Description

American Traveler is seeking an experienced Hospice RN for a community and inpatient hospice setting in Vermont, requiring a minimum of 3 years of hospice experience and Epic proficiency.

Details

• Home health and inpatient hospice setting serving both community-based patients and a 21-bed inpatient respite house (MMRH)
• Total hospice census of approximately 100 patients: 21 inpatient at MMRH and approximately 80 in home, SNF, or ALF settings
• Patient population is primarily terminally ill adults (6-month prognosis or less), with occasional pediatric patients in the home setting
• Community/home hospice RNs carry caseloads of 12–14 patients; MMRH day nurses care for 5–7 patients, overnight shifts up to 11
• 10-hour day shifts (7:00 AM – 5:30 PM), 40 hours per week
• Schedule rotates between home hospice and MMRH, including a weekend rotation; Monday through Sunday availability required
• MMRH shift hours are 7:00–7:30 (12 hrs); home hospice is 8:00 AM–4:30 PM M–F with weekend rotation
• On-call coverage is rarely needed but candidates may be asked to cover the on-call team
• Holiday coverage required if needed
• No floating required; however, cross-setting training (home hospice and MMRH) is preferred
• No block scheduling
• CNA/PCT support available (4 per shift); a full-time NP is assigned to the program, primarily at MMRH
• EMR: Epic (required); Net Smart used for documentation (training provided during orientation)
• Special equipment includes CADD pumps, IV pumps, BiPAP, CPAP, cough assist machines, nebulizers, Coagucheck for INR monitoring, GoMco suction pumps, and feeding pumps

Requirements

• Active VT or Compact RN license required
• NY license with proof of pending application will also be reviewed
• Current BLS certification (AHA) required
• Minimum 3 years of community hospice experience required
• Epic EMR experience within the past 2 years is required and non-negotiable
• Strong typing skills required due to a narrative-heavy EMR
• Proficiency in complex symptom assessment and management with high-level critical thinking
• Experience with medication management and administration via IV, subcutaneous, oral, sublingual, rectal, and other routes
• Comfortable initiating and participating in goals-of-care discussions with patients, families, and care teams
• Experience with central line care including PORT/IVAD, PICC, subcutaneous site insertion, palliative sedation, tracheostomy management, wound care, and venipuncture
• Two professional references required: at least one from a nurse manager or supervisor within the past 6 months, and one from within the past year
• SSN and DOB required for consideration
• All employment gaps over 90 days must be explained
• Complete work history including bed count, EMR, and facility type required for consideration
• Reliable personal transportation required — public transportation is not accessible in this area; all-season or snow tires recommended November through April

Additional Information

• Provides end-of-life care including comprehensive assessment, care planning, and symptom management for terminally ill patients and their families
• Traveler case managers are typically assigned a specific geographic area; weekend rotation coverage may extend across Chittenden and Grand Isle Counties
• Performs unit-specific procedures including continuous pain infusion initiation, palliative sedation, rectal tube management, ostomy and drain management, and wound care
• Educates patients and caregivers on aspects of end-of-life care with strong communication skills
• 2–3 days of orientation provided; facility onboarding is completed online prior to arrival
• Dress code: business casual or non-institutional colored scrubs; closed-toe/supportive shoes; limited jewelry; neat hair and beard; no nail polish
• First-time travelers are welcome to apply
• This is a teaching facility, though teaching hospital experience is not required