Careers - Hospice of Southern Kentucky

Job Openings

There are jobs- and then there are careers. The change to do the kind of work that adds up to something meaningful. The opportunity to challenge yourself and learn new skills. The prospect of being surrounded by smart, motivated, compassionate people- every day. That’s the kind of work you can expect at Hospice of Southern Kentucky. Come join us.

Hospice of Southern Kentucky is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive work environment. Questions? Reach our HR department at 270-746-9300.

Certified Nursing Assistant - Hospice House

The Hospice House CNA role is a full-time position.

The Hospice House CNA position requires a professional who is organized and detail-oriented. This role communicates effectively, both with patients and families and the HSK team.

The Hospice House CNA will be a valued member of the HSK Team and will have immediate access to fellow team members.

Job Title: Hospice House Aide

Years’ Experience: None

FLSA Status: Nonexempt

FTE Status: Full-time

Education Level: CNA Training and Certificate

Reports to: Nursing Supervisor

JOB SUMMARY

An important member of the IDT, the Hospice Aide provides care to the hospice patient at a vulnerable time. The patient depends on and puts great trust in this person. One of the goals of the position is to make the patient feel clean and comfortable.

ROLE

The Hospice Aide provides personal care, which includes bathing, dressing, hair care, and oral care, as the patient or caregiver desires. His/her assignment is planned and directed by the RN.

RESPONSIBILITIES/DUTIES (but not limited to)

Personal care: bathing in the shower, tub or from a basin, shave upon request
Skin care: applying lotions and barrier creams, simple make up
Hair care: shampooing and drying, combing, brushing, simple styling
Oral care: brushing teeth, cleaning dentures, mouth care with swabs and chap stick
Nail care: cleaning, applying polish per pt request
Dressing patient, as directed by patient or caregiver
ROM exercises, as directed by the RN
Assist patient with ambulation, as directed by the RN
Turning and positioning patient
Feeding patient as needed
Changing bed linens
Straighten patient room
Documentation of care provided
Confidentiality
Attend IDT meetings, when possible
Maintain safe environment, reporting any concerns to the RN
Other duties as assigned

Responsibilities DO NOT include: giving medications, discussing spiritual or psychosocial needs, getting involved in family decisions, nor sharing the aide’s own personal information or problems with the patient or family.

Other duties performed are to assist with care for the facility:

Removing dirty linen to linen cart
Removing trash from patient rooms and public areas
Straightening and cleaning the family kitchen, as needed
Restocking linens and supplies in patient rooms
Delivering food trays, on occasion

RESULTS

Patient will be neat and clean
Patient will be safe
Assistance for the family or caregiver
Well-kept facility

REQUIREMENTS (of Position)

CNA training
Time management and organization
Strong interpersonal skills
Good communication skills
Must be a team player

RELATIONSHIPS

During the bathing process our patients are exposed, which makes them feel vulnerable. This position requires tenderness and compassion to diminish these feelings, whenever possible. When the patient feels safe, they feel less vulnerable, developing trust in the Hospice Aide and the RN. The Hospice Aide is an important member of the team and needs to communicate with the team whenever there are changes in the patient’s condition or a decline in the patient’s abilities to assist with their own care. These findings are significant and may help justify the patient’s appropriateness for hospice care.

PHYSICAL DEMANDS and WORKING CONDITIONS

Requires sitting for long periods of time; occasional bending, stretching or lifting, and full range of body motion. This position requires the ability to work under high stress conditions for long periods of time. Requires corrected vision, ability to hear normal range of voice, drive, and negotiate steps, walkways or housing not designed for handicap access. May require contact with individuals with communicable disease and body fluids. Occasionally, requires maneuvering items weighing over 100 pounds. Able to work in normal office environment, use office equipment, and prepare written reports.

Certified Nursing Assistant - Home Team

The Home Team CNA role is a full-time Monday to Friday 8 AM – 4:30 PM position.

The Home Team CNA position requires a professional who is organized and detail-oriented. This role will travel throughout our nine-county region to patients’ homes and skilled nursing facilities. This role communicates effectively, both with patients and families and the HSK team.

The Home Team CNA will be a valued member of the HSK Team and will have immediate access to fellow team members.

Job Title: Home Team Hospice Aide

Years’ Experience: None

FLSA Status: Non-exempt

FTE Status: Full Time

Education Level: CNA Training and Certificate

Reports to: Nursing Supervisor

JOB SUMMARY

ROLE

The Hospice Aide provides personal care, which includes bathing, dressing, hair care, and oral care, as the patient or caregiver desires. His/her assignment is planned and directed by the RN.

