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It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications: • Current license as RN in the state where the employee will be working•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023. For LPN in a Hospice House, the deadline is 3/31/2023.• Minimum one (1) year of in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Flexible schedule to meet the needs of Hospice House patients • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodationSome locations may require:<ul><li>Completes clinical admissions for all Company services including, but not limited to:<ul><li>Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner&nbsp;</li><li>Identifies admission objections, concerns or other entry barriers and provides responses</li><li>Educates patient/family on admission requirements and addresses immediate needs</li><li>Completes informed consents and initial assessment according to regulations and Company policy</li><li>Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs</li><li>Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort</li><li>Obtains Physician orders</li><li>Completes documentation per Company policy</li></ul></li></ul><ul><li>Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.</li><li>Communicates frequently with Admissions to ensure timely follow-up.&nbsp; When assignment is complete, informs Admissions and prepares for next assignment.</li><li>Provides all necessary clinical communication timely using SBAR.</li><li>Discusses any potential needs with after-hours staff.</li><li>Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.</li><li>Obtains medical record information for the referral.</li><li>Develops strong relationships with case managers, physicians, etc. at facilities.</li><li>Works with Professional Relations Representatives (PRRs) to provide education on all available services.</li><li>Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.</li></ul> Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices. • Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals. • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness. • Attends patient deaths; prepares body for transport; oversees disposal of medications. • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff. • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses). • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

Per Diem-RN, Cornerstone Hospice House (day or night shift)

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: Under RN supervision, the LPN is responsible for providing nursing interventions and teaching skills to maximize patient comfort and to enhance the quality of life to the patient/family unit.Qualifications: • A high school diploma or G.E.D. or an equivalent combination of education and experience • Current LPN licensure in the state of Florida, or current licensure from another state plus a temporary Florida permit•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023. For LPN in a Hospice House, the deadline is 3/31/2023. • Minimum of one (1) year nursing experience in an in-patient, hospice, or home health setting • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Certificate of completion of 30 hour Infusion Therapy Course and in-house 8-hour Infusion Class preferred • Ability to communicate (written and verbal) in English • Flexible schedule to meet the needs of patients • Ability to use equipment with visual and auditory mechanisms • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company’s health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Under the direction of an RN, provides nursing tasks to patients and families such as Continuous Care, dressing changes, catheter changes as identified in the plan of care developed by the Interdisciplinary Group (IDG). • Demonstrates clinical skills regarding application of Company policies and procedures such as: medication administration, symptom management, and patient/family relationships. • Observes/monitors patients for alterations in body systems, pain and symptoms and reports to RN. • Observes and reports signs of adverse reactions and responses to treatments and reports to RN. • Reports findings to physicians, APRNs and physician’s assistants following collaboration with RN. • Performs venipuncture for blood specimens. • Performs Central Venous Line (CVL) site observation/inspection; venous access device dressing, cap change and flushing venous access device; IV medication and fluid administration, IV pushes (in Hospice House only and per procedure) and venipuncture. May not make any changes to infusion pump including, but not limited to, rate changes and IV bag changes. • Documents per policy and procedure in medical record. • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; bend; balance. Occasionally required to: lift; pull; push; stoop/crouch; kneel; climb stairs.

Per diem- LPN (Continuous Care) Good Shepherd Hospice

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Location-Pasco/Hernando counties Role: Under the administrative direction and supervision of Management, the Speech Therapist provides speech therapy evaluation, treatment, and/or interventions and oversees the speech therapy for patients. Integrates speech therapy treatment plan into the Plan of Care (POC) to maximize benefits for patients.Qualifications:• Graduate of an accredited Speech Language Pathology curriculum with a Master’s Degree in Speech Language Pathology• Licensed in the State of Florida as a Speech Pathologist• Minimum of two (2) years’ experience working in an acute care setting • Meets the education and experience requirements for a Certificate of Clinical Competence in speech-language pathology granted by the American Speech-Language-Hearing Association or meets the educational requirements for certification and is in the process of accumulating the supervised experience required for certification• Knowledge of principles and practices of speech pathology• Mobile Driver - Valid driver’s license and automobile insurance per Company policy• Able to travel and have reliable transportation to meet visit schedule• Ability to use equipment with visual and auditory mechanisms• Ability to effectively communicate in English (written and verbal)• Flexible schedule to meet the needs of patients• Ability to physically access any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) in any area Company serves• Ability to manage stress• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodationCompetencies:• Satisfactorily complete competency requirements for this position.Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients.• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices.• Observe the Company's health, safety and security practices.• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.• Use resources in a fiscally responsible manner.• Promote the Company through participation in community and professional organizations.• Participate proactively in improving performance at the organizational, departmental and individual levels.• Improve own professional knowledge and skill level.• Advance electronic media skills.• Support Company research and educational activities.• Share expertise with co-workers both formally and informally.• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities:• Provides speech therapy evaluation, treatment, and interventions to program patients.• Conducts initial assessments and reassessments, upon referral from team, of patient’s condition and functional status and establishes measurable goals and a treatment plan.• Provides training, guidance, and supervision to program staff and patients/family members regarding therapy.• Responsible for providing and recommending therapeutic exercises.• Participates actively in the Interdisciplinary Group (IDG) by providing clinical expertise in team planning, problem solving, and processes.• Fulfills all administrative requirements including, but not limited to, collaboration with Physical and Occupational Therapists and attendance at team and staff meetings.• Develops treatment program, when indicated, sets goals and provides treatment.• Records and signs treatments in patient’s medical record; records, signs, and dates clinical documentation.• Performs other job duties as assigned.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Speech Therapist Per Diem

