Community Hospice is seeking a dynamic Triage RN to join our Community Hospice family. As the largest and oldest nonprofit hospice and community-based palliative care provider in the Central Valley, Community Hospice has been supporting and providing services to our community since 1979. Our mission is to embrace individuals and families facing life-changing journeys, enhancing quality of life for all. Accredited by CHAP (Community Health Accredited Program), our services extend to over 2,000 patients each year wherever they call home.
The Triage Nurse works under the supervision of the Patient Care Manager to provide skilled nursing assessment and care for the comfort and health of patients and families. Responsible for identifying patient/family needs in order to provide supportive care in accordance with plan of care and Community Hospice policies and procedures.
Telephone triage of patient/family phone calls for symptom management, emotional and practical support. Respond to phone calls within 15 minutes.
Perform scheduled home visits to assess needs; teach caregivers pain management, symptom control and patient care skills; and provide physical, emotional and spiritual support to the patient/family.
Document nursing visits and phone calls in the electronic medical record by the end of shift.
Attend nursing department meetings, All Staff meetings, and required in-services. Complete 100% of required in-services. Attend 80% of other mandatory in-services and meetings. It is the responsibility of Triage Nurses to read meeting minutes and to obtain report from the designated attendee.
Follows all Community Hospice policies and procedures including, but not limited to, safety, infection control, privacy and confidentiality, and HIPAA.
Maintain RN license in accordance with federal, state and local laws, and must act only within the scope of his or her state license. All personnel qualifications must be kept current at all times.
Responsible for nursing assessment and initial care planning prior to and during the hospice admission process. Initial assessment to include introduction of hospice services and initial problem solving meeting with patient/families.
Responsible for doing consults (answering questions for patients/families about hospice services) and evaluations (assessing patient current condition and recent history to assist team in evaluating appropriateness for hospice services). Consults and evaluations will be scheduled at the earliest opportunity agreed upon by the patient/family and documented on the Preadmission Contacts form.
Responsible for providing back up support for nursing visits in times of crisis or unusual need. Home visits made as assigned and documentation complete within one business day.
Maintain regular communication with Patient Care Manager and keep her/him informed of any unusual or problematic patient/family issues effecting the admission process and ongoing patient care.
Initiate communication with attending physicians, other hospice team members and other community agencies as needed to coordinate optimal care and use of resources for patient/family. Communication with triage will be completed by the end of the business day. Report will be given to the assigned case manager by voice mail left on phone line by 9:00am of the first business day following admission. Physicians will be contacted as needed to update the plan of care. Requests for community resource referrals will be given to the assigned Social Worker within 24 hours of contact.
Complete accurate and timely documentation of the initial assessment and plan of care. Admission documentation will be complete in the electronic medical record by the end of shift
Attend death events and provide appropriate support at time of death.
Participate in Community Hospice orientation and supervision of students. Makes joint visits with students and assists in teaching of hospice concept.
At least one year recent experience within the last three years as a professional nurse.
Possession of a current license to practice as a registered nurse in the State of California.
Timely renewal required.
Possession of a valid California Driver’s License and current automobile insurance. Timely renewal required.
Possesses and maintains current CPR certification.
Work Environment: The main environment for this position is in the patients' homes, which vary in levels of cleanliness, accessibility, and climate control. The employee may be exposed to virus, disease and infection from patients. The employee may experience situations, with emotionally disturbed, substance abuse, serious illness, and deceased patients. While performing the duties of this position, the employee will travel by automobile and is exposed to changing weather conditions.
(2) Triage RN - Full Time / 12 hour shifts / 8a-830p / Sunday, Monday, Tuesday (every week/regular schedule)
Subject to overtime based on patient and agency needs
We offer our employees the following competitive benefits package:
Medical Insurance- Premium 100% paid by employer for employee only
Dental Insurance – Premium 100% paid by employer for employee only
Vision Insurance – Premium 100% paid by employer for employee only
Voluntary Short-Term Disability Insurance
Long-Term Disability / Life Insurance
Flexible Spending Account (FSA) – Funds added by employer every month
Paid Time Off / Paid Holidays
403(b) Retirement plan with employer contributions
Jury Duty Pay
Fitness Center Membership discounts
Employee Assistance program
Other retail discounts (rental cars, cell phones, etc.)
