Provides specific evidence-based practice treatment consistent with training received.

     

    Treatment Planning

    • Completes all required treatment plans following Chaplaincy Behavioral Health guidelines and policies for content, format and timeliness.
    • Completes all required treatment plans following Chaplaincy Palliative Care guidelines and policies for content, format and timeliness.
    • Applies assessment, evaluation and reassessment data to the formulation of treatment plans.
    • Supports recovery principles by incorporating the individual’s and their family’s (when applicable) strengths, barriers and needs into the plan components.
    • Documents problem statements and treatment goals/objectives/discharge plan that are written in clear and understandable language and includes client’s own voice.
    • Formulates measurable, achievable goals and objectives within the scope of treatment provided in collaboration with the client.
    • Describes clinical modalities/interventions that are reasonable and provided according to applicable Chaplaincy Behavioral Health protocols.
    • Reassess treatment effectiveness and adapts treatment plan as needed in collaboration with the individual client.

     

    Progress Notes

    • Completes all required progress notes according to Chaplaincy Behavioral Health guidelines, policies and procedures regarding format, content and timeliness.
    • Language used in progress notes is respectful, clear, descriptive, concise, and client centered.
    • Progress notes accurately depict treatment modalities and interventions provided within the clinician’s scope of practice and according to treatment plan.
    • Progress notes accurately reflect and depict client status and progress per assessment and reassessment data, problems statements, and treatment plan goals and objectives.

     

    Work Sites and Work Team

    • Must be comfortable working in multiple medical settings, Out-Patient medical offices, at patient/client place of residence, school, shelter and counseling center.
    • Ability to collaborate effectively with medical and counseling staff.
    • Effective phone skills, establishing initial rapport with potential clients exploring services and referral sources.
    • Provides community consultation and education as requested. provides specialist consultation or evaluations if qualified.

     

    TeleHealth

    • Conduct sessions through agency approved app on an agency approved phone, tablet or computer

     

    Ethical Standards

    • Provides all services within the ethical standards of National Association of Clinical Social Workers, or Washington State Society for Clinical Social Work 2018.

     

    RELATED FUNCTIONS

    Personal vehicle is used for agency business and mileage is reimbursed according to policy. Employee must maintain and provide proof of vehicle insurance.

    Employees are not to transport clients.

    All Chaplaincy Health Care employees will follow the minimum standard regarding PHI when accessing patient information on a need to know basis only. All employees will practice appropriate safeguards when accessing this information.

    Position works with children, adolescents, adults, and elderly.

     

    AGENCY REQUIREMENTS

    • Must maintain 32 billable client sessions/week. Productivity measured weekly.
    • Must be able to work with a mix of clients and various payer sources
    • Participate in individual and group supervision.
    • Demonstrate support and adherence to the Mission and Values as set forth by Chaplaincy Health Care.
    • Responsible for knowledge and compliance with Chaplaincy Health Care fire/safety/ disaster educational requirements and agency policies and practices.
    • Responsible for maintaining and protecting patient and agency information in a confidential manner.
    • Practice appropriate HIPAA confidentiality accessing patient related information on a “need to know” basis only.
    • Perform department specific competencies satisfactorily.
    • Reliable personal transportation, driver’s license and vehicle insurance.
    • Satisfaction of state and agency requirements for Tuberculin testing.
    • Criminal background screening and pre-employment drug screening.
    • Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
    • If working in a clinical capacity, Hepatitis B immunization series, proof of series, or sign a declination.
    • Complete agency and departmental orientation and training program(s).
    • Work availability.

Behavioral Health Administrative Assistant and Billing

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Full Time | Non-Exempt | Benefit Eligible

PURPOSE

This position provides clerical support to Behavioral Health Clinical Staff and billing for all behavioral health services. This includes greeting clients, answering the phone, scheduling appointments, word processing, faxing, filing, copying, scanning, and scheduling meetings. The employee also drafts routine correspondence and assembles highly confidential and sensitive information. The employee works with a diverse group of Behavioral Health clients, as well as internal contacts at all levels of the organization.
Independent judgment is required to plan, prioritize, and organize workload, and recommend changes in office practices or procedures.