RESPONSIBILITIES/DUTIES (but not limited to)

Personal care: bathing in the shower, tub or from a basin, shave upon request
Skin care: applying lotions and barrier creams, simple make up
Hair care: shampooing and drying, combing, brushing, simple styling
Oral care: brushing teeth, cleaning dentures, mouth care with swabs and chap stick
Nail care: cleaning, applying polish per pt request
Dressing patient, as directed by patient or caregiver
ROM exercises, as directed by the RN
Assist patient with ambulation, as directed by the RN
Turning and positioning patient
Feeding patient as needed
Changing bed linens
Straighten patient room
Documentation of care provided
Confidentiality
Attend IDT meetings, when possible
Maintain safe environment, reporting any concerns to the RN
Other duties as assigned

Other duties performed are to assist with care for the facility:

Removing dirty linen to linen cart
Removing trash from patient rooms and public areas
Straightening and cleaning the family kitchen, as needed
Restocking linens and supplies in patient rooms
Delivering food trays, on occasion

RESULTS

Patient will be neat and clean
Patient will be safe
Assistance for the family or caregiver
Well-kept facility

REQUIREMENTS (of Position)

CNA training
Time management and organization
Strong interpersonal skills
Good communication skills
Must be a team player

RELATIONSHIPS

PHYSICAL DEMANDS and WORKING CONDITIONS

RN - Home Team

The RN role is a full-time 8-4:30 Monday through Friday.

The RN position requires a professional who is organized and detail oriented. This role will travel throughout our 9 county region to patients homes, and skilled nursing facilities. This role communicates effectively, both with patients and families, and with the HSK team.

The RN will be a valued member of the HSK Team and will have immediate access to the fellow team members.

Job Title: Home Hospice R.N.

Years of Experience: 2 years in nursing, preferred

Education Level: Licensed to practice in KY FLSA Status: Exempt and Non-exempt

FTE Status: Full-Time/Part-Time/PRN

Reports to: Nursing Supervisor

JOB SUMMARY

The R.N. is a member of the interdisciplinary team (IDT), working under the general direction of the ADCS, Director of Clinical Services and Medical Director to provide skilled nursing assessment, planning, and care to maximize the comfort and health of patients and families. She/he identifies patient/family needs, and provides direct care in accordance with physician’s orders and the patient’s individual plan of care. He/she must have a current RN license to practice in the state of KY.

ROLE

The RN is the case manager of the patients care, establishing the plan of care with direct input from the other members of the IDG, the physician, the patient and family/CG. He/she helps establish the written patient record, directs other clinical staff with patient care, maintains contact with the patient’s physician for condition changes and/or medications, and reports to the DCS as warranted.

RESPONSIBILITES (not limited to)

To assume primary responsibility for patient/family assessment, care planning, implementation and evaluation of the nursing process.
To initiate communication with the physician, hospice staff members, and other agencies as needed to coordinate care and use of resources for the patient and family/caregivers.
To maintain regular communication with the Assistant DCS or Director of Clinical Services, especially for unusual or potentially problematic patient/family issues.
To maintain regular communication with the attending physician or medical director concerning patients and their families/caregivers.
To obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate data into the care plan.
To maintain up-to-date patient records so that problems, plan, action, and goals, are accurate and clearly stated and reflect changes, as they occur.
To seek input from the team members and families regarding the patient plan of care, to obtain additional knowledge and support.
To accept responsibility for coordinating physical care of the patient by teaching primary caregivers and employed caregivers on providing direct care.
To attend IDT meetings and facilitate discussion of issues for full staff review, consultation, and evaluation.
To supervise and document the home health aide every fourteen (14) days.
To assume the role of associate nurse when responding to patients/families of other staff nurses during on-call time, or as requested by the Assistant DCS and/or the Director of Clinical Services to fill patient/family needs during the absence of other staff nurses.
To share in providing 24-hour, seven-day a week on-call coverage to patients/families.
To provide appropriate support at time of death.
To participate in agency and community programs as requested to promote professional growth and understanding of hospice care.
To demonstrate familiarity with policies of the agency and rules and regulations of the State and Federal bodies which aid in determining policies.
To maintain confidentiality of patient and families at all times.
To promote hospice care and philosophy in community, as the situation arises.
To evaluate potential patients for hospice care in an alternative setting.
To comply with accepted professional standards and principles.
Other duties as assigned.

RESULTS

Quality patient and family care is the primary focus of the care of the hospice nurse. The nurse promotes patient comfort and symptom control, to increase the quality of the final days of life for their patients. These patients learn to trust their nurse and depend on him/her to achieve comfort and quality of life. He/she is a strong patient advocate, and assists with completing last wishes/plans of the patient.

