RN - Outpatient

Give your passion a purpose – join our amazing team! 

Joining the Lower Cape Fear LifeCare team means embarking on a journey where your passion finds purpose every day. As an award-winning nonprofit hospice and palliative care provider nestled in the scenic beauty of Wilmington, NC, we've been dedicated to serving individuals and families for over 40 years across southeastern North Carolina and northeastern South Carolina.

What makes us stand out?  Our commitment to your well-being and growth:

1. Fast-Track Benefits Activation and Low-Cost and No-Cost Health Insurance Plans: Health, dental, and vision coverage kick in first of the month following 30 days into your journey with us, ensuring your peace of mind and health are top priorities from the start. There are plenty of options to tailor our health insurance plans to meet your needs, including a free employee-only health plan option.  
2. Virtual Health Care Options: MediOrbis offers unlimited virtual doctor visits and mental health services at absolutely no cost to you with our healthcare plans.
3. Embrace Work-Life Harmony: You’ll earn 27 paid days off during your first year as a full-time employee, because we believe in nurturing your personal time to recharge and thrive.
4. Recognition That Matters: Your contributions don't go unnoticed here - we celebrate your milestones and successes every step of the way! Through our partnership with AwardCo, we recognize and appreciate your hard work and dedication with meaningful rewards and recognition programs. 
5. Thriving in a Supportive Culture: Our culture is rooted in collaboration, compassion, and respect. We foster a supportive environment where every team member is valued, heard, and empowered to make a difference. Together, we create a community that not only cares for our patients and families but also uplifts and supports each other. Join us and become a part of a culture that fosters growth, camaraderie, and meaningful connections.

Schedule:

• After your orientation period - your typical schedule will be Monday to Friday, 8 AM to 5 PM, but based on patient needs and emergencies, flexibility may be required to ensure quality care and comfort

• While there is a dedicated on-call team, you will rotate being backup on-call with your team.

Caseloads and Visits:

• Our goal is to have an average caseload of 13-15 patients. Depending on referral patterns, this can be higher or lower. We can see fluctuations of up to 16-18 patients at times. Leadership has bi-weekly staffing meetings to assess hiring needs to help us respond to an increased census as quickly as possible.

• Our goal is to have a minimum of 20 visits per week. This averages out to 4-5 visits a day, but this is also dependent upon patient needs, their location, and several other factors. Because of the nature of end-of-life care, a patient’s needs can change rapidly. You will have the flexibility to move visits from one day to another to best suit your patients within regulatory guidelines.

• Visits typically take 45 minutes to 1 hour, but if there is active symptom management, visits may take longer to ensure comfort.

What you’ll be doing:

• You’ll see your patients wherever they consider home (personal residence, assisted living facilities, skilled nursing facilities). We provide quality care regardless of circumstance to a variety of different socioeconomic and cultural backgrounds.

• You’ll need to be comfortable training the caregivers to care for their loved one. This might include things like demonstrating wound care, how to administer medications, how to provide personal care, and what to expect at end-of-life.

• Expect to spend extended time periods in your car, driving between patients, documenting, and coordinating care. You’ll use your own personal vehicle, and mileage driven between patient visits is reimbursable.

• Coordination of care between your patient’s community medical provider, hospice provider, and other disciplines to provide updates, obtain new orders, takes place in between visits.

• Patients are assigned by your director based on your team’s needs – determined by acuity, geography, and many other factors.

• Real-time documentation in patient’s home; medications and supplies are ordered online.

• Self-scheduling based on patient’s needs and acuity, but you’ll also need flexibility to assist your team making visits as needed to provide excellent patient care.

• You will be part of an Interdisciplinary Team (IDT) consisting of a physician, nurse practitioner, registered nurse, medical social worker, chaplain, and a CNA. Volunteers are also available to assist in patient’s needs. The team  meets every two weeks to discuss patient eligibility.

What we're looking for:

 1. Education:  Graduate of an approved school of nursing, either through an AD, Diploma or BSN program. 

  2. Licensure / Certifications:  Current license to practice professional nursing in the State of North Carolina / South Carolina. 

  3. Experience:  Two years experience.  Prefer Home Care or Hospice or related oncology experience.