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 RNs, CNAs, Chaplains, Social Workers, Therapists and various administrative staff. To apply for employment, please click on the “apply now” below.

Current Openings 

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

Hospice House Clinical Nurse Supervisor

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Purpose

The Hospice House Clinical Nursing Supervisor is responsible for collaborating with the Director of Clinical Services in the development, implementation, and evaluation of the day-to-day needs of the Hospice House clinical program. Duties include:

  • Provide leadership, direct supervision, and support to Hospice House staff members;
  • Support good communication and teamwork among interdisciplinary members of the team;
  • Direct, coordinate, and schedule staff to meet Hospice House patient care needs;
  • Direct and coordinate patient admission and discharge into and out of the Hospice House;
  • Work directly with the Hospice House Social Worker and Chaplain to ensure that all aspects of patient care within the Hospice House are being met;
  • Problem-solve in relation to patients or the agency in coordination with appropriate team members; and
  • Provide supervision and evaluate Hospice House clinical staff members.

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.
  • Experience in Oncology, Hospice and/or Home Health nursing experience preferred.
  • Minimum of two years’ management/supervisory experience.
  • Certification in Hospice & Palliative Nursing preferred or must be attained within three years of employment.
  • Proficient computer skills including EMR, Microsoft Suite and scheduling.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

  • Must be able to communicate knowledge of professional standards of nursing practice.
  • Must have excellent written and verbal communication skills.
  • Must have excellent critical thinking and problem-solving skills.
  • Must have confidentiality and HIPAA competency skills.
  • Must be able to provide patient-centered, culturally-responsive health care.
  • Must be able to self-direct and provide direct supervision of assigned staff.
  • Must be able to work independently or as part of a team.
  • Must have strong leadership and mentoring skills.
  • Must be able to delegate and assign work.

ESSENTIAL DUTIES

Direct Supervision

  • In collaboration with the Director of Clinical Services, coordinate and supervise the planning and delivery of quality, cost-effective hospice care by:
    • Ensuring completion and coordination of tasks assumed by other clinical staff;
    • Advising and supporting nurses with symptom management challenges;
    • Acting as a resource for nursing personnel in the assessment of patient/family’s knowledge of their disease and their care;
    • Supervising the quality of care provided; and
    • Providing Hospice House staff 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 House 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.
  • Address all complaints in a timely manner, document the outcome, and maintain a record in the Complaint Log.
  • Audit and approve electronic timecards.
  • In collaboration with the Director of Clinical Services and the Medical Director, provide yearly written and verbal evaluations for Hospice House clinical staff members.
  • Schedule and facilitate patient admissions and transfers.
  • Effectively manage and support optimal patient census.
  • Supervise and support the Food Services Coordinator and ensure FDA Food Code compliance.
  • Assess the acuity of patients each shift and adjust staffing as needed.
  • Identify and coach staff who are not meeting standards/requirements. Follow appropriate discipline and documentation.

Compliance

  • Maintain basic knowledge of state licensure, federal certification, and accreditation requirements.
  • Monitor delivery of care and documentation of nursing staff to ensure compliance with agency policies and procedures.
  • Adhere to the practice of confidentiality regarding patients, families, staff and the agency.
  • Work closely with the Infection Prevention/Employee Health RN to maintain agency standards and compliance.
  • Coordinate with agency Supervisor of Compliance and Standards, to ensure compliance in all areas of patient care as mandated by the Washington State Department of Health, CMS and Medicare/Medicaid Hospice Conditions of Participation, and FDA Food Code.
  • Assist the Director of Clinical Services in facilitating agency surveys.
  • Support QAPI, clinical leadership decision-making and agency policy and procedure development by participating on the agency’s Leadership Team.
  • Maintain facility survey readiness as mandated by Federal, State and local regulations.

Interdisciplinary Support

  • Assist with utilization review for appropriate use of agency resources.
  • Serve as liaison between the agency’s Medical Director or designee, the Director of Clinical Services, and the hospice interdisciplinary team 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 Support

  • Serve as liaison between Director of Clinical Services, Medical Director, and Hospice House RNs regarding clinical problems and progress in patient care.
  • Communicate with the Director of Clinical Services regarding personnel issues, patient care concerns, and utilization of resources.
  • Participate in the hiring, orienting, and evaluation of clinical staff.
  • Other tasks as assigned by the Director of Clinical Services.
  • Assist the Clinical Director in creating an annual budget.

RELATED DUTIES AND RESPONSIBILITIES

  • Participate in and present nursing continuing education.
  • Participate in and present hospice aide continuing education.
  • Schedule and lead Hospice House team meetings and maintain a record of attendance and minutes.
  • Complete all required agency annual reviews and competencies.
  • Maintain competencies in pain management, symptom management, wound care, nursing assessment, medications, and charting in electronic medical records.
  • Work in direct patient care and be available to step in and work open shifts as needed.
  • Maintain and audit Hospice House Emergency Kit medications.
  • Facilitate quarterly Pharmaceutical Committee meetings.
  • Support Infection Prevention procedures within the Hospice House and ensure that those standards are being met.
  • Provide day-to-day oversight on environmental status of the Hospice House.
  • Audit current Hospice House paper charts and complete angel chart documentation.
  • Act as liaison between Spaulding Medical Records Department and Hospice House.
  • Assist with coordinating the development of the clinical component of patient care policies and procedures.
  • Participate in the on-call administrative rotation schedule. Follow through and complete the on-call supervisor duties. Is prepared and able to step into direct patient care as needed curing call period.
  • Other duties as assigned.
  • Collaborate with Facilities staff regarding maintenance needs.
  • Supervise Inventory Control and order medical supplies as needed. Ensure cost savings is maximized.
  • Ensure PPE inventory levels are adequate.
  • Rotate inventory and dispose of expired food, medications, and medical supplies.
  • Assist with Year End Inventory.
  • Utilize staffing, medical supplies, and other resources efficiently while maintaining annual budget.
  • Schedule and lead the Emergency Preparedness Committee meetings and maintain a record of attendance and minutes.
  • Ensure the agency’s emergency preparedness needs and requirements are met as mandated by the State Department of Health and CMS Conditions of Participation.
  • Review and update the Emergency Operations Plan and related policies annually.
  • Facilitate emergency preparedness drills as mandated and maintain documentation of participation and Improvement Plan.
  • Conduct community tours of the Hospice House.
  • Maintain Respite schedule and coordinate respite requests.
  • Measure productivity standards on a routine basis.
  • Review, investigate, and document unusual occurrence reports.

