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.

Office Coordinator – Palliative Care

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Full Time

Policy

Professionally and efficiently handle incoming requests from patients and ensure that issues are resolved both promptly and thoroughly. Gather patient information, fulfill patient needs, educate patients, where applicable. Provide quality service and support in a variety of areas which may include, but not limited to scheduling, administration, and care coordination.

Minimum Qualifications

  1. Current Washington State Medical Assistant Certification
  2. Minimum of one (1) year medical office experience; preferred
  3. Basic Life Safety Certification (CPR)
  4. Medical knowledge, preferably in hospice care.
  5. Strong computer knowledge and skills.
  6. Detail Oriented
  7. Critical Thinking Skills
  8. Ability to work at a designated work site location

General Knowledge/Abilities/Skills Required

  1. Ability to accept a 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 calmly and effectively with and respond appropriately to patients and families, physicians, facility and hospital staff about Hospice services in both routine and crisis situations.
  6. Ability to maintain a neat and clean appearance in accordance with dress policy.
  7. Ability to maintain a mature, sensitive, and caring attitude toward patients and their families.
  8. Ability to receive and process information in an orderly manner.

Specific Position Knowledge/Abilities/Skills Required

  1. Knowledge of the hospice care delivery system and the correlation of interpersonal relationships among patients, physicians, hospitals and home care providers.
  2. Skills in quality improvement and program development.
  3. Skills in communication, organization and analysis.
  4. Ability to work independently, to coordinate multiple facets of the Palliative Care office, Grant Requirements, to prioritize work, and to manage time to accomplish multiple tasks in an active, busy office atmosphere with multiple interruptions. Strong ability to multi-task.
  5. Skills in phone etiquette and exemplary customer service.
  6. Telephone and in-person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge.

Scheduling

  1. Managing schedules for all providers, ensuring meetings are coordinated via teams or location reserved.
  2. If requested by provider complete courtesy calls to patients to remind them of appointment
  3. Schedule new and follow-up patient appointments

Office Maintenance

  1. Provide information to patients or transfer call as appropriate. Document inbound/outbound phone messages as appropriate.
  2. Enter patient phone messages and route to physician or RN CM for triage
  3. Routinely check voice mail and return calls to patients within 24 hours.
  4. Order all office equipment.
  5. Assist RN CM and referral coordinator in maintaining accurate patient records.
  6. Monitoring and ordering inventory for office supplies
  7. Managing incoming and outgoing correspondence, including emails, faxes, mail and packages
  8. Assist in coordinating and on boarding needs of new staff (ordering of supplies, access to EHR etc)
  9. Print and send patient letters as necessary

Patient Records

  1. Coordinate with patient and/or referring source to obtain outside medical records. Ensure that all relevant outside medical records are received and scanned into practice fusion. 
  2. Collect insurance information as directed by referral coordinator
  3. Support the referral coordinator with insurance preauthorization
  4. Answer questions from patients about billing
  5. Submit prior authorizations under direction of RN CM and providers

Other Tasks

  1. Performs related and delegated tasks, which includes requests for prescription refills, taking and relaying messages, directing patient flow and running errands.
  2. Facilitate scheduling/ordering of lab tests and other procedures as directed by providers or RN CM
  3. Make in person visits to orient patients and families to use of telehealth
  4. Process RX refills requested and route to provider
  5. Provide information to patients on Palliative care or hospice services
  6. 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 and practices
  3. Reliable personal transportation, and current valid driver’s license and vehicle insurance
  4. Satisfaction of state and agency requirements for Tuberculin testing, AIDS Training, criminal background screening, and pre employment drug screening.
  5. Ability to meet the Physical Demands: See physical requirements of Intake RN position (attached).
  6. Have the Hepatitis B immunization series, proof of having series, or sign declination.
  7. Maintain licensure/certification
  8. Complete Hospice orientation and training program
  9. Be available to work assigned shifts.
  10. Complete all continued learning, education, policy reviews and required training by their respective deadlines
  11. Perform other duties as assigned

Repeat Boutique Associate

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Full Time

Purpose

Repeat Boutique is a unique thrift store that sells high quality, gently used, donated items. The mission is to provide great value and a great shopping experience for a great cause. As a non-profit store, each purchase from Repeat Boutique supports Chaplaincy Hospice Care and the services provided to patients and families both in home and at the Hospice House.