REQUIRED QUALIFICATIONS

  1. High School Diploma or equivalent education
  2. One year of administrative experience
  3. One year of healthcare billing experience
  4. Excellent computer skills and proficiency in Microsoft Office; including database, word processing, PowerPoint and Spreadsheets
  5. Ability to handle multiple assignments at any given time and to prioritize tasks
  6. Ability to work independently with minimal supervision and meet deadlines
  7. Ability to work at a designated worksite location – This position cannot be performed remotely, meaning that it cannot be performed primarily from home.

PREFERRED QUALIFICATIONS

  1. Associate’s Degree
  2. Two years of related experience, at least one of which is in the medical or behavioral health field
  3. Bilingual – English/Spanish
  4. One year of experience with an electronic healthcare record system

COMPETENCIES

  1. Professional customer service attitude and appearance
  2. Punctual and reliable
  3. Solid written and verbal communication skills
  4. Proficient in the use of computers, various office equipment and software, including Microsoft Office
  5. Able to work independently and as part of a team
  6. High level of confidentiality (HIPAA)
  7. Ability to be resourceful and proactive when issues arise
  8. Able to remain calm when working with Behavioral Health patients/clients who are exhibiting difficult illness-related or stress-related behaviors
  9. Able to maintain appropriate boundaries with Behavioral Health patients/clients
  10. Organizational and time-management skills with the ability to prioritize tasks

ESSENTIAL DUTIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. Timely electronic Behavioral Health services billing and management of client accounts to include; client insurance verification reviews, payment collection and posting
  2. Greets, welcomes and checks in Behavioral Health patients and clients who present for appointments; provides appropriate pre-visit documentation as directed
  3. Schedules follow up appointments for BH patients/client as directed
  4. Answers phone; schedules/reschedules BH patient/client appointments; takes messages and routes messages promptly and appropriately; answers routine questions.
  5. Assists with verification of insurance coverages.
  6. Forwards BH registration packets to patients/clients via email or USPS, or direct pick up by patients/clients
  7. Maintains a neat and clean reception and lobby area with all necessary stationery and material (e.g., pens, forms and brochures).
  8. Receives, sorts and distributes BH faxes.
  9. Maintains office security by following safety procedures and controlling access via the reception desk
  10. Schedules and organizes complex activities such as meetings, travel, conferences, and department activities for employees.
  11. Types and designs general correspondences, charts, tables, graphs, etc. Proofreads for spelling, grammar, and layout, making appropriate changes. Responsible for accuracy and clarity of final copy.
  12. Establishes, develops, maintains, and updates filing systems and referral database. Retrieves and refiles information from files when needed.
  13. Works independently and within a team on special nonrecurring and ongoing projects.
  14. Handles confidential and sensitive information.
  15. Other duties as assigned.

AGENCY REQUIREMENTS

  1. Must pass criminal background check and pre-employment drug screening.
  2. Must satisfy state and agency requirements for Tuberculin testing.
  3. Must have reliable personal transportation, and current and valid driver’s license and vehicle insurance.
  4. Must demonstrate support and adherence to the mission, vision and values as set forth by the agency.
  5. Is responsible for knowledge and compliance with agency policies and practices (e.g., fire, safety, disaster, infection prevention, etc.).
  6. Must maintain and protect patient, client and agency business sensitive information in a confidential manner.
  7. Must practice appropriate HIPAA confidentiality accessing patient related information on a need to know basis only and using the minimum necessary standard regarding protected health information.
  8. Must be able to meet the physical demands of the position (see attached physical requirements and environmental conditions).
  9. Must complete agency and departmental orientation and training programs

Hospice House CNA

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Part Time | Non-Exempt | Not Benefit Eligible

 

Policy:

  • The NAC is responsible for personal care services to patients in the Hospice house
  • The NAC helps provide and maintain bodily and emotional comfort and assist patients to achieve maximum quality of life in the Hospice House. 
  • The NAC functions as a member of an interdisciplinary team to provide patient care and supportive services according to a written plan of care
  • The NAC receives general supervision from the Clinical Nursing Supervisor and direct supervision from the Hospice House Nurse (RN and/or LPN).