        Hospice Float RN

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        Part Time, Non-Exempt

        Purpose

        • Responsible as a member of the interdisciplinary team under the supervision of the Medical Director and the patient’s attending physician.
        • Provide skilled nursing assessment, planning and care in order to maximize the comfort and health needs identified by the patient/family unit.
        • Coordinate 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.
        • Direct the work of the LPN and NAC.
        • Demonstrate 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.

        Minimum Position Qualifications

        1. Current Washington State license as a professional registered nurse.
        2. At least two years nursing experience, preferably with one year oncology, home health or hospice nursing.
        3. Available to work evenings, nights, weekends, and holidays as part of the on-call nursing staff.
        4. Intermediate computer skills.

        Knowledge/Abilities/Skills Required

        1. Ability to accept a wide variety of assignments and adjust to changing situations.
        2. Ability to read and write clearly, concisely, and legibly.
        3. Ability to work cooperatively with others and function as a member of a team.
        4. Ability to follow written and oral instructions.
        5. Ability to communicate effectively with and respond appropriately to patients and families in both routine and crisis situations.
        6. Ability to maintain a neat and clean appearance in accordance with agency dress policy.
        7. Ability to perform personal patient care and maintain a mature, sensitive, and caring attitude toward patients and their families.
        8. Excellent triage skills
        9. Ability to work at a designated worksite location

        Essential Duties

        1. 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.
        2. Maintain regular communication with the Clinical Nursing Supervisor to review patient needs.
        3. Maintain regular communication with the Medical Director and attending physician concerning patient/family care needs and response to interventions.
        4. 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.
        5. Instruct primary caregivers, volunteers, and employed caregivers to provide care as indicated.
        6. Inform the Clinical Nursing Supervisor of unusual, or potentially problematic, patient/family issues.
        7. Provide appropriate support at time of death and perform bereavement assessment if requested.
        8. Participate in the Chaplaincy Hospice Care’s orientation and in-service training programs for professional staff.
        9. Must be able to perform admissions for both In-Home and Hospice House, informationals and nursing visits.
        10. Participate in agency and community programs as requested to promote professional growth and understanding of hospice care.
        11. Demonstrate familiarity with policies of the Chaplaincy Hospice Care, rules and regulations of Washington State, and Federal regulations that aid in determining policies.
        12. Accept other assignments as appropriate.
        13. Participates in new staff orientation as requested by Clinical Nursing Supervisor.
        14. 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.
        15. Able to cover on-call after hours, weekend, and holiday shifts.
        16. Other duties as assigned.

        AGENCY REQUIREMENTS

        1. Demonstrate support and adherence to the agency’s Mission, Vision, and Values.
        2. Responsible for knowledge and compliance with agency policies, procedures and practices.
        3. 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.
        4. Reliable personal transportation, and current and valid driver’s license and vehicle insurance.
        5. Satisfaction of state and agency requirements for Tuberculin testing
        6. As required per position/credentialing; successful completion of A.I.D.’s Training
        7. Hepatitis B immunization series, proof of series or sign a declination.
        8. Certification in Cardio-Pulmonary Resuscitation (CPR)/Basic Life Safety (BLS)
        9. (Hospice House) Washington State Food Worker Card issued by the Department of Health.
        10. Must pass criminal background screening and pre-employment drug screening.
        11. Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
        12. Complete agency and departmental orientation and training program(s).
        13. Complete all continued learning, education, policy reviews and required training by their respective deadlines.
        14. Maintain licensure(s) and certification(s) required for the position.
        15. Work availability

        Staff Chaplain, Per Diem

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        Per Diem

        Purpose

        This job description for non-exempt employees applies to Staff Chaplains who are full time, part time or per diem.  The Staff Chaplain is responsible for moderate and general emotional-spiritual-coping distress screening, spiritual assessment, and chaplaincy interventions with patients (and families) admitted to hospice and contracting hospitals.  Collaborates with chaplain colleagues to provide spiritual care services to distressed patients, families and staff experiencing insufficient coping and meaning making.

        MINIMUM POSITION QUALIFICATIONS

        1. Bachelor’s degree in a humanities field from an accredited school of higher education, and a minimum of 2 units (Level I) of CPE from a training site accredited by the Association for Clinical Pastoral Education (ACPE).
        2. 1000 hours of clinical experience (post-CPE) in a hospital or related healthcare setting, with competency in electronic documentation.
        3. CISM certification within 24 months of hire date.

        PREFERRED POSITION QUALIFICATIONS

        1. Ecclesiastical endorsement.
        2. 2-year master’s degree in divinity, theology or related humanities field from an accredited school of higher education, and a minimum of 4 units (2 Level I & 2 Level II) of CPE from a training site accredited by the Association for Clinical Pastoral Education (ACPE).
        3. 2000 hours of clinical experience (post-CPE) in a hospital or related healthcare setting, with competency in electronic documentation.
        4. Current Board Certification or obtain Board Certification within 48 months of hire date.
          1. Board Certification requires a minimum 2000 hours of clinical experience (post-CPE) in a hospital or related healthcare setting, with competency in electronic documentation.
          2. Board Certification (BCC) from Association of Professional Chaplains (APC), National Association of Catholic Chaplains (NACC), National Association of Jewish Chaplains (NAJC), or the Canadian Association for Pastoral Practice and Education (CAPPE).
          3. Other national board certifications will be considered, including Advance Practice Board Certification (APBCC) from the Spiritual Care Association (SCA).