REQUIREMENTS

This position requires a current RN license to work in the state of Kentucky. It is preferred, that the RN have two (2) years of experience as a nurse with a year preferably in an acute care setting. Hospice or home health experience is a plus. This position requires the ability to assess and respond to the needs of patients and their families, the ability to cope with patient/family emotional stress and tolerant of varying lifestyles, cultural and religious beliefs. He/she must be able to exercise judgment and discretion in confidential matters and be willing to work closely with other professionals in a team setting.

RELATIONSHIPS

The RN is the manager of the patient care team, under the direction of the DCS and physician/Medical Director. However, for quality patient/family care, he/she must work closely and effectively with the other members of the team. These internal relationships are based on mutual trust and respect, with the focus on the patients and their families. He/she will, also, need to cultivate other internal relationships, with secretaries, management, volunteers, etc.

This position may require developing relationships outside the hospice staff, including vendors and other professional healthcare staff. The Hospice RN will be in the community eye and will need to promote and build these relationships. These external relationships will help increase the use of hospice care and knowledge of hospice throughout the community, therefore helping many more people.

PHYSICAL DEMANDS and WORKING CONDITIONS

RN - Hospice House - PRN

The Hospice House RN role is a PRN Position.

The Hospice House RN position requires a professional who is organized and detail oriented. This role communicates effectively, both with patients and families, and with the HSK team.

The Hospice House RN will be a valued member of the HSK Team and will have immediate access to the fellow team members.

Job Title: Registered Nurse

Experience: Preferred

FLSA Status: Non-exempt

FTE Status: PRN

Education Level: Licensed to practice in KY

Reports to: DCS

JOB SUMMARY

The R.N. is a member of the interdisciplinary team (IDT), working under the general direction of the Director of Clinical Services and Medical Director to provide skilled nursing assessment, planning, and care to maximize the comfort and health of patients and families. She/he identifies patient/family needs, and provides direct care in accordance with physician’s orders and the patient’s individual plan of care. He/she must have a current RN license to practice in the state of KY.

ROLE

The RN is the coordinator of the patients care, establishing the plan of care with direct input from the other members of the IDG, the physician, the patient and family/CG. He/she helps establish the written patient record, directs other clinical staff with patient care, maintains contact with the patient’s physician for condition changes and/or medications, and reports to the DCS as warranted.

RESPONSIBILITES (not limited to)

To assume primary responsibility for patient/family assessment, care planning, implementation and evaluation of the nursing process.
To initiate communication with the physician, hospice staff members, and other agencies as needed to coordinate care and use of resources for the patient and family/caregivers.
To maintain regular communication with the Director of Clinical Services, especially for unusual or potentially problematic patient/family issues.
To maintain regular communication with the attending physician or medical director concerning patients and their families/caregivers.
To obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate data into the care plan.
To maintain up-to-date patient records so that problems, plan, action, and goals, are accurate and clearly stated and reflect changes, as they occur.
To administer medications and treatments as ordered by the physician.
To seek input from the team members and families regarding the patient plan of care, to obtain additional knowledge and support.
To accept responsibility for coordinating physical care of the patient by teaching primary caregivers and employed caregivers, and providing direct care.
To attend IDT meetings and facilitate discussion of issues for full staff review, consultation, and evaluation.
To participate in agency and community programs as requested to promote professional growth and understanding of hospice care.
To demonstrate familiarity with policies of the agency and rules and regulations of the State and Federal bodies.
To provide appropriate support at time of death.
To maintain confidentiality of patient and families at all times.
To promote hospice care and philosophy in community, as the situation arises.
To evaluate potential patients for hospice care in an alternative setting.
To comply with accepted professional standards and principles.
Other duties as assigned.

RESULTS

REQUIREMENTS

This position requires a current RN license to work in the state of Kentucky. It is preferred that the RN have two (2) years of experience as a nurse with a year preferably in an acute care setting. Hospice or home health experience is a plus. This position requires the ability to assess and respond to the needs of patients and their families, the ability to cope with patient/family emotional stress and tolerant of varying lifestyles, cultural and religious beliefs. He/she must be able to exercise judgment and discretion in confidential matters and be willing to work closely with other professionals in a team setting.

RELATIONSHIPS

PHYSICAL DEMANDS and WORKING CONDITIONS

Intake Coordinator 2

The Intake Coordinator 2 role is full-time, 10:00 AM to 6:30 PM, Monday through Friday.

The Intake Coordinator 2 position requires a professional who is organized and detail-oriented. This role communicates effectively, both with patients and families and with the HSK team.