Knowledge/Ability/Skills Required

  1.  Ability to accept a wide variety of assignments, and to adjust to changing situations.
  2. Ability to read and to write clearly, concisely, and legibly.
  3. Ability to follow written and oral instructions
  4. Ability to communicate effectively with and respond appropriately to patients and families.
  5. Ability to work cooperatively with others and function as a member of a team.
  6. Ability to maintain a neat and clean appearance.
  7. Ability to perform personal patient care and maintain a mature, sensitive, and caring attitude toward patients and their families.

 Qualifications

  1.  High School Diploma or General Education Degree
  2. Minimum 18 years of age
  3. Current valid Washington State Certified Nursing Assistant (CNA)
  4. Experience working as a nursing or therapy assistant preferred.

Regular Duties

Provides or assists with personal patient care in accordance with the total written plan of care and written/verbal instructions for patient care prepared by a RN or LPN.  Specific duties may include the following:

  1.  Assistance with activities of daily living such as bathing, dressing, grooming, feeding, and toileting.
  2. Meal preparation, including specified diet and diet reinforcement.
  3. Assist with medications under supervision of the RN limited to:
  4. Communication of appropriate information to the patient regarding the medication.
  5. Application or installation of skin, nose, eye, and ear preparations only under specific direction of the supervisor. (Reference:  WAC 248-31-155 (5)
  6. Assist with specific nursing procedures as determined appropriate by the nurse supervising the patient’s care program utilizing principles of clean technique and skills of observation to note the patient’s response to treatment.
  7. Participate in therapy activity and ambulation programs as outlined by the physical, speech or occupational therapist and according to individual patient’s tolerance level.
  8. Assist with other prescribed ambulation and exercises.
  9. With physician’s orders and under supervision of the Clinical Nursing Supervisor, or Hospice House Nurse, give enemas; and perform irrigations, including urinary catheter and colostomy care.
  10. Employ preventive measures and treatments of skin breakdown per written/verbal instructions.
  11. Change dressing: dry, non-sterile, with specific instructions, supplies, and necessary equipment.   Dispose properly of used dressings.
  12. Assist patient with transfer between bed, chair, wheelchair, or walker.
  13. Assist patient on/off bedpan, urinal.  Record color and amounts of urine, color and consistency of stool when ordered.
  14. Give perineal care, clean and diaper incontinent patient.
  15. Turn patient per physician’s orders.  Position patient in proper alignment.
  16. Take temperature, pulse, respirations, and blood pressure when ordered.
  17. Massage back when appropriate.
  18. Perform household services to maintain a safe and sanitary environment
  19. Do laundry essential to the comfort of the patient.
  20. Perform light cleaning of patient’s room, and other rooms, as specified.
  21. Change bed linens.
    1. Empty trash.
    2. Clean equipment and appliances
  22. Restock supplies
  23. Teach family members how to care for sick family member.
  24. Employ and teach sound infection control practices.
  25. Write a progress note visit and record other pertinent information as instructed by supervisors in accordance with Hospice House record keeping procedures.
  26. Observe and recognize changes in the patient’s and/or family’s conditions and needs and promptly report changes to Hospice House RN.
  27. Maintain open communication with supervisory personnel regarding any independent observations or actions taken in patient’s case management.
  28. Initiate emergency procedures in accordance with agency policy.
  29. Attend Hospice House staff meetings, care conferences, in-service education presentations, and other meetings pertinent to job function.
  30. Consult with Clinical Nursing Supervisor for clarification of organizational policy, to receive evaluation of practice and develop general skills
  31. Perform related duties as required.
  32. All Chaplaincy Health Care employees will follow the minimum standard regarding PHI when accessing patient information on a need to know basis only. All employees will practice appropriate safeguards when accessing this information”.