        KNOWELDGE SKILLS AND ABILITIES

        1. Moderate and general knowledge of the principles, practices, and procedures of hospital spiritual care ministry; ability to develop and follow a patient’s plan of care, based on a comprehensive spiritual assessment.
        2. Skills of interpersonal and empathic listening using a non-anxious presence.
        3. Ability to establish, maintain and contribute to effective working relationships with others and function positively as a member of various interdisciplinary teams.
        4. Ability to work confidentially with discretion, as well as knowledge of current clergy-confessional regulations and limitations.
        5. Knowledge of and ability to provide moderate and general emotional and spiritual guidance and social support in relation to the patient’s bio-psycho-socio-spiritual needs and the interdisciplinary plan of care.
        6. Knowledge of personal and faith development plus the beliefs, practices, and restrictions of the major world faith traditions; ability to effectively serve populations which are socially, culturally, and/or religiously different from oneself, demonstrating tact, patience, respect, and discretion.
        7. Skills to prepare required clear, concise and consistent documentation of patient visits, to maintain required electronic records, reports and statistics files. Knowledge of all required documentation standards for medical/legal reporting situations.
        8. Skills in verbal and written communications, including English usage, grammar, spelling, punctuation, and vocabulary. Proficiency in a secondary non-English language is a bonus.
        9. Once CISD certified, ability to lead critical incident stress debriefings using nationally certified model.
        10. Enhance one’s professional growth and development through participation in regular team meetings, educational programs, current literature, in-services, and workshops.

        ESSENTIAL FUNCTIONS

        1. Adhere to and respect the Chaplaincy Spiritual Care Code of Ethics (attached).
        2. Collaborate with the agency and institutional team members in assigned patient care settings to provide for emotional-spiritual-coping assessments and interventions to optimize the patient’s and family’s abilities as they recover from, adapt to, and find meaning in the patient’s medical or situational crisis. Utilize coping resources of patients and/or families demonstrating insufficient coping and meaning-making ability.
        3. Demonstrate ability to be flexible, to take appropriate initiative, and to organize and function effectively in stressful situations.
        4. Treat individuals with respect and dignity, while maintaining the confidentiality of patients and families and other sensitive or protected information.
        5. Consult as indicated with physicians, nurses, social workers, case managers, therapists, and/or corrections officers concerning diagnosis, treatment planning and discharge preparation for patients and families. Participate in clinical rounds, patient-family care conferences, and decision-making conferences as indicated. 
        6. Assist patients and families who are indicated or request help with Advance Directives. Provide guidance and support to families facing life-impacting or life-ending decisions.
        7. Consult and interpret medical/ethical/faith consequences of difficult medical issues, problems and dilemmas. Interpret ethical and religious positions relating to medical situations. 
        8. Provide as needed emotional, spiritual and coping support to employees and volunteers with the goal of an appropriate referral to the hospital’s employee assistance program.
        9. Ensure all written (electronic and paper) documentation meets current standards and policies.
        10. Manage and operate equipment safely and correctly.
        11. Provide as time permits education and resource materials in areas of expertise (including spiritual care services, visitation skills, and other pertinent information or resources) to employees, healthcare professionals, students, volunteers, and community groups in collaboration with the Chaplain Supervisor and each site’s education program.
        12. Maintain training and compliance with standard institutional policies related to infection control, fire and safety, hazardous chemicals, personnel policies, and departmental procedures.
        13. Perform other duties as assigned.

        WORKING CONDITIONS:

        Location of Work:  Work is performed as assigned among the hospice and contracted sites.  Assignments may change according to the needs of the agency.  Responsibilities require chaplain to support inpatient and occasionally outpatient services. 

        Equipment Used:  Personal cell phone (stipend paid) or company provided cell phone; hospital cell phone, office space, telephone and computer terminal when indicated; dependable transportation with proof of insurance.  

        Personal Demands:  Work requires normal/corrected vision and hearing to a normal range.  Physical demand level is light; constant access patient services areas; may include going up and down stairs many times a day.  Driving or other dependable transportation, including at night, is necessary.  Work-imposed emotional and spiritual stress is high because the focus of the positions is dealing patients and/or families in primarily or secondarily traumatic situations.  Coping processes and problem solving are often emotionally-spiritually charged, relationally complex, and personally sensitive.  Conflicting demands of patients, families and staff must be managed on an on-going basis of relative acuity.

        Exposure to Hazards:  There is potential exposure to diseases and/or infections.  Universal precautions are required for a potential exposure to blood borne pathogens (OSHA category 2).

        AGENCY REQUIREMENTS

        1. Demonstrate support and adherence to the agency’s Mission, Vision, and Values.
        2. Responsible for knowledge and compliance with agency policies, procedures and practices.
        3. 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.
        4. Reliable personal transportation, and current and valid driver’s license and vehicle insurance.
        5. Satisfaction of state and agency requirements for Tuberculin testing.
        6. Hepatitis B immunization series, proof of series or sign a declination.
        7. Must pass criminal background screening and pre-employment drug screening.
        8. Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
        9. Complete agency and departmental orientation and training program(s).
        10. Complete all continued learning, education, policy reviews and required training by their respective deadlines
        11. Maintain licensure(s) and certification(s) required for the position
        12. Current CPR/BLS
        13. Work availability

          Occupational Therapist

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          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

          Chief Executive Officer

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          Purpose

          The Chief Executive Officer (CEO) is accountable to the Board of Directors and is responsible for leadership within the agency to ensure fulfillment of the mission, policies and objectives established by the Board.  The Chief Executive Officer (CEO) is also responsible for development of agency plans and strategies; for direction of the financial affairs; for management of contracts and for implementation of all programs and services. The CEO is directly responsible for maintaining compliance with Federal, State and local codes, and regulations as they apply to the agency.  In addition, the CEO serves as the principal individual with respect to outreach and communications with the community.

