Admission/Float RN

Job Title Admission/Float RN

Department Nursing

Location Homecare/Office

Reports to Director of Clinical Services

Next Review Date 12/2025

Mission Statement

To provide individualized and compassionate care, education, and support for the dying and those who have

experienced loss.

Position Summary

This position is responsible for coordinating the intake process for new hospice patients, ensuring smooth transitions from

referral to admission. This position will evaluate patient eligibility, collaborate with health care providers, patients, and

families to facilitate the admission process. This position is also responsible for providing comprehensive care to hospice

patients wherever they call home in accordance with the Interdisciplinary Team (IDT) Plan of Care. The role requires

adaptability, as the Admission/Float RN covers various locations and patient needs within the hospice service area.

Position Qualifications

• Education and Training:

o Required: Associate’s or Bachelor’s degree in Nursing from a nursing program. If the nursing program

was not accredited, at least one year of RN experience in an applicable care setting required.

o Preferred: Associate’s or Bachelor’s degree in Nursing from an accredited nursing program.

• Experience:

o Preferred: 2+ years of experience working as an RN in a healthcare or hospice setting.

• License or Certification:

o Required: Active and unrestricted RN license in MN.

o Required: Basic Cardiac Life Support for healthcare providers. Must complete within 3 months after start

date if certification is not current.

o Required: Valid driver’s license with acceptable driving record.

Position Duties and Responsibilities

• Patient Assessment and Evaluation:

o Gather relevant medical history, treatment preferences, and advance directives, collaborating with

physicians and other healthcare providers to obtain necessary documentation and information.

o Assess patients' understanding of their prognosis, goals of care, and expectations for hospice services,

providing education and support to facilitate informed decision-making.

• Staffing Support and Coverage:

o Respond to staffing needs by covering shifts.

o Cover unexpected absences or high priority shifts to maintain continuity of care.

o Serve in the role of back up Admission RN; as needed. This may include assisting with referral process by

gathering and reviewing clinical information to ensure accurate and timely evaluation of patient

eligibility prior to admission.

• Assessment and Care Planning:

o Conduct comprehensive assessments of patients' physical, psychosocial, and spiritual needs,

collaborating with the interdisciplinary team to develop individualized care plans.

o Evaluate patients' symptoms, pain levels, and overall well-being, identifying areas for intervention and

developing appropriate care strategies.

o Coordinate with members of the interdisciplinary team to ensure holistic care planning that addresses

patients' diverse needs and preferences.

o Provide clear and compassionate explanations of hospice services to patients and families.

• Skilled Nursing Care:

o Provide skilled nursing interventions and treatments to address patients' clinical needs, including

medication administration, wound care, pain management, and symptom control.

o Monitor patients' response to treatment, assess for changes in condition or symptom progression, and

collaborate with the interdisciplinary team to adjust care plans accordingly.

o Offer emotional support, counseling, and education to patients and families, addressing concerns,

fears, and questions related to end-of-life care and symptom management.

• Clinical Oversight and Support:

o Provide clinical oversight, support, and training to other nursing and hospice aide staff, guiding them in

the delivery of high-quality, compassionate care to hospice patients.

o Responsible for completing Hospice Aide supervisory visits; as required.

• Patient and Family Education:

o Provide education and support to patients, families, and caregivers about hospice services, goals of

care, symptom management, and end-of-life care options.

o Offer guidance and resources to help patients and families navigate the hospice experience, including

advance care planning, community resources, and psychosocial support services.

o Empower patients and families to actively participate in their care journey, advocating for their

preferences, values, and goals throughout the hospice experience.

• Patient and Family Advocacy:

o Advocate for the needs and preferences of patients and families, ensuring that their voices are heard

and respected throughout the care process.

o Provide emotional support and education to patients and families, addressing concerns, fears, and

questions related to end-of-life care.

o Collaborate with social workers, chaplains, and other support services to provide comprehensive

psychosocial and spiritual support to patients and families.

• Documentation and Regulatory Compliance:

o Maintain accurate and timely documentation of assessments, interventions, and patient/family

interactions in patients' electronic medical record and other required documentation systems, within 24

hours of contact.

o Ensure compliance with Medicare Hospice regulatory standards and MN Standards of Practice.

o Provide care consistent with National Hospice and Palliative Care Organization Standards of Practice

for Hospice Programs.

• Professional Development and Training:

o Participate in ongoing professional development activities, including continuing education and training

to enhance skills and knowledge.

o Stay informed about best practices and emerging trends in clinical hospice care.

• Other Duties

o Participates in on-call/holiday rotation.

o Participate in coverage for PTO taken by the On Call RN position, as needed.

Agency Expectations

• Adhere to all Seasons Hospice policies and procedures.

• Adhere to the Seasons Hospice Behavior Standards.

• Adhere to all Health Insurance Portability and Accountability Act (HIPAA) rules and regulations.

• Serve as an ambassador for Seasons Hospice.

• Support the patients and family’s unique spiritual and cultural beliefs.

• Respect for diversity in the workplace.

• Participate in the employee performance review process.

• Demonstrate ongoing responsibility for self-education.

• Maintain personal and patient safety, as appropriate to position in the agency.

• Actively participate in committees within the agency.

• Attend scheduled department meetings and agency meetings on a regular basis.

• Occasional flexibility with work schedule and regularly scheduled work hours.

• Participate in the Quality Assessment Performance Improvement Program (QAPI); as requested.

• Participate in orientation, training, and education of new employees and volunteers; as requested.

• Participate in orientation and supervision for students seeking experience in hospice care; as requested.

• Assume responsibility for the promotion of the hospice concept in the community and with other agencies and

professionals.

• Participate in orientation of new employees, as requested.

• Perform other duties as requested and/or assigned.

This job description is only a summary and is not designed to cover or contain a comprehensive listing of activities,

duties or responsibilities that are required of the employee. Nothing in this job description restricts management’s right to

assign or reassign duties and responsibilities to this job at any time. This job description is subject to change at any time

with or without notice.