Nursing Jobs in Milford, NH
$122,301.82 - $155,933.24 / year
Job Overview The Clinical Manager – Home Health & Hospice directs, coordinates and evaluates the delivery of home health and hospice weekend services and operations. Ensures compliance and consistency with agency policy, State and federal home health regulations. Responsible for the management of cost effective, efficient care to home health and hospice patients ensuring the delivery of outcome based to meet the individual needs of patients. Acts as a role model and mentor professionally and clinically for the implementation of the organization’s Mission and Core Value statements. Location: Lowell, MA Hours: Weekends (Friday-Monday) 32 Hours Friday (4 Hours) Saturday and Sunday (12 Hour Shifts) Monday (4 Hours) Job Description Minimum Qualifications: 1.Current licensure as a Registered Nurse or Physical Therapist. 2. Massachusetts RN Licensure OR Physical Therapy (PT) Licensure. 3.Three (3) years of home health or hospice experience. 4.Current Basic Life Support (BLS) Certification Preferred Qualifications: 1. Bachelor’s prepared level preferred-Registered Nurse BSN preferred, or Physical Therapist with two (2) years’ experience in community health/home health 2. Prior Supervisory experience. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Provides leadership, dependable clinical guidance, and support to weekend clinical and administrative staff. Provides the direct management of the Weekend clinical staff, schedulers, intake supervisor and Weekend Clinical coordinators. Provides supervision to clinical staff rotating to the weekend assignments. Assumes AOC coverage after hours Saturday and Sunday. Oversees the weekend scheduling, makes adjustments as necessary to maximize resources Provides direct clinical supervision, performance evaluations. Evaluates and ensures that competency requirements are met for all staff. Performs in home supervisory visits with assigned team members at least annually. Collaborates with HR in aspects of personnel management such as interviewing, hiring, and disciplinary action. Communicates regularly with supervisors and staff and communicates with all departments regarding pre and post weekend follow-up. Promotes efficient utilization of resources to achieve desired clinical outcomes and within episode reimbursement. Provide effective guidance to professional staff regarding: justification for appropriate home health and hospice service utilization in terms of frequency, duration, and type of service; rationale for clinical interventions based on patient condition, family, and community resources and the POC. Conducts individual caseload reviews, at the SOC and ongoing, and team meetings on a regularly scheduled basis according to the agency’s standards. Case conferences with staff as needed to meet the needs of challenging clients. Takes a proactive approach in identifying high utilization and problem prone cases; takes appropriate action. Accessible for staff consultation and problem solving. Handle clinical emergencies, complex problem solving. Ensures appropriate levels of clinical coverage based on census, multidisciplinary skill mix, geographic distribution, and patient care requirements. Participates in administrative On Call managerial coverage for weekends and holidays coverage as assigned. Arranges for managerial coverage when off. Researches and follows through with customer and employee complaints in a timely fashion. Follow through with employee complaints. Enhances professional growth through attendance at in-services, conferences, and professional organizations Evaluate staff understanding of documentation and compliance with regulations (Medicaid, Medicare, DPH, OSHA, JCAHO, State and Federal) with QA input. Reviews all payroll and ensures timely documentation within agency guidelines Demonstrates a knowledge and understanding of what to report to the supervisor or Director of Quality Improvement when concerns of corporate compliance arise. Ensures compliance within guidelines set forth by regulatory agencies (JCAHO, DPH, ERISA etc.) and demonstrates compliance with Tufts Medicine Care at Home policies and procedures. Practices confidentiality principles set by the agency and federal HIPAA guidelines. Participates in all mandatory in-services. What We Offer: Competitive salaries & benefits that start on day one! 403(b) retirement with company match Tuition reimbursement Fleet Car Program At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $122,301.82 - $155,933.24 $84,300.22 - $107,481.20 / year
Why Join Us? Newly adjusted Sign On Bonuses Recently increased market salaries Generous benefits that are effective day one Fleet car program: company paid vehicle, includes insurance, business miles and maintenance. Must meet eligibility requirements Company laptop and phone Job Overview Utilizing the nursing process, the Home Health Registered Nurse will manage and deliver comprehensive home health services, including assessments, interventions, and supportive care to clients within their place of residence. Depending on the circumstances, duties may also include telephone triage, problem solving, patient/caregiver advocacy and support, with emphasis of avoiding hospitalization. As a key member of the health care team, this position must interact courteously and effectively with patients and their families as well as with coworkers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care while maintaining their own safety in the home and the community at large. Location: Lowell, MA Hours: Full-Time, Days, 40 Hours Minimum Qualifications: 1. Massachusetts/New Hampshire RN Licensure. 2. Valid state issued Driver’s License. 3. One (1) year of acute medical/surgical nursing experience. 4. Cardiopulmonary Resuscitation (CPR) Certification. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Essential Functions: Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures. Assesses patient/family learning needs, style and limitations and adjusts for delivery of information. Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team. Adapts to new and unusual situations without affecting work performance negatively. Utilizes Security when and if needed for any potential unsafe situations. Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge. Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies. Reconciles medications with patient and physician consistently. Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. Effectively manages assigned caseload, within the team model of care delivery. Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency. Demonstrates excellent physical assessment and care planning skills. Demonstrates current knowledge of pharmacology and medication administration and reconciliation. Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care. Effectively manages assigned caseload, within the team model of care delivery. Establishes a daily work plan based upon patient/family priorities of service and total area needs. Promptly triages patient visits, messages, and phone calls according to priority and urgency. Coordinates care and discharge planning with other team members during case conferences. Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided. Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed. What We Offer: Competitive salaries & benefits that start on day one! 403(b) retirement with company match Tuition reimbursement Fleet Car Program At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $84,300.22 - $107,481.20 $84,300.22 - $107,481.20 / year
Job Overview The position is a member of the hospice staff who determines appropriateness of referrals, coordinates and conducts pre-admission activities, completes admission when determined hospice appropriate, monitors inpatient care at contracted hospitals, performs in-service training and community education activities. This position performs duties in a variety of settings including 6patient’s home, acute care setting, skilled nursing facility or assisted living. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. Hospice and/or end of life experience required. Location : Lowell MA Hours : Full Time- 40 Hours, Flexible shifts (8/10/12 Hour days) Holiday and Weekend Rotation Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Describes and explains hospice services to a potential patient and/or family member and elicits responses to questions regarding attitude towards hospice care, evaluates physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program. Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. Reviews and explains to patient and/or family about insurance coverage and financial obligations, using knowledge of hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where reimbursement sources appear not to cover hospice fees, to ascertain whether reduce fee or free care may be offered. Introduces and explains benefits of hospice care and familiarizes decision makers with characteristics and needs that indicate an appropriate hospice referral. Presents the advantage of the hospice Medicare/Medicaid benefits to referral sources. Thoroughly understands the Medicare/Medicaid hospice benefit, the Medicare home health benefit, the Medicare/Medicaid long term benefit and the Medicare HMO benefit. Documents a narrative note in the EMR summarizing pertinent physical and psychosocial information from the hospital record and/or from the physician and patient/family assessment. Reviews referred patient’s history, medical status, and prognosis to determine eligibility for hospice services relying on the knowledge of hospital procedure and hospice admission criteria. Completes the patient/family admission packet, including obtaining signed Notice of Election of Hospice Benefit (NOE), admission forms from the patient, family, referral source and the attending physician. Uploading completed admission documents electronically to medical records for them to complete their process. Communicates information from Comprehensive Assessment to TMCAH CMO, hospice physician or TMCAH covering NP. Documents results and performs warm hand off to team. Communicates NTUC to appropriate staff and managers. Documents reason and continuation of care measures implemented. Promotes hospice services, to ensure appropriate referrals to hospice program, may perform liaison activities centered in the acute care setting, which include but not limited to, case conferences to case managers, discharge planners, physicians, other health care providers and referral sources. Works with TMCAH liaison and intake staff to ensure ease of referral, as well as a rapid response to the referral source. Evaluates and compares information, regarding referred patient to hospice criteria. Consult with either the referral management director, referral manager, CMO, or hospice physician when an admission is questionable. Communicates on a regular basis with patient, family, referral source, hospice intake or liaison staff, to ensure continuity of care and adherence to the hospice plan of care. Develops opportunities for and conducts in-service presentations in health care facilities regarding hospice care and the indications for a hospice referral. Joins approved professional organizations and other groups which include key decision makers in the care of terminally ill patients. Assists with public relations activities to promote community awareness of Hospice services. Includes activities during National Hospice Month. Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Tufts Medicine Care at Home policies and procedures. What We Offer: Generous Paid Time Off (Effective Day1) Health, Dental and vision insurance (Effective Day 1) Competitive Salaries At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $84,300.22 - $107,481.20 