          MINIMUM POSITION QUALIFICATIONS

          • Graduate of an accredited college or university, minimum of a bachelor’s degree in business/ management or related field with professional development or course work related to geriatrics, government finances and public relations.
          • A minimum of 10 years professional experience, progressive supervisory or managerial experience in health care organizations.
          • Proven track record of progressively responsible management and administrative experience effectively leading an outcomes-based organization and staff.
          • Experience in leading an organization to the next stage of growth.

          PREFERRED POSITION QUALIFICATIONS

          • An advanced degree related to geriatrics, government finances, public relations, etc.
          • Experience in Hospice

          LEADERSHIP COMPETENCIES

          • Demonstrates the ability to communicate the agency’s mission, vision, and values, as well as departmental goals, to staff.
          • Provides leadership and guidance to other leaders and staff in goal setting, problem solving, resource management, and outcome achievement.
          • Defines performance objectives and metrics for the agency and assesses the level of competence of staff in a timely manner.
          • Demonstrates a commitment to a healthy work environment by modeling desired behaviors and encouraging them in others.
          • Demonstrates the ability to cope with and manage changes, as well as lead and encourage others to do the same.
          • Collaborates with others to create systems and problem solve ongoing issues that impact organizational goals and/ or client care delivery.
          • Demonstrates fiscal accountability for agency resources and the ability to achieve outcomes within allocated resource.
          • Incorporates quality improvement data and/ or client satisfaction data into agency goals. Continually searches for better ways to increase efficacy, enhance safety, or improve processes and practices.
          • Understands situations requiring different leadership approaches e.g. direct instructions, facilitations, group, consensus, committee, assignment by objective, etc.
          • Demonstrates a clear understanding of regulations applicable to agency functions.
          • Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems or opportunities.

           ORGANIZATIONAL COMPETENCIES

          • Service: Demonstrates an understanding of the agency’s service standards and strives to achieve them, treats clients and families with dignity, compassion and respect at all times, and demonstrates courtesy in interactions with all agency staff.
          • Teamwork: Acts as a cohesive member of a work team and demonstrates appropriate interactions with all agency service providers.
          • Communication: Fosters an environment that nurtures collaboration, teamwork, and mutual respect through effective communication. Demonstrates positive communication skills evidenced by effective working relationships.
          • Respect for Others: Takes actions that indicate a consideration for others and being aware of the impact of one’s behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and coworkers, and seeks accommodations.
          • Time and Priority Management: Optimizes use of time effectively using resources to identify barriers and balance priorities. Efficiently uses tools, resources, techniques, and systems to organize tasks. Balances multiple priorities and ensures timely and accurate completion of tasks while maintaining quality standards. Maintains technical competencies and adequate staff level to achieve quality business metrics in all areas.

          SKILLS

          • Plan, organize, execute, and measure agency activities; establish and achieve milestones and metrics.
          • Effectively skilled in organizational management with the ability to manage and develop high- performance teams, set and achieve strategic goals, and manage a budget.
          • Strong marketing, public relations, and fundraising skills; experience with the ability to engage a wide range of stakeholders and cultures.
          • Strong written and verbal communication skills; a persuasive and passionate communicator with excellent interpersonal and multidisciplinary project skills.
          • Ability to work effectively to collaborate with and integrate diverse groups of people including the community at large and supporting community organizations.
          • Ability to work with a Board of Directors and cultivate Board member relationships.
          • Action- oriented, entrepreneurial, adaptable, with an innovative approach to business planning.
          • A personal spiritual foundation grounded in faith-based principles and values with respect and tolerance for varied faith traditions.
          • Basic knowledge of hospice care, palliative care, bereavement care, Chaplain duties, therapy, fundraising, etc. as listed in the Basic Purpose of the Job.

           

          In conjunction with the executive team:

          • Interprets and evaluates trends in the fields of agency services relative to new developments and technologies, standards of operation and changing federal and state laws, and recommends modifications and improvements as appropriate.
          • Prepares the agency budget and provides periodic financial reports and audits in conformity with GAAP to the Board and funding agencies to ensure that the agency maintains a sound financial standing.
          • Manages and encourages active volunteer staff involvement.
          • Implements and periodically reviews agency policies and forwards to the Board those which it must approve.
          • Ensures that the agency meets all legal obligations and that it is viewed as responsive and responsible by applicable governmental and regulatory agencies in accordance with agency By-Laws.
          • Ensures all Chaplaincy Health Care employees 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 POHI systems access.

          ESSENTIAL FUNCTIONS

          • Meets with the Board of Directors regularly to discuss the agency’s financial status, mission and goals, expenditures, clinical and strategic issues, public relations, opportunities, and market challenges. Insures the following:
          • Maintains strong spiritual foundation for the agency.
          • Provides positive leadership and management of programs providing services to clients and the community in accordance with the agency’s stated mission and values.
          • Provides a positive vision for the future of the agency, aligning human, financial and physical resources behind the mission and values of the agency.
          • Is responsible for the leadership of Board approved agency initiatives.
          • Ensures quality control programs are appropriately maintained.
          • Ensures regular communication with the executive team and the President and Vice President of the Board of Directors.
          • Leads, coaches, develop and retain a high-performance executive team. Ensures measured successes that can be effectively communicated to the board, stakeholders, and other constituents.
          • Manages and directs the staff, through the leadership team, in the performance of duties in a positive and engaged manner.
          • 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.
          • In conjunction with the Board of Directors, periodically develops or updates the agency’s strategic plan. Takes the lead in implementing the strategic plan and periodically keeps the Board on the status of strategic goals accomplished.