Repeat Boutique stores are run primarily by a Store Manager with the support of an Assistant Manager, FT/PT Employees and Volunteers. The Store Manager is responsible for the day-to-day operations of one store location. This includes scheduling employees and volunteers, opening and closing the store, setting pricing and discounts, making daily deposits, interacting with customers, and recruiting and training of new employees and volunteers. Additionally, the Store Manager is responsible for maintaining the overall look and feel of the store, under the guidance of the General Manager.

ESSENTIAL FUNCTIONS

  • Scheduling paid Staff and monitoring their hours per established guidelines via the OneMint system.
  • Maintain accurate volunteer records in Volgistics software. This includes profile data, scheduling and service hours.
  • Recruit and train new volunteers, maintain current volunteers and terminate volunteers who do not follow store policies or are detrimental to store customer service.
  • 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 make sure the daily cash transactions are deposited into the bank nightly or by the next business day.
  • Set the pricing of donated items to the standard that has been established by the Operations Guide Pricing Schedule. The Store Manager has the right to negotiate pricing with customers as needed.
  • Purchase store supplies as needed.
  • The Store Manager, in cooperation with the General Manager, will determine any specials, deals or other promotions for the store.
  • Assure that all volunteer shifts are covered with the appropriate number of people to deliver quality customer service.
  • Coordinate furniture pickup/delivery with contracted moving company.
  • The Store Manager is responsible for the safety and security of volunteers and customers to the best of their ability.
  • Hold regularly scheduled volunteer staff meetings that include one or, all of the following: General manager, CFO or Executive Director.
  • Ensure that all donated items are properly processed in a timely manner according to the Operations Guide.
  • Ensure that the store is properly opened and closed each day and that all security and cleaning processes are followed.
  • Provide weekly reports to the General Manager and other senior staff as needed.
  • Develop working relationships with vendors (i.e., movers, recycler, etc.)

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
  • Maintain confidentiality

PREFERRED QUALIFICATIONS

  • 4 years of Retail Management experience, preferably in a Boutique or Thrift Store environment.
  • Strong Leadership and Customer Management abilities
  • Demonstrated experience with Store Budgeting and maintaining Accounting records.
  • Excellent Communication and Interpersonal skills.
  • Experience with Social Media marketing.
  • 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.
  • Ability to complete Criminal background screening and pass 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

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

In-Home CNA

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Full Time

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.

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.

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.

RN, Hospice House, Nights

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Accountable to: Clinical Nursing Supervisor

Policy:

  • The registered nurse (RN) is a member of the interdisciplinary team under the supervision of the Clinical Nursing Supervisor.
  • The RN is to identify patient/family needs
  • The RN 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.
  • The RN directs the work of the LPN, NAC, and volunteers working in the Hospice House.
  • The RN demonstrates 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 Hospice House setting.

Knowledge/Abilities/Skills Required:

  • 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 dress policy.
  • Ability to perform personal patient care and maintain a mature, sensitive, and caring attitude toward patients and their families.

Qualifications:

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

Agency Requirements:

  • Reliable car for daily transportation.
  • Satisfaction of state and agency requirements for Tuberculin testing and criminal background screening.
  • Physical Demands: be able to transfer, lift, and position patients.
  • Hepatitis B immunization series, proof of having received the series, or declination.
  • Complete the Hospice House orientation and training program.