Our supportive, caring environment extends not only to our patients and families, but to our valued staff as well. Employees from a number of disciplines work together in a collaborative, stimulating environment that is considered by many to be a model for quality healthcare. Community Hospice is a rapidly growing company and is always looking for qualified employees. We seek highly motivated, talented candidates to join our staff and offer a competitive benefits package to our employees.
Mission of Community Hospice, Inc.
Community Hospice, Inc. (CHI) is a non-profit organization providing medical, nursing, emotional, spiritual and educational support to individuals, their families, loved ones, and caregivers coping with grief or a life-threatening illness. The mission of Community Hospice is to embrace individuals and families facing life-changing journeys, enhancing quality of life for all.
Hospice Services in the Central Valley
The modern concept of hospice, first established in Great Britain, made use of pain management techniques and ministered compassionate care to the dying. Hospice care was introduced in the United States in 1974.
The concept was brought to Modesto in 1979 by Mary Jean Coeur-Barron, a nurse whose husband, an oncologist, wanted to alleviate the pain of children suffering from leukemia. While working on their degrees in Public Health Nursing at Stanislaus State University, Coeur-Barron and classmate Kathy Oberg-Erlenbeck involved local hospitals, home health agencies, and others in creating a local hospice program.
Thirty-five health care providers met with a consultant in Modesto on January 23, 1979 to examine whether the communi...ty would support hospice services. A board of directors was formed with representatives from all five area hospitals and most home health agencies. Two physicians and two nurses from the community completed the 12- member board. Community Hospice, Inc. (CHI) nurses visited their first patient on January 22, 1980. By 1983, the hospice service area had expanded to include residents of Oakdale, Riverbank, Escalon and Salida. Soon Patterson, Newman, and Wesley followed and by 1989, Community Hospice was serving the entire county of Stanislaus. The Community Hospice staff also provided training to the Turlock and Stockton hospices about how to begin offering services.
On October 31, 1985 Community Hospice achieved another milestone by becoming the first freestanding hospice in the nation to receive accreditation by the Joint Commission on Accreditation.
In January 1988, Community Hospice merged with Project VIA, an independent nonprofit agency providing bereavement care. It was then that the organization began to provide services to anyone facing any terminal illness and bereavement services to anyone faced with the terminal illness or death of a loved one, regardless of the cause of illness.
A History of Community Support
As Community Hospice grew and financial needs increased, Community Hospice became a United Way agency, a distinction that continues today. Support for hospice services also came from private companies and community leaders that generously contributed major gifts, making it possible to reach more patients. Julio and Aileen Gallo were the first to lend critical financial support to the vision of the fledgling organization. Gallo family members continue to support hospice services and they encourage others to do so. In recognition of their longstanding support, the Julio R. and Aileen Gallo Humanitarian Award was created to pay tribute annually to an individual who demonstrates strong commitment to the mission and goals of Community Hospice.
Over the years, strong boards of directors and the Friends of Community Hospice, a fundraising auxiliary, furthered the organization’s mission and continued to reach out to the community. Fundraising continues to be vital to ongoing programs and services, as reimbursement from Medicare/MediCal and private insurance doesn’t meet the actual cost of providing services. In June 2001 the Community Hospice Foundation was established to raise funds and awareness to support patients and their families.
The first Community Hospice Hope Chest Thrift opened on McHenry Avenue in January 1993. The community donated gently-used merchandise and all proceeds supported patient care. The second Hope Chest followed March 1999, also on McHenry Avenue. A third store opened February 2000 on Yosemite Blvd. The fourth store, located in Ceres, held a grand opening March 2004.
The Community Hospice, Inc. Automotive Division began accepting donations of used cars, motorcycles, trucks, etc., in June 2000. All proceeds support patient care.