          AGENCY REQUIREMENTS

          • Demonstrate support and adherence to the Mission and Values as set forth by Tri-Cities Chaplaincy
          • Responsible for knowledge and compliance with Tri-Cities Chaplaincy and Hospice 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
          • Must have reliable personal transportation; Driver’s License; and proof of Vehicle insurance.
          • Undergoes state and agency requirements for Tuberculin testing;
          • Agrees to criminal background screening; Pre-employment drug screening.
          • Ability to meet the physical demands of position: See attached physical requirements/environmental conditions.
          • Hepatitis B immunization series, proof of series, or signs a declination.
          • Complete agency and departmental orientation and training program(s).
          • Work availability: Exempt; Expected 40 hours per week; Days, occasional Evenings and Weekends.
          • Other duties as assigned.

            Hospice Medical Director

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            POSITION REQUIREMENTS

            1. Medical Doctor (MD) or Doctor of Osteopathy (DO), licensed to practice medicine in the State of WA.
            2. Maintains controlled substances registration with state and federal authorities.
            3. At least one year of experience on a hospice care team or in another setting managing the care of terminally ill patients.
            4. Not excluded from participating in the Medicare and Medicaid program
            5. Certified Hospice Medical Director through the Hospice Medical Director Certification Board® (HMDCB®); Or Obtain Certified Hospice Medical Director through the Hospice Medical Director Certification Board® (HMDCB®) within twenty-four months of post hire date.
            6. Proof of liability and malpractice insurance with minimum coverage amounts of $1,000,0000.00 for each claim and $3,000,000.00 for aggregate of all claims with tail coverage, preferred.

             ESSENTIAL FUNCTIONS

            1. The medical director or physician designee has responsibility for the medical component of the hospice’s patient care program.
            2. Provide clinical supervision to the interdisciplinary team and the Medical Staff.
            3. Serve as a consultant to Hospice Staff.
            4. Assure 24-hour availability of physician services for routine and emergency situations.
            5. Serve as liaison to attending physicians for consultation on medical management and resolution of conflicts over appropriate admissions and care to be prescribed and delivered under the professional and financial responsibility of the Hospice program.
            6. Participate with the Clinical Nursing Supervisor in determining patient medical eligibility for Hospice services in accordance with program policy.
            7. Approve admissions to the program and certify terminal condition in a timely manner in accordance with Hospice requirements.
            8. Recertify patients prior to the beginning of each certification period in accordance with Hospice requirements.
            9. Conduct Face-to-Face Encounter with patient prior to the third certification period.
            10. Assure that GIP visits are conducted daily for patients in the Hospice House.
            11. Assume Attending Physician designation for those patients who do not have an Attending Physician or for those patients who Attending Physician will not be following the patient while on hospice services.
            12. Collaborate with other physicians.
            13. Participate as part of the Interdisciplinary Team.
            14. Participate in development of individualized plans of care for each patient admitted to the program and meet with the interdisciplinary team as needed to address patient care issues and progress toward goals.
            15. Assure physician representation on the interdisciplinary team.
            16. Promote referrals to program within the community.
            17. Provide direct patient care and consultation as needed with patient and family members.
            18. Participate in developing and revising written patient care objectives, policies and procedures.
            19. Establish health policies for employees.
            20. Participate in training and continuing education programs for staff and volunteers.
            21. Participate in community programs for the purpose of providing education and information to members of the medical community.
            22. Recruit, recommend and supervise acting Associate Medical Director(s).
            23. Serve as medical consultant to the Chaplaincy Health Care Board of Directors, the Executive Director, the Hospice Director and the Clinical Nursing Supervisors for In-Home and Hospice House in the planning and implementation of the clinical program reflecting Hospice philosophy, mission, principles of practice and goals.
            24. Serve on the Chaplaincy Health Care ethics committee.
            25. The position of Hospice Medical Director 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.
            26. 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 and approve and monitor subordinate PHI systems access.
            27. 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.
            28. Serve as member of Chaplaincy Health Care Executive Team
            29. Other duties as assigned.

            AGENCY REQUIREMENTS

            1. Demonstrate support and adherence to the agency’s Mission, Vision, and Values.
            2. Responsible for knowledge and compliance with agency policies, procedures and practices.
            3. 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.
            4. Reliable personal transportation, and current and valid driver’s license and vehicle insurance.
            5. Satisfaction of state and agency requirements for Tuberculin testing and Aids Training
            6. Hepatitis B immunization series, proof of series or sign a declination.
            7. Certification in Cardio-Pulmonary Resuscitation (CPR)/Basic Life Safety (BLS)
            8. Must pass criminal background screening and pre-employment drug screening.
            9. Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
            10. Complete agency and departmental orientation and training program(s).
            11. Complete all continued learning, education, policy reviews and required training by their respective deadlines.
            12. Maintain licensure(s) and certification(s) required for the position.

            Repeat Boutique Assistant Store Manager

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            Purpose

            Repeat Boutique is a unique thrift store that sells high quality, gently used, donated items. The mission is to serve others with exemplary care through the cherished donated items we sell, the customer service we provide, the working environment we create and through the treatment of our volunteers and staff while offering maximum value to our customers and achieving a fair margin to support Chaplaincy Hospice Care.

            Repeat Boutique stores are run primarily by a Store Manager with the support of an Assistant Manager, FT/PT Employees and Volunteers. The Assistant Store Manager is primarily responsible for Production Management. The Assistant Manager will oversee the intake, pricing and display of donated all merchandise.  In the absence of the Store Manager, the Assistant Manager will be responsible for scheduling employees and volunteers, opening and closing the store, making daily deposits, interacting with customers, and training of new employees and volunteers.

