Lower Cape Fear LifeCare

Nurse

• As a Nurse Navigator in our outpatient setting, you’ll be the first clinical connection for patients and families beginning hospice services.
• You'll handle assessments, coordinate care, and support patients in the comfort of their own homes or other care facilities.
• Collaborate with external medical professionals and referral sources to organize and complete admissions into hospice care.
• Build positive relationships with referral partners to streamline the admission process and increase awareness of available services.
• Coordinate with outside vendors, such as transport companies or DME providers, to ensure smooth transitions into care.
• Complete initial assessments and plan of care documentation during admission visits (typically around 3.5 – 4 hours).
• Clearly document eligibility for hospice based on clinical criteria such as: Uncontrolled pain, Advanced disease symptoms requiring increased support, Declining condition consistent with hospice guidelines.
• Provide education and support to caregivers and family members, including: What to expect at end-of-life, Medication guidance and symptom management, Recognizing changes in condition.
• Perform real-time documentation to ensure accuracy and compliance.
• Coordinate care with our Interdisciplinary Team (IDT), including physicians, nurse practitioners, RNs, social workers, chaplains, and CNAs.
• Communicate and carry out admission orders from NPs and MDs.

Hospice Admissions Nurse

Social Worker

• The Hospice Social Worker provides professional social work services directly to terminally ill patients and their families.
• As a member of the IDT, the Social Worker provides consultation with team members about psychosocial care issues and coordinates social work services with the team.
• The Social Worker is responsible for continuing his/her own professional development to enhance practice.
• Performs other duties as assigned.
• Assesses patient/family status to identify needs, provide supportive counseling, problem solving, service coordination, case management, discharge planning and placement within the scope of the social worker standard of practice.
• Develops appropriate care plans in coordination with the patient/family, provides social work services as indicated, and assesses social work and team services in coordination with the IDT and in compliance with agency policies and procedures.
• Acts as the liaison for the IDT with patient/family volunteers assigned to the SW’s patient/families.
• Annually participates in continuing education to enhance professional practice.
• Appropriately communicates information in accordance with LCFL policies and procedures.
• Organizes and performs work effectively and efficiently.
• Maintains and adjusts schedule to enhance team performance.
• Demonstrates positive interpersonal relations in dealing with all members of the team.
• Maintains and promotes customer satisfaction.
• Effectively demonstrates the mission, vision, and values of Lower Cape Fear LifeCare on a daily basis.

Hospice Social Worker

On Call

• The On Call Nurse provides direct patient care for patients with life limiting illnesses. The patient population can include newborns through geriatric patients.
• The On Call Nurse is responsible for using the Nursing Process to effectively manage the Plan of Care for each patient based on appropriate nursing standards, policies and procedures.
• Management of each patient also includes appropriately and effectively delegating patient care duties to other members of the team in order to assure optimal patient outcomes.
• The On Call Nurse is also responsible for continuing his/her own personal development to enhance practice and the profession of Nursing.
• Performs other duties as assigned.
• Schedule: Covering Monday-Thursday nights from 5pm-8am.
• Salaried role, plus differentials.
• Territory: Onslow/Pender/Duplin, backup to New Hanover county.
• Candidate must be willing to cover entire area but will operate with a FT On Call counterpart.
• Expectations: Triage after hours calls; make visits. 0-12 visits per night. Normally less than 6 visits per night.

Weeknight On Call Registered Nurse

• Provide comprehensive assessment of social, emotional, and practical needs to patients and families in outpatient PC clinic, private residences, and care facilities.
• Introduce and educate regarding Palliative Care and Hospice services.
• Conduct independent psychosocial assessment/evaluations and provide 1:1 psychotherapy.
• Participate in professional team reviews of patient care and cases.
• Provide casework and group work for patients and families.
• Identify communication resources and assist patients and families in connection with resources and advance care planning.
• Responsible for continuing professional development to enhance practice.

Hospice Admissions Nurse

Hospice Social Worker

Weeknight On Call Registered Nurse

Palliative Care LCSW, Social Worker