Essential Functions

  • Accept responsibility of care for patients admitted to or transferred into the Hospice House setting.
  • Conduct an initial assessment of patient and family needs, including physical, emotional, social, and spiritual factors.
  • Initiate and update the individualized plan of care in collaboration with the IDT.
  • Accomplish nursing assessments of all the unit’s patients during the shift according to policy.
  • Administer medications and treatments to patients.
  • Request additional assessments and services from other disciplines on the team as needed.
  • Assess patient/family knowledge of disease and care and determine deficiencies in that knowledge.
  • Evaluate the patient/family’s ability to learn and follow instructions.
  • Provide education, instruction and information as needed.
  • Provide direct nursing care to patients to achieve the highest level of comfort, continuity of care and quality of life.
  • Observe signs and symptoms, reactions to treatments, including drugs, and report changes in the patient’s physical or emotional condition to the physician.
  • Provide emotional support to patients and families in a nonjudgmental atmosphere.
  • Affirm patient/family life-style and involve them in decision making regarding care.
  • Coordinate care with other interdisciplinary team members and community resources. Provide continuity of care when patient is transferred back into the home setting.
  • Maintain complete, accurate, current patient records in accordance with Hospice record keeping procedures and requirement.
  • Participate in shift to shift report, monitor and report changes in patients’ condition or family situation, and participate in assessing the need for changes in the plan of care.
  • Inform other IDT members involved in the patient’s care of changes and needs as they occur during their Hospice House stay.
  • Supervise and direct care of Hospice House LPNs, NACs and volunteers scheduled on your shift.
  • Assess the LPNs and NACs knowledge of disease and care needs of individual patients and provide education, instruction, and information as needed.
  • Assist the Clinical Nursing Supervisor in the evaluation of the NACs skills and care provided to patients, as requested.
  • Communicate with the Clinical Nursing Supervisor any problems, changes, or issues that may arise in providing appropriate quality care to any patient in the Hospice House.
  • Communicate any changes or problems in patients’ condition, or family situation, with physician on a regular basis through telephone reports or during the physicians visit.
  • Follow the Hospice House Bereavement Policy in collaboration with the Bereavement Coordinator.
  • 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.

Other Related Duties:

  • May be appointed to act in the absence of the Clinical Nursing Supervisor.
  • Attend regular Hospice House staff meetings and care conference meetings, as able.
  • Maintain knowledge of current applicable regulations and program policies/procedures pertaining to patient care and performance of nursing responsibilities.
  • Maintain and enhance nursing skills and knowledge through formal education, workshops and conferences, active participation in professional and related organizations and individual research and reading.
  • Contribute to agency operation and growth by participation in staff meetings, policy/procedure development, planning and evaluating services, and performance improvement activities.
  • Participate in training new staff and volunteers.
  • Participate in education and public relations activities within the community as requested by the Hospice Director or The Chaplaincy Executive Director.
  • Prepare and submit reports of patient services and other daily activities as required.
  • Perform additional related duties as assigned

Hospice House CNA-Per Diem

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POLICY

Chaplaincy Health Care’s Hospice House must provide meals to each Hospice House patient that are:

  • 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

  • Ability to accept a wide 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.

QUALIFICATIONS

  • High School Diploma or General Education Degree
  • Minimum 18 years of age
  • Current valid Washington State Certified Nursing Assistant (CNA)
  • 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:
      A. Communication of appropriate information to the patient regarding the medication.
      B. Application or installation of skin, nose, eye, and ear preparations only under specific direction of the
      supervisor. (Reference: WAC 248-31-155 (5)
      4. 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.
      5. Participate in therapy activity and ambulation programs as outlined by the physical, speech or occupational therapist
      and according to individual patient’s tolerance level.
      6. Assist with other prescribed ambulation and exercises.
      7. 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.
      8. Employ preventive measures and treatments of skin breakdown per written/verbal instructions.
      9. Change dressing: dry, non-sterile, with specific instructions, supplies, and necessary equipment. Dispose properly
      of used dressings.
      10. Assist patient with transfer between bed, chair, wheelchair, or walker.
      11. Assist patient on/off bedpan, urinal. Record color and amounts of urine, color and consistency of stool when
      ordered.
      12. Give perineal care, clean and diaper incontinent patient.
      13. Turn patient per physician’s orders. Position patient in proper alignment.
      14. Take temperature, pulse, respirations, and blood pressure when ordered.
      15. Massage back when appropriate.
      16. Perform household services to maintain a safe and sanitary environment
      A. Do laundry essential to the comfort of the patient.
      B. Perform light cleaning of patient’s room, and other rooms, as specified.
      C. Change bed linens.
      D. Empty trash.
      E. Clean equipment and appliances
      F. Restock supplies
      17. Teach family members how to care for sick family member.
      18. Employ and teach sound infection control practices.
      19. Write a progress note visit and record other pertinent information as instructed by supervisors in accordance with
      Hospice House record keeping procedures.
      20. Observe and recognize changes in the patient’s and/or family’s conditions and needs and promptly report changes
      to Hospice House RN.
      21. Maintain open communication with supervisory personnel regarding any independent observations or actions taken
      in patient’s case management.
      22. Initiate emergency procedures in accordance with agency policy.
      23. Attend Hospice House staff meetings, care conferences, in-service education presentations, and other meetings
      pertinent to job function.
      24. Consult with Clinical Nursing Supervisor for clarification of organizational policy, to receive evaluation of practice
      and develop general skills
      25. Perform related duties as required.
      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”.