            ESSENTIAL FUNCTIONS

            • Cover for the Store Manager at any of the locations when he/she is out of the store for days off, vacation, illness, attending meetings, events and as needed.
            • Coordinate furniture pick-up and delivery with contracted moving company.
            • Develop working relationships with vendors (i.e., mover, recycler, etc.).
            • Assure that all donated items are properly processed in a timely manner according to the Operations Guide.
            • Assure the accuracy of all transactions on the point-of-sale system (Clover) and properly train and supervise employees and volunteers in the use of the system and processing customer sales.
            • Assure accurate cash accounts and making sure the daily cash transactions are deposited into the bank no later than the next business day.
            • Set the pricing of donated items to the standard established by the Operations Guide Pricing Schedule. The Assistant Store Manager has the right to negotiate pricing with customers as needed.
            • Communicate with volunteers on a regular basis by email or phone to assure that all volunteer shifts are covered with the appropriate number of people to assure quality customer service.
            • Responsibility for the safety and security of volunteers and customers to the best of their ability.
            • Answer any questions from volunteers or customers regarding processes, procedures, policies.
            • Ensure that the store is properly opened and closed each day and that all security and cleaning processes are followed.
            • Participate in regularly scheduled volunteer staff meetings.

            Minimum Position Qualifications

            • High School Diploma or general education degree (GED); or combination of relevant education and experience
            • Minimum 18 years of age
            • Accuracy/attention to detail
            • Ability to organize/prioritize tasks/projects
            • Ability to work any shift and work overtime as needed
            • Maintain confidentiality

            Preferred Qualifications

            • 2 years of previous experience in a Leadership or management role.
            • Previous experience working in a Production environment.
            • Excellent Communication and Interpersonal skills.
            • Demonstrated accuracy in handling cash and operating a point-of-sale system.
            • Bilingual/Spanish helpful but not required.

            Agency Requirements

            • Demonstrate support and adherence to the agency’s Mission, Vision, and Values.
            • Responsible for knowledge and compliance with agency policies and practices.
            • 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.
            • Ability to meet the physical demands of position (see attached physical requirements and environmental conditions).
            • Complete agency and departmental orientation and training program(s).
            • Work availability; flexible schedule Monday through Saturday.

            Healthcare Chaplain, Bilingual

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            Purpose

            This job description for exempt employees applies to full time Hospice and Hospital Chaplains.  The Healthcare Chaplain is responsible for advanced and specialized emotional-spiritual-coping distress screening, spiritual assessment, and chaplaincy interventions with patients (and families) admitted to hospice and contracting hospitals.  Collaborates with chaplain colleagues to provide spiritual care services to distressed patients, families and staff experiencing insufficient coping and meaning making.

             

            MINIMUM POSITION QUALIFICATIONS

            1. 2-year master’s degree in divinity, theology or related humanities field from an accredited school of higher education, and a minimum of 4 units (2 Level I & 2 Level II) of CPE from a training site accredited by the Association for Clinical Pastoral Education (ACPE).
            2. 2000 hours of clinical experience (post-CPE) in a hospital, hospice, or related healthcare setting, with competency in electronic documentation.
            3. CISM certification within 24 months of hire date.
            4. Bilingual: Ability to fluently speak, read and write in both English and Spanish.

            PREFERRED POSITION QUALIFICATIONS

            1. Ecclesiastical endorsement.
            2. Current Board Certification or on track to obtain Board Certification within 18 months of hire date.
              1. Board Certification requires a minimum 2000 hours of clinical experience (post-CPE) in a hospital or related healthcare setting, with competency in electronic documentation.
              2. Board Certification (BCC) from Association of Professional Chaplains (APC), National Association of Catholic Chaplains (NACC), National Association of Jewish Chaplains (NAJC), or the Canadian Association for Pastoral Practice and Education (CAPPE).
              3. Other national board certifications will be considered, including Advance Practice Board Certification (APBCC) from the Spiritual Care Association (SCA).

            KNOWLEDGE, SKILLS, AND ABILITIES

            1. Advanced and specialized knowledge of the principles, practices, and procedures of hospital spiritual care ministry in an acute medical setting; ability to develop and follow a patient’s plan of care, based on a comprehensive spiritual assessment. Medical sub-specialty expertise (oncology, cardiology, emergency, pediatrics, etc.) is a bonus.
            2. Skills in verbal and written communications, including English and Spanish usage, grammar, spelling, punctuation, and vocabulary.
            3. Skills of interpersonal and empathic listening using a non-anxious presence.
            4. Ability to establish, maintain and contribute to effective working relationships with others and function positively as a member of various interdisciplinary teams.
            5. Ability to work confidentially with discretion, as well as knowledge of current clergy-confessional regulations and limitations.
            6. Knowledge of and ability to provide emotional and spiritual guidance and social support in relation to the patient’s bio-psycho-socio-spiritual needs and the interdisciplinary plan of care.
            7. Knowledge of personal and faith development plus the beliefs, practices, and restrictions of the major world faith traditions; ability to effectively serve populations which are socially, culturally, and/or religiously different from oneself, demonstrating tact, patience, respect, and discretion.
            8. Skills to prepare required clear, concise and consistent documentation of patient visits, to maintain required electronic records, reports and statistics files. Knowledge of all required documentation standards for medical/legal reporting situations.
            9. Basic knowledge of and ability to consult on biomedical ethics theories, moral principles, and clinical ethical discernment and deliberation protocols.
            10. Once CISD certified, ability to lead critical incident stress debriefings using nationally certified model.
            11. Enhance one’s professional growth and development through participation in regular team meetings, educational programs, current literature, in-services, and workshops.