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: Under RN supervision, the LPN is responsible for providing nursing interventions and teaching skills to maximize patient comfort and to enhance the quality of life to the patient/family unit.Qualifications: • A high school diploma or G.E.D. or an equivalent combination of education and experience • Current LPN licensure in the state of Florida, or current licensure from another state plus a temporary Florida permit•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023. For LPN in a Hospice House, the deadline is 3/31/2023. • Minimum of one (1) year nursing experience in an in-patient, hospice, or home health setting • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Certificate of completion of 30 hour Infusion Therapy Course and in-house 8-hour Infusion Class preferred • Ability to communicate (written and verbal) in English • Flexible schedule to meet the needs of patients • Ability to use equipment with visual and auditory mechanisms • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company’s health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Under the direction of an RN, provides nursing tasks to patients and families such as Continuous Care, dressing changes, catheter changes as identified in the plan of care developed by the Interdisciplinary Group (IDG). • Demonstrates clinical skills regarding application of Company policies and procedures such as: medication administration, symptom management, and patient/family relationships. • Observes/monitors patients for alterations in body systems, pain and symptoms and reports to RN. • Observes and reports signs of adverse reactions and responses to treatments and reports to RN. • Reports findings to physicians, APRNs and physician’s assistants following collaboration with RN. • Performs venipuncture for blood specimens. • Performs Central Venous Line (CVL) site observation/inspection; venous access device dressing, cap change and flushing venous access device; IV medication and fluid administration, IV pushes (in Hospice House only and per procedure) and venipuncture. May not make any changes to infusion pump including, but not limited to, rate changes and IV bag changes. • Documents per policy and procedure in medical record. • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; bend; balance. Occasionally required to: lift; pull; push; stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Per Diem LPN LifePath Hospice

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Field Care Advisor Nurse provides after-hours field visits to patients, families, and community partners. Establishes and maintains positive relationships with team members, patients/families, and referral resources.Qualifications:<ul><li>Current license as RN in the state where the employee will be working</li><li>Minimum of one (1) year nursing experience; hospice or hospital experience preferred</li><li>Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system</li><li>Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred</li><li>Mobile Driver - Valid driver’s license and automobile insurance per Company policy</li><li>Reliable transportation to meet patients’ needs</li><li>Excellent critical decision making and problem-solving skills</li><li>Excellent clinical and assessment skills</li><li>Ability to use equipment with visual and auditory mechanisms</li><li>Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines</li><li>Ability to effectively handle stressful situations professionally and calmly with exceptional customer service</li><li>Strong patient service skills<ul><li>Information seeking / probing skills</li><li>Accurate knowledge transfer</li><li>Listening, understanding, and responding</li></ul></li><li>Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits</li><li>Ability to work in a cooperative team environment&nbsp;</li><li>Able to exhibit a sense of urgency in daily work activities</li><li>Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills</li><li>Available to work shifts to accommodate extended hours of operation as scheduled</li><li>Ability to perform sedentary work with frequent interruptions</li><li>Ability to manage the emotional stress of working with and caring for terminally ill patients and their families</li><li>Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodations</li><li>Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023</li></ul>Some locations may require:<ul><li>Completes clinical admissions for all Company services including, but not limited to:<ul><li>Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner&nbsp;</li><li>Identifies admission objections, concerns or other entry barriers and provides responses</li><li>Educates patient/family on admission requirements and addresses immediate needs</li><li>Completes informed consents and initial assessment according to regulations and Company policy</li><li>Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs</li><li>Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort</li><li>Obtains Physician orders</li><li>Completes documentation per Company policy</li></ul></li></ul><ul><li>Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.</li><li>Communicates frequently with Admissions to ensure timely follow-up.&nbsp; When assignment is complete, informs Admissions and prepares for next assignment.</li><li>Provides all necessary clinical communication timely using SBAR.</li><li>Discusses any potential needs with after-hours staff.</li><li>Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.</li><li>Obtains medical record information for the referral.</li><li>Develops strong relationships with case managers, physicians, etc. at facilities.</li><li>Works with Professional Relations Representatives (PRRs) to provide education on all available services.</li><li>Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.</li></ul>Competencies:<ul><li>Satisfactorily complete competency requirements for this position.</li></ul>Responsibilities of all employees:<ul><li>Represent the Company professionally at all times through care delivered and/or services provided to all clients.</li><li>Comply with all state, federal and local government regulations, maintaining a strong position against fraud and abuse.</li><li>Comply with Company policies, procedures and standard practices.</li><li>Observe the Company's health, safety and security practices.</li><li>Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.</li><li>Use resources in a fiscally responsible manner.</li><li>Promote the Company through participation in community and professional organizations.</li><li>Participate proactively in improving performance at the organizational, departmental and individual levels.</li><li>Improve own professional knowledge and skill level.</li><li>Advance electronic media skills.</li><li>Support Company research and educational activities.</li><li>Share expertise with coworkers both formally and informally.</li><li>Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.</li></ul>Job Responsibilities:<ul><li>Makes after-hours visits to patients in their home, assisted living facility, nursing home, or hospital, anywhere within the assigned affiliate(s) territory.&nbsp; Provides compassionate customer service to patients and families.</li><li>Assesses patient/family and identifies immediate needs and appropriate nursing interventions by phone and/or during visit.</li><li>Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.</li><li>Demonstrates clinical skills regarding case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.</li><li>Prioritizes, consults, refers, and collaborates with other professionals to promote quality and continuity of patient/family care.</li><li>Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process, and safety practices.</li><li>Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.</li><li>Attends patient deaths; prepares body for transport; oversees disposal of medications; and provides bereavement support.</li><li>Completes documentation per policy and procedure.</li><li>Perform other duties as assigned.</li></ul>This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

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