The Intake Coordinator 2 will be a valued member of the HSK Team and will have immediate access to fellow team members.

Job Title: Intake Coordinator

Experience: 1-year nursing experience

FLSA Status: Non-exempt

FTE Status: Full-time

Education Level: LPN/RN degree

Reports to: Nursing Director/Supervisor

JOB SUMMARY:

The intake coordinator is responsible for the registration of incoming clients/patients and they are often the first employee that clients/patients/families encounter. The intake coordinator is responsible for the financial intake for each client referred and processing the information with the appropriate department. The intake coordinator makes sure that all required information for new patients/clients is received and processed and that assignments are made with the appropriate admission nurse/team. The intake coordinator is also tasked with clerical duties such as managing paperwork (creating/opening new charts), handling data entry, engaging with and answering phones, medical supply inventory and ordering, assisting nurses and team managers with coordination calls to DME, pharmacies, physicians and other duties as assigned.

Individuals in this position should be able to work in a fast-paced environment and have the time-management and multitasking skills necessary to perform a variety of duties concurrently. Speaking with and collecting information from clients and referral sources requires strong interpersonal skills, and attention to detail. The intake coordinator should also have a solid understanding of hospice and palliative care services and knowledge of the different functions of each. The ability to operate basic computer software systems (Outlook, Consolo, Enclara, Excel) is also necessary.

He/she/They will have an impact on callers and staff and needs a courteous manner with a working knowledge of hospice.

RESPONSIBILITY (not limited to)

Initiate contact to gather required clinical and demographic data from patient/client and referral sources.
Review Referrals and verify all information (address where care will be delivered, primary contact/ care provider address)
Schedule admissions with the appropriate nurse/team and complete the necessary paperwork (payer)
Work with Team Manager to schedule team assignment
Provide coverage for receptionist when appropriate
Provide coverage for walk-in referrals
Maintain a list of referral source contacts (individuals, facilities)
To assist with the IDT meeting agenda and census as requested.
To prepare the patient roster for physicians and staff
To ensure Face-to-face and Recertifications are scheduled timely
To assist with medical supplies (inventory, ordering)
To run reports as requested (SNF/ALF chart requests, facility profiles)
To contact physicians for orders as needed
To send orders for medications and DME to the appropriate company, as needed
Assist with uploading paperwork in patient charts, as needed, and ensuring that all required components of charts are filed timely.
To assist with computer data input, i.e. referrals.
To work closely with nursing supervisors.
To monitor on-call log and file in binder.
To be aware of available beds at the hospice house.
Reconciliation of DME/Supplies and Medications- Chart versus Invoice. (?)
To assist with scheduling and audits to ensure that all MD orders are carried out appropriately
Participate in call responsibilities (outside regular business hours/weekends) when required.
Other duties as assigned

REQUIREMENTS (of Position)

Positive demeanor and speaking skills
Good communication and listening skills
Proficient computer skills
Excellent organization skills with attention to detail
Ability to travel for errands
Ability to handle sensitive information

PERSONAL QUALITIES

Resourceful, empathetic, compassionate
Takes initiative
Problem-solving skills
Ability to work independently and within a team
Ability to handle multiple assignments simultaneously
Excellent interpersonal skills
Ability to engage clients/patients/families/referral sources
Exemplary and dedicated work ethic and professional at all times

Assessment of Intake Coordinator skills and competency

Weekly individual supervision
Ongoing monitoring of intakes, intake processes, and intake schedule

PHYSICAL DEMANDS and WORKING CONDITIONS

Requires sitting for long periods of time; occasional bending, stretching or lifting. This position requires the ability to work under high-stress conditions for long periods of time. Ability to hear normal range of voice, drive, and negotiate steps, walkways or housing not designed for handicap access. May require contact with individuals with communicable diseases. Able to work in normal office environment, use office equipment, and prepare written reports.

Medical Billing Coordinator

The Medical Billing Coordinator role is full-time, 8:00 AM to 4:30 PM, Monday through Friday.

The Medical Billing Coordinator position requires a professional who is organized and detail-oriented. This role communicates effectively, both with patients and families and with the HSK team.

The Medical Billing Coordinator will be a valued member of the HSK Team and will have immediate access to fellow team members.

Job Title: Billing/Accounts Receivable Coordinator

Experience: 1-3 years (preferred)

FLSA: Exempt

FTE Status: Full time

Education Level: Assoc. / Bach Degree and/or 2 – 3 Yrs. experience

Reports to: Director of Operations

Job Summary

Procuring funds from patient’s payor sources. He/she must be meticulous and tenacious in pursuing payment, with dedicated follow-through. It also, requires some creative thinking outside the box to explore potential leads for possible payment sources.