            ESSENTIAL FUNCTIONS

            1. Adhere to and respect the Chaplaincy Spiritual Care Code of Ethics (attached).
            2. Collaborate with the agency and institutional team members in assigned patient care settings to provide for emotional-spiritual-coping assessments and interventions to optimize the patient’s and family’s abilities as they recover from, adapt to, and find meaning in the patient’s medical or situational crisis. Utilize coping resources of patients and/or families demonstrating insufficient coping and meaning-making ability.
            3. Demonstrate ability to be flexible, to take appropriate initiative, and to organize and function effectively in stressful situations.
            4. Treat individuals with respect and dignity, while maintaining the confidentiality of patients and families and other sensitive or protected information.
            5. Serve families who are in need of bilingual/monolingual support using English and/or Spanish languages.
            6. Consult as indicated with physicians, nurses, social workers, case managers, therapists, and/or corrections officers concerning diagnosis, treatment planning and discharge preparation for patients and families. Participate in clinical rounds, patient-family care conferences, and decision-making conferences as indicated. 
            7. Assist patients and families who are indicated or request help with Advance Directives. Provide guidance and support to families facing life-impacting or life-ending decisions.
            8. Consult and interpret medical/ethical/faith consequences of difficult medical issues, problems and dilemmas. Interpret ethical and religious positions relating to medical situations. 
            9. Provide as needed emotional, spiritual and coping support to employees and volunteers with the goal of an appropriate referral to the hospital’s employee assistance program.
            10. Ensure all written (electronic and paper) documentation meets current standards and policies.
            11. Manage and operate equipment safely and correctly.
            12. Provide as time permits education and resource materials in areas of expertise (including spiritual care services, visitation skills, and other pertinent information or resources) to employees, healthcare professionals, students, volunteers, and community groups in collaboration with the Chaplain Supervisor and each site’s education program.
            13. Contribute to the chaplaincy profession through research, teaching, and publishing as able and/or requested.
            14. Participate on select committees as assigned.
            15. Maintain training and compliance with standard institutional policies related to infection control, fire and safety, hazardous chemicals, personnel policies, and departmental procedures.
            16. Perform other duties as assigned.

            WORKING CONDITIONS:

            Location of Work:  Work is performed as assigned among the hospice and contracted sites.  Assignments may change according to the needs of the agency.  Responsibilities require chaplain to support inpatient and occasionally outpatient services. 

            Equipment Used:  Personal cell phone (stipend paid) or company provided cell phone; hospital cell phone, office space, telephone and computer when indicated; dependable transportation with proof of insurance.

            Personal Demands:  Work requires normal/corrected vision and hearing to a normal range.  Physical demand level is light; constant access patient services areas; may include going up and down stairs many times a day.  Driving or other dependable transportation, including at night, is necessary.  Work-imposed emotional and spiritual stress is high because the focus of the positions is dealing patients and/or families in primarily or secondarily traumatic situations.  Coping processes and problem solving are often emotionally-spiritually charged, relationally complex, and personally sensitive.  Conflicting demands of patients, families and staff must be managed on an on-going basis of relative acuity.

            Exposure to Hazards:  There is potential exposure to diseases and/or infections.  Universal precautions are required for a potential exposure to blood borne pathogens (OSHA category 2).

            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 in timely manner all continued learning, education, policy reviews and required training.
            • Maintain licensure(s) and certification(s) required for the position.
            • Current CPR/BLS.
            • Work availability.

            Adult and Child Grief Specialist (Cork’s Place)

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            Full Time / Non-Exempt

            PURPOSE

            Serve the Tri-Cities region through Cork’s Place at Chaplaincy Health Care. Provide clinical supervision and outreach support for the Children’s Grief Program, Cork’s Place groups and Hispanic Outreach. Oversee volunteers and provide input to staff who engage children in grief processing to ensure adherence to the Cork’s Place model. Collaborate with Cork’s Place Volunteer Grief Trainer/Facilitator to assist in recruiting, training, and supporting volunteers who follow Cork’s Place model adapted from the Dougy Center for grief and healing.

            Provide supportive services to meet the needs of our Hispanic community in bereavement needs of clients, families, and the community consistent with the Chaplaincy Health Care policies.

            POSITION REQUIREMENTS

            • Associates Degree in Social Work, Psychology, Human Services, credentialed teaching or equivalent.
            • Master’s Degree; preferred.
            • Bilingual: Ability to fluently speak, read and write in both English and Spanish.
            • Ability to work with culturally diverse populations.
            • Successful completion of Cork’s Place 30-hour Facilitator Training is required and needs to be completed within ninety (90) days of hire.
            • Available to work a flexible schedule including afternoons and evenings.
            • An understanding of the grief process and experience working with children is required.

            Required Knowledge, Skills and Abilities

            • Leadership skills
            • Good written and oral communication skills
            • Skills to multi-task at times
            • Ability to work independently utilizing sound judgment and as part of a team
            • Detail-oriented with the availability and knowledge to understand program management as a whole and the global role of bereavement programs within the agency
            • Ability to maintain appropriate boundaries with a high level of confidentiality

            ESSENTIAL FUNCTIONS

            1. Work from a “systems” based theory perspective, which includes an understanding of the relationship between the children, their families, groups, organizations, communities and anything else affecting their environment.
            2. Perform initial intake assessment of Cork’s Place families. Conduct family orientation and facility tour providing family with bereavement support and appropriate group placement in coordination with Program Manager. Focusing on Hispanic families who are needing support for bilingual/monolingual services.
            3. Collaborate/coordinate with Cork’s Place Administrative Assistant regarding performance of clerical duties as assigned.
            4. Serve as a lead facilitator for bilingual grief support groups for children, teens and young adults in an evidence-informed practice related to grief and loss, adapted from the Dougy Center model.
            5. Collaborate/coordinate Cork’s Place Facilitators and Cork’s Place Operation Manager with leading grief support groups in local schools. Focusing on Hispanic families who are needing support for bilingual/monolingual services.
            6. Maintain communication with adult caregivers, Cork’s Place staff and volunteers regarding Cork’s Place schedule in coordination with other Clinical Facilitators.
            7. Recruit volunteer facilitators for Cork’s Place program. Assist in conducting 30-hour training of new volunteers in coordination with other Clinical Facilitators.
            8. Participate in community presentations and advocacy booths at various community events focused on the Hispanic population in coordination with Cork’s Place Program Manager.
            9. Conduct program evaluations by creating and assisting in the completion of bilingual program surveys by children, families, and facilitators in collaboration with Cork’s Place Program Manager.
            10. Other duties as assigned.