    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

    CLASSIFICATION OF EMPLOYMENT

    The position of Palliative Care 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.

      Admit RN

      View Job Description

      Full Time

      Purpose

      The Admit RN will meet and follow all Chaplaincy Hospice Care RN policies and guidelines. The Admit RN is responsible as a member of the Interdisciplinary Team (IDT) under the supervision of the Clinical Nursing Supervisor and the patient’s attending physician. The Admit RN 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; and 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

      The Admit RN must have:

      • a 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; and
      • intermediate computer skills.

      REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

      The Admit RN must be able to:

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

      AGENCY REQUIREMENTS

      Chaplaincy Health Care requires all employees to:

      • have reliable personal transportation, and a current driver’s license and vehicle insurance;
      • satisfy State and agency requirements for Tuberculin testing and AIDS training;
      • pass a criminal background screening and pre-employment drug screening;
      • have the Hepatitis B immunization series, proof of series, or sign a declination;
      • have certification in the American Heart Basic Life Safety;
      • demonstrate support and adherence to the Mission and Values as set forth by Chaplaincy Health Care;
      • be 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;
      • be responsible for maintaining and protecting patient and agency information in a confidential manner;
      • follow the minimum standard regarding protected health information (PHI) when accessing patient information on a need to know basis only, and practice appropriate safeguards when accessing this information;
      • meet the physical demands of the position (see attached physical requirements and environmental conditions);
      • complete agency and departmental orientation and training program(s); and
      • be available to work evenings, nights, weekends, and holidays as part of the on-call nursing staff.

      ESSENTIAL DUTIES

      The essential duties of the Admit RN position include:

      • completing a minimum of two admissions per day (admits are done 7 days a week) – when scheduling allows, additional admissions may be completed by other RN staff;
      • completing the initial nursing assessment, medication assessment, and Plan of care implementing interventions as needed at the time of the admission, and entering the information into the electronic medical record in a timely manner;
      • completing facility admits, with the facility receiving all copies of the initial paperwork needed for their records;
      • transferring care of the patient to the primary In-Home Hospice RN Case Manager with documentation completed and a verbal or written report;
      • informing and updating the On-Call RN staff as appropriate;
      • participating as a part of the IDT, and attending RN meetings, “Doc Talks,” in-services, and support as available; and
      • being flexible regarding the schedule to provide coverage for Admit staffing needs.

      OTHER ESSENTIAL DUTIES

      Other duties may include:

      • carrying a caseload of 1 to 3 patients, depending on the average number of admissions per week and/or assisting with Case Manager coverage as needed;
      • assuming primary responsibility for a patient/family caseload that includes the assessing, planning, implementing, and evaluating phases of the nursing process;
      • initiating 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;
      • maintaining regular communication with the Clinical Nursing Supervisor to review caseload;
      • maintaining regular communication with the attending physician concerning patient/family care needs and response to interventions;
      • obtaining data on physical, psychological, social, and spiritual factors that may influence patient/family health status and incorporate that data into the Plan of care;
      • seeking input from other team members regarding the patient’s Plan of care to obtain additional knowledge and support;
      • maintaining up-to-date patient records so that problems, plans, actions, and goals are accurately and clearly stated and changes are reflected as they occur;
      • instructing primary caregivers, volunteers, and employed caregivers to provide care as indicated;
      • meeting regularly with the IDT members to review problems or unique issues from caseloads, share professional support, and exchange feedback aimed toward enhancing professional growth;
      • attending patient care conferences and facilitating discussion of issues from caseload for full staff discussion, consultation, and evaluation;
      • supervising and documenting observance of Certified Nursing Assistant’s delivery of care every 2 weeks, and actual on-site observation every 2 months;
      • informing the Clinical Nursing Supervisor of unusual, or potentially problematic, patient/family issues;
      • assisting other RNs including assuming primary responsibility for patients, when necessary;
      • sharing in providing 24-hour, 7 days a week, on-call coverage to patients/families when necessary;
      • providing appropriate support at time of death and perform bereavement assessment if requested;
      • participating in agency and community programs as requested to promote professional growth and understanding of hospice care; and
      • accepting other assignments as appropriate.

      ESSENTIAL DUTIES WHEN WORKING ON-CALL

      Essential duties when working on-call include:

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

      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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