ROLE

The Billing/Accounts Receivable Coordinator (BARC) role requires the ability to multi-task in a fast-paced environment, strong team and customer service skills, technical expertise, and solid communication skills. In this role, the BARC must demonstrate solid problem-solving skills and independent action abilities. The BARC is responsible for a variety of billing functions, including insurance follow-up, claims resolution, accounts receivable management, and responding to staff, patients, and payers in a timely manner with a high level of customer service and a positive attitude.

RESPONSIBILITIES (not all-inclusive)

Under general direction, the BARC is responsible for the production and quality of billing services provided for claims submitted to federal, state, and third-party insurance carriers; performs billing, collection, and follow-up activities to maximize reimbursement; maintains service orientation to management members and clinical staff for hospice and physician billing services; manages the patient accounts, performs analysis and reporting for accounts receivable; provides training and quality control feedback for clinical staff involved in point of care data entry with tablet or laptop computers in the field.

Accurately processes insurance payments and electronic remittance files and reconciles to patient accounts.

Processes electronic and paper claims and submits to payer or clearinghouse with necessary attachments and documentation to support the claim.
Maintains account receivables by following up on outstanding claims.
Responds to phone calls and works effectively with insurance companies and patients regarding billing procedures, balances and statements. Researches information concerning write-offs and adjustments and makes recommendations to the Executive Director for resolution.

REQUIREMENTS – SOME SPECIFIC DUTIES (Not all-inclusive)

Precerts (pre-certifications) & Preauths (pre-authorizations) on all new patients for hospice eligibility.
Reauthorizations for all patients prior to expiration of current benefit periods and always before their next benefit periods.
Data entry of all required information into billing and collections systems to accomplish clean claims for all service billings.
1. Hospice Services
2. Physician Services/Visits
3. Nurse Practitioner (NP) Services/Visits
4. Room & Board Charges for Nursing Homes
5. Other services and charges as may occur
Recording collections of all monies and adjustments by patient account from EOB’s to maintain consistent integrity of account balances in systems.
Timely investigation and research to determine what corrective actions are necessary to resolve any and all billing errors on all denied claims.
Implement necessary corrections to resubmit denied claims and collect monies as quickly as possible.
Follow-up on all denied claims that have been resubmitted and work the claims to avoid timely billing denials.
Document all billing adjustments with explanations and present to Director of Finance or Executive Director for approval prior to posting adjustments to the system.
Document all billing denials with explanations and post adjustments to the system.
Reports and Documentation needed:
1. Aging report Write-off report (Must include written reasons for each write-off)
2. Face to Face report (Visits needed for the upcoming month)
3. Recerts report (All recerts needed for the upcoming month)
4. CAHPS report
5. Claims submitted thru KHN – copies sent to KHN
6. Pharmacy list collected and added to claims with Medicare
KLOCS – Medicaid for SNF Patients, enter MAP forms, follow thru for approval
Responsible for billing families/primary responsible party for residential room and board at the Hospice House.

RESULTS

Billing: To maintain success in this position, the BARC must process clean claims by accurately submitting bills with an error rate of less than 5%.
Collections: To maintain success in this position the BARC will need to be aware of all claims that have a balance over 90 days and work diligently to get them paid.

RESULTS (cont.)

To maintain success in this position, the BARC must process and collect all claims in an effective method to maintain adjustments and write-offs within industry standards.

Any and all adjustments or write-offs must have the prior approval of the Executive Director.

RELATIONSHIPS

Building positive workplace relationships is vital for career success. Relationships can positively or negatively affect your ability to accomplish your job, satisfaction with the job, or advance and gain recognition for your achievements. When you build positive relationships, you feel more comfortable with your interactions with others. You feel a closer bond to the people you spend the majority of your time working with.

This position is a customer service position that requires traits of compassion, fair-mindedness and firmness. In order to develop and build positive relationships to ensure positive outcomes in collecting money on accounts outstanding, the person in this position must maintain positive and productive interactions with your supervisor, staff and team members, senior management, vendors, clients, customers, any direct reports and directors.

Building positive relationships often provides increased resources to help you get your job done and to be more efficient. You’ll enjoy greater satisfaction at work… and so will those around you.

PHYSICAL DEMANDS and WORKING CONDITIONS

Requires sitting for long periods of time; occasional bending, stretching or lifting. This position requires the ability to work under high stress conditions for long periods of time. Ability to hear normal range of voice, drive, and negotiate steps, walkways or housing not designed for handicap access. May require contact with individuals with communicable disease. Able to work in normal office environment, use office equipment, and prepare written reports.

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