 Agency Requirements

  • Must pass criminal background and pre-employment drug screening.
  • Must satisfy state and agency requirements for Tuberculin testing.
  • Must have reliable personal transportation, and current and valid driver’s license and vehicle insurance.
  • Must demonstrate support and adherence to the mission, vision and values as set forth by the agency.
  • Is responsible for knowledge and compliance with agency policies and practices (e.g., fire, safety, disaster, infection prevention, etc.).
  • Must maintain and protect patient, client, and agency business sensitive information in a confidential manner.
  • Must practice appropriate HIPAA confidentiality accessing patient related information on a need to know basis only and using the minimum necessary standard regarding protected health information.
  • Must be able to meet the physical demands of the position (see attached physical requirements and environmental conditions).
  • Must complete agency and departmental orientation and training programs.
  • Must complete all ongoing and mandatory education and training

Occupational Therapist

View Job Description

Per Diem

Purpose

Responsible for providing occupational therapy consultation and services to the patient in accordance with the Interdisciplinary team plan of care. Develops interventions appropriate to the patient’s age and condition. Provides in-services programs, as requested, to the Hospice staff and volunteers regarding occupational therapy activities.

MINIMUM POSITION QUALIFICATIONS

  1. Licensed registered occupational therapist by the state of Washington
  2. Minimum one-year experience in a health care or home health setting
  3. Current CPR certification

PREFERRED POSITION QUALIFICATIONS

  1. Previous work with terminally ill patients
  2. Bilingual

Required Knowledge Skills and Abilities

  1. Knowledge of Hospice philosophy and concepts
  2. Knowledge of interdisciplinary team concept
  3. Strong interpersonal and communication skills
  4. Ability to work with minimal supervision

RESPONSIBILITIES AND ESSENTIAL FUNCTIONS

  1. Assess and evaluate patient’s need for, and ability to participate in, occupational therapy.
  2. Plan a treatment program to relieve pain, develop or restore functioning and maintain maximum performance as limited by the disability.
  3. Set goals related to needs and age of patient.
  4. Consult with physician and Hospice interdisciplinary team on treatment plan to achieve goals.
  5. Attend the Interdisciplinary Team meeting as requested.
  6. Provide Occupational Therapy treatment as ordered by patient’s physician and in accordance with patient’s plan of care.
  7. Provide patient/family education.
  8. Identify equipment that the patient may need.
  9. Assist in evaluation and plan for pain management
  10. Provide documentation of:
    1. Assessment and evaluation data, treatment, and patient response to therapy.
    2. Communication of information to appropriate Hospice interdisciplinary team members.
  • Patient care conferences and outcomes.
  1. Education and consultation with patients/families/agency staff.
  2. Supervision of therapy assistants/students when appropriate
  1. Perform other duties as assigned

 

RELATED FUNCTIONS

  1. Conduct in-services to Hospice Staff related to ADL’s, IADL’s
  2. Provide evaluation of equipment for Hospice Aids for safe transfer training

AGENCY REQUIREMENTS

  • Demonstrate support and adherence to the agency’s Mission, Vision, and Values.
  • Responsible for knowledge and compliance with agency policies, procedures, and practices.
  • Responsible for maintaining and protecting Patient and agency information in a confidential manner. Practice appropriate HIPAA confidentiality accessing patient related information on a “need to know” basis only.
  • Reliable personal transportation, and current and valid driver’s license and vehicle insurance.
  • Satisfaction of state and agency requirements for Tuberculin testing.
  • Hepatitis B immunization series, proof of series or sign a declination.
  • Must pass criminal background screening and pre-employment drug screening.
  • Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
  • Complete agency and departmental orientation and training program(s).
  • Complete all continued learning, education, policy reviews and required training by their respective deadlines
  • Maintain licensure(s) and certification(s) required for the position
  • Work availability: Per Diem, as needed

In-Home RN Case Manager

View Job Description

Full-time

Purpose

  • Responsible as a member of the interdisciplinary team under the supervision of the Clinical Nursing Supervisor and the patient’s attending physician.
  • Provides skilled nursing assessment, planning, and care to maximize the comfort and health needs identified by the patient/family unit.
  • Coordinates services to provide preventive and supportive care to the terminally ill and their families in accordance with approved care plans and Hospice policies and procedures.
  • Directs the work of the Licensed Professional Nurse and Certified Nursing Assistant.
  • Demonstrates a commitment to the philosophy, goals, and objectives of the hospice concept by utilizing teaching, assessment, and intervention skills to maximize the quality of life of patients and families in the patient’s home setting.

