After Hours Support Team Nurse

Job TitleAfter Hours Support Team Nurse

Position Summary:  The CareFirst After Hours Support Team is responsible for providing excellent quality patient care and carrying out the CareFirst mission and values outside of our traditional business hours of 8:00am – 4:30pm.  The nurses on this team respond to emergent patient and family needs by phone and through in person visits to help address any changes in patient status or other unmanaged symptoms that arise.  They are a valued member of each patients primary care team and are crucial in CareFirst’s ability to provide exceptional care for our patients and families.

Access to Patient/Family Information: Access to all patient and family information as it relates to the provision of care.

Access to Employee Health Information: Access to personal health information only.

Organizational Relationship: BOD => CEO => Director of Clinical Services => Assistant Director of Hospice Services => Team Managers

Expectation of Employee:

  • Adhere to CareFirst Policies and Procedures
  • Interacts in a positive manner
  • Promotes Mission and Vision Statement of CareFirst
  • Actively participates in promotion of CareFirst
  • Attends CareFirst Memorial Service yearly
  • Keeps all necessary skills current
  • Understands the financial concerns of CareFirst and contributes to the fiscal integrity of the organization
  • Regularly identifies opportunities for self and organizational improvement
  • Checks CareFirst email each day worked.  Clinical staff check Suncoast communicator also.

Essential Duties and Responsibilities:

  • Provide On-Call coverage for the hours of 8:00p – 8:00a in a pre-scheduled rotation
  • Carries a cell phone at all times while on-call
  • Checks notifications at beginning of shift and sends notifications to Team with any updates/changes/patient needs. High priority need require verbal hand off to appropriate clinician
  • Proper documentation in computer.  Documentation due within 24 hours of visit/contact, expected to be done at point of service
  • Maintains patient records according to agency guidelines including the audit of charts after patient’s death
  • Contacts on call supervisor when in need of direction or clarification or as required
  • Visits patients at home in hospice service area for patient/family needs according to agency guidelines
  • Knows and understands state and federal regulations relating to hospice and palliative care
  • Familiarity with payor guidelines including Medicare, Medicaid, and private insurances
  • Reports and responds to complaints per agency policy
  • Consults with DOPC or designee and physician before implementing continuous care or hospitalization when these levels of care are indicated
  • Participates in quality assurance program and performs admission and death audits as assigned
  • Performs chart audits as requested during on call hours
  • Provides informational visits and admissions as assigned
  • Participates in IDG and nursing meetings as requested
  • Participates in agency meetings to update patient/family plan of care on a regular basis
  • Works with and collaborates with all members of the interdisciplinary team as indicated
  • Assists in supervision and evaluation of hospice and contracted homemakers, and home health aides, and LPNs
  • Participates in staff development
  • Attend mandatory staff meetings when not on call
  • Participates in Hospice Memorial Services
  • Other duties as assigned by supervisor

Additional Duties and Responsibilities:

  • Demonstrate compassionate behavior
  • Positive attitude about working with families of diverse cultural and religious backgrounds
  • Ability to communicate effectively with patients, families, and coworkers
  • Exceptional communication skills/counseling skills
  • Works well as part of the interdisciplinary team
  • Able to plan activities and carry them through effectively
  • Knowledge of Nursing techniques as they relate to the care of Hospice patient
  • Knowledge of universal precautions
  • Basic knowledge of Nutrition
  • Ability to carry out therapeutic treatments
  • Able to cope with stress of continual losses
  • Able to instruct other caregivers and family in techniques for caring for patients in homes
  • Works confidently within a group

On-Call Job Expectations:

Carry cell phone whenever on-call, have computer available and updated with all patient information (replicated) Be aware of what is appropriate to triage

Visit expectations – a visit will be made if:

  • There is a change in the patient’s condition…new symptom, worsening symptom, etc.
  • The patient/family requests a visit
  • Before new medications for symptom management are ordered (assessment of the symptom needs to be done)
  • When receiving a second call within a shift about the same or similar complaint, or a new complaint
  • When assessing if a visit is needed, ask the question in such a way that it is easy for the caller to say they would like a visit.
  • A patient dies…attend all deaths unless….supervisor approves that no visit needed.  Meds must be disposed of by the hospice staff
  • A patient is in-patient symptom management.  This is a daily visit; not required to visit respite patients on the weekend.
  • If choosing not to make a visit for any of the above, call on-call supervisor for consult


Possession of a valid and current NY State Professional Registered Nurse’s license.  Minimum of 2 (two) years of home care and/or acute care experience as a professional nurse within the last 10 years.  Current physical assessment skills. Skilled in use of nursing process. Computer Skills.