            RELATED FUNCTIONS

            1. Respond to requests from school districts to assist with grief support and debriefings following the death of a child, parent, or teacher. Focusing on bilingual/monolingual support for families.
            2. Participate in quarterly clinical staff combined huddles.
            3. Maintain and increase knowledge and skills through formal education, workshops, participation in professional organizations and individual research and reading.
            4. Maintain contact with community agencies, schools, hospitals, clinics, and the public service organizations as requested or arranged by Cork’s Place Program Manager.
            5. Meet with potential donors and vendors as requested by Program Manager.
            6. Provide community facility tours in coordination with Cork’s Place Program Manager.
            7. Conduct program evaluations by creating and assisting in the completion of program surveys by children, families, and facilitators in collaboration with Cork’s Place Program Manager.

            AGENCY REQUIREMENTS

            • Demonstrate support of and adherence to the mission and values as set forth by Chaplaincy Health Care.
            • Responsible for knowledge of 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 HIPAA confidentiality accessing patient related information on a “need to know” basis only.
            • Perform department specific competencies satisfactorily.
            • If working in a clinical capacity; Hepatitis B immunization series, proof of series, or a signature of declination.
            • Reliable personal transportation, current valid 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).
            • Maintain licensure(s) and certification(s) required for the position.
            • CPR/BLS certification.
            • Complete agency and departmental orientation and training program(s).
            • Work availability in afternoons and evenings and allow for flexible hours depending on the need.

            In-Home RN Case Manager

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            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.

            In-Home Certified Nursing Assistant

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            Full Time | Non-Exempt

            Purpose

            • Responsible for personal care services to patients in the home setting as a member of the interdisciplinary team according to a written Plan of Care.
            • Assist in providing and maintaining bodily and emotional comfort
            • Assist patients to achieve maximum quality of life in the home setting.

            Qualifications

            1. High School graduate or equivalent G.E.D.
            2. Licensed in the State of Washington as a Certified Nurse Assistant.
            3. Experience working as a nursing or therapy assistant preferred.
            4. Current CPR certification

            Knowledge, Skills and Abilities

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

            Agency Requirements

            • Demonstrate support and adherence to the Mission and Values as set forth by Tri-Cities Chaplaincy
            • Responsible for knowledge and compliance with Tri-Cities Chaplaincy and Hospice 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; Vehicle insurance.
            • Satisfaction of state and agency requirements for Tuberculin testing;
            • Criminal background screening; Pre-employment drug screening.
            • 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 sign a declination.
            • Complete agency and departmental orientation and training program(s).
            • Work availability: Dependent upon status.

            Essential Functions

            1. Under the direction and ongoing supervision of the registered nurse, provides essential personal care assistance to the patient which may include the following:
            • With bath, care of mouth, nails, skin, and hair
            • Taking to the bathroom, or in using bedpan or commode
            • Assist with getting in and out of bed as well as with ambulating activities as ordered under the care plan
            • Doing prescribed exercises that the patient and Certified Nursing Assistant have been taught by appropriate professional personnel.
            • By performing such incidental light housekeeping services within the immediate patient care area (i.e., bedroom/bathroom).
            • Assist in providing and/or feeding occasional pre-prepared light meals or snacks.
            • Takes a patient’s temperature, pulse, blood pressure and respirations if supervised by a registered nurse and these are required by the Plan of Care.
            • Educates family members and/or caregivers in regard to patient’s personal care needs.
            1. Provides emotional support and compassionate care to the patient and family unit including:
            • Demonstrates listening skills
            • Offers encouragement when appropriate
            • Practices patience in voice and manner
            1. Maintains required competency and skills in the following areas:
            • Participates in annual performance and competency reviews.
            1. Reports any changes in the patient’s condition or family situation immediately by call the Hospice office and notifying the patient’s Primary RN (Case Manager), and/or Clinical Nurse Supervisor in absence of the patient’s Primary RN (Case Manager).
            2. Practices Universal Precautions according to OSHA regulations and Tri-Cities Chaplaincy Hospice policy.
            3. Adheres to all Tri-Cities Chaplaincy Hospice policies and procedural guidelines.
            4. Attends at lease twelve (12) hours of continuing education programs or approved audiovisuals per calendar year.
            5. Maintains current knowledge and practice of infectious disease protocols.
            6. Additional demands/conditions for the NAC to cope with:
            • Physical exertion – walking, lifting, pulling step climbing, driving/travel, flex hours.
            • Exposures – infections, communicable disease, odors, blood, excreta, and hazardous materials.
            • Periods of stress – variable workloads an deadlines, exposure to patients with life limiting illness, patient family dynamics.
            1. Assists in orienting new staff members as requested by Clinical Nursing Supervisor.
            2. Share in providing 24-hour, seven-day/week coverage to patients/families when necessary.
            3. 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

            • Demonstrate support and adherence to the agency’s Mission, Vision, and Values.
            • Responsible for knowledge and compliance with agency policies, procedures, and practices.
            • Must 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.
            • Reliable personal transportation, and current and valid driver’s license and vehicle insurance.
            • Satisfaction of state and agency requirements for Tuberculin testing and AIDS training
            • Hepatitis B immunization series, proof of series or sign a declination.
            • Must have certification in the American Heart Basic Life Safety
            • 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
            • Perform other duties as assigned
            • While on call, must be available by agency provided phone.
            • Must not consume alcoholic beverages while on duty.

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            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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