REQUIRED QUALIFICATIONS

  • Current Washington State license as a professional registered nurse.
  • At least two years of nursing experience, preferably with one year in oncology, home health, or hospice nursing.
  • Intermediate computer skills.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

  • Ability to accept a wide variety of assignments and adjust to changing situations.
  • Ability to read and write clearly, concisely, and legibly.
  • Ability to work cooperatively with others and function as a member of a team.
  • Ability to follow written and oral instructions.
  • Ability to communicate effectively with and respond appropriately to patients and families in both routine and crisis situations.
  • Ability to maintain a neat and clean appearance in accordance with agency dress policy.
  • Ability to perform personal patient care and maintain a mature, sensitive, and caring attitude toward patients and their families.

AGENCY REQUIREMENTS

  • Reliable personal transportation, and current driver’s license and vehicle insurance.
  • Satisfaction of state and agency requirements for Tuberculin testing and AIDS training.
  • Criminal background screening and pre-employment drug screening.
  • Hepatitis B immunization series, proof of series, or sign a declination.
  • Certified in American Heart Basic Life Safety.
  • Demonstrate support and adherence to the Mission and Values as set forth by Chaplaincy Health Care.
  • Responsible for knowledge and compliance with Chaplaincy Health Care fire/safety/ disaster educational requirements and agency policies and practices.
  • Demonstrate familiarity with State and Federal rules and regulations that aid in determining policies.
  • Responsible for maintaining and protecting patient and agency information in a confidential manner.
  • Practice appropriate HIPAA confidentiality accessing patient related information on a “need to know” basis only.
  • Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
  • Complete agency and departmental orientation and training program(s).
  • Available to work evenings, nights, weekends, and holidays as part of the on-call nursing staff.

ESSENTIAL DUTIES

  • Assume primary responsibility for a patient/family caseload that includes the assessing, planning, implementing, and evaluating phases of the nursing process.
  • Initiate communication with attending physician(s), other hospice staff members, and other agencies as needed to coordinate optimal care and use of resources for the patient/family.
  • Maintain regular communication with the Clinical Nursing Supervisor to review caseload.
  • Maintain regular communication with the attending physician concerning patient/family care needs and response to interventions.
  • Obtain data on physical, psychological, social, and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care.
  • Seek input from other team members regarding the patient’s plan of care to obtain additional knowledge and support.
  • Maintain up-to-date patient records so that problems, plans, actions, and goals are accurately and clearly stated and changes are reflected as they occur.
  • Instruct primary caregivers, volunteers, and employed caregivers to provide care as indicated.
  • Meet regularly with the interdisciplinary team members to review problems or unique issues from caseloads, share professional support, and exchange feedback aimed toward enhancing professional growth.
  • Attend patient care conference and facilitate discussion of issues from caseload for full staff discussion, consultation, and evaluation.
  • Supervise and document observance of the Certified Nursing Assistant’s delivery of care every two weeks, and actual on-site observation every two months.
  • Inform the Clinical Nursing Supervisor of unusual, or potentially problematic, patient/family issues.
  • Assist other registered nurses including assuming primary responsibility for patients, when necessary.
  • Share in providing 24-hour, seven days a week, on-call coverage to patients/families when necessary.
  • Provide appropriate support at time of death and perform bereavement assessment if requested.
  • Participate in agency and community programs as requested to promote professional growth and understanding of hospice care.
  • Accept other assignments as appropriate.

ESSENTIAL DUTIES WHEN WORKING ON-CALL

  • Assume responsibility for evening, weekend, and holiday on-call duty as scheduled and consistent with agency policies and procedures.
  • Assume primary responsibility for Chaplaincy Hospice Care’s total care census including assessing, planning, and implementing and evaluating phases of the nursing process.
  • Maintain up-to-date patient records so that problems, plans, actions, and goals are accurately and clearly stated and changes are reflected as they occur.
  • Respond to medical or emotional crisis and/or death of patient, and make home visit to provide direct care as appropriate.
  • Provide appropriate counsel at time of death.

CLASSIFICATION OF EMPLOYMENT

The position of In Home Hospice Registered Nurse is on an at-will basis. This means that either the employee or the employer may terminate the employment relationship at any time, with or without notice or reason, unless expressly prohibited by law.

Join Our Team!

We are a diverse group of individuals who share a common set of values: compassion, integrity, humility, passion for the work, and spirituality.

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