Broadening the Scope of Services
As awareness of hospice spread through the Central Valley and nationwide, greater numbers of people asked for and received hospice care in their homes, thus increasing the need for more volunteers and specialized staff. The Community Hospice Volunteer Program provides a vital link with the patient, family, and community members. Hospice volunteers provide thousands of hours of service annually to patients, families, and Community Hospice staff. Volunteer opportunities include family visiting and support group facilitation, and which require special volunteer training classes. Other volunteer opportunities include office support and special projects.
As the nineties came to a close, Community Hospice officials recognized that some patients needed more care than can be provided in their homes. With this in mind, the Community Hospice vision was broadened to include a Hospice House. This vision became a reality when John and June Rogers offered a $3 million challenge grant to help build a freestanding hospice facility in Hughson, California. After a year-long campaign, and with strong community support, a significant gift came from Leonard and Jean Cohen. Thanks to the generosity of the Cohen family and the whole community, The Community Hospice Alexander Cohen Hospice House accepted their first patient March 7, 2005. The 20,000 square foot Hospice House includes 16 private rooms with adjoining patios, a chapel, and activity and music rooms for patients and families.
Shortly after the Alexander Cohen Hospice House opened its doors, another dream was fulfilled: the Community Hospice and the Community Hospice Foundation moved their headquarters to the new Haig and Isabel Berberian Patient Services Center in North Modesto. The new building paves the way for the continuing work of Community Hospice, and allows the organization to grow with the community.
In 2010 another goal was achieved—the Community Health Accreditation Program (CHAP) awarded Community Hospice accreditation with deemed status under the CHAP Hospice Standards of Excellence. Becoming CHAP accredited was a multiyear process for the leadership and staff and fulfilled a key strategic aim for the organization.
To continue to accommodate organizational growth, in 2011 Community Hospice opened a 20,000-square-foot logistics center in the River Bluff Business Park in Modesto. The Logistics Division building will house the Durable Medical Equipment division operations and the processing center for the Hope Chest Thrift Stores. The processing center’s efficiency helped the Hope Chest Thrift Stores received the City of Modesto Business Recycling Award for its outstanding waste reduction efforts in 2012, 2013, 2014 and 2015.
In 2013, longstanding President/CEO Harold A. Peterson III retired and was replaced by C. DeSha McLeod. To meet the growing need of hospice services in San Joaquin County Community Hospice opened a branch office in 2014 as well as a Hope Chest Thrift Store.
In 2016, the Community Hospice San Joaquin Branch was relocated to a larger facility to meet the need of expanding patient services and programs in San Joaquin County. Today, Community Hospice serves Stanislaus, San Joaquin, Merced, Calaveras, Mariposa, Tuolumne, and parts of Contra Costa, Sacramento, Alameda and Santa Clara counties.
In 2019, Community Hospice reached a milestone and celebrated its 40 Year Anniversary. From its small, 1979 beginnings in a church attic in Modesto, CA, Community Hospice has grown to meet the needs of our surrounding communities providing support and services in multiple counties, including; Stanislaus, San Joaquin, Merced, Calaveras, Mariposa, Tuolumne, and parts of Contra Costa, Sacramento, Alameda and Santa Clara.
In 2019, Community Hospice was also awarded Community Health Accreditation Partner (CHAP) Continued Hospice Accreditation, as well as the first Palliative Care Certification in the state of California. CHAP is the leading national accrediting agency nationally for hospice and home health organizations. CHAP Certification/Accreditation demonstrates that Community Hospice meets the industry’s highest nationally recognized standards in palliative and hospice care.
In 2020, the Community Hospice Alexander Cohen Hospice House celebrated its 15 Year Anniversary. Although the majority of hospice patients prefer to be at home, the Alexander Cohen Hospice House provides another option for pediatric and adult patients with symptom management issues that require round-the-clock nursing care. The Hospice House also provides respite care for hospice patients whose caregivers require a short-term respite from home care. Over the past fifteen years, more than 7,290 patients and families were welcomed through the front doors to receive needed care. Additionally, over 5,365 days of respite care have been provided.
From the beginning, Community Hospice has served all people from the Central Valley, at all income levels, including the homeless, regardless of their ability to pay. This tradition will continue as Community Hospice strives to meet the growing needs our region’s diverse population.