RN Telepage

Job Summary

The RN Telepage position is per diem. The person in this role provides nursing support to patients and their caregivers on evening and night shifts. Provides phone and visit support which includes assessment, implementation, and coordination of hospice services consistent with Hospice of the Northwest policies, procedures and philosophy. Salary Range: $34.78/hr to $64.31/hr DOE Skagit Regional Health offers a comprehensive benefit package including medical, dental, vision, 457b/401a (retirement), long term disability, sick time, and paid time off to all employees working 20 or more hours per week.

Essential Functions

  • Demonstrates knowledge of and practices in compliance with policies of the agency and rules and regulations of State and Federal entities which aid in determining policies.
  • Assesses the physical, psychological, social and spiritual factors that may influence patient status and incorporates data into the comprehensive assessment/plan of care/interventions.
  • Assesses the patient’s and families goals. Actively reports changes in condition and additional interventions to the Interdisciplinary Team (IDT).
  • Provides patient, family/caregivers and facility staff education and instruction.
  • Obtains, follows, and communicates physician orders while maintaining regular communications with physicians concerning patient/family care needs and responses to interventions.
  • Initiates communications with physicians, hospice staff and other agencies as needed to coordinate optimal care and use of resources for the patient/family.
  • Consults with Hospice Physician regarding relatedness for treatments outside of Plan of Care then explains Hospice services to assist patients and families in decision-making when needs are outside of Plan of Care.
  • Consults with Administrator on Call for authorizations, revocations, changes in Level of Care.
  • Provide support to bereaved at time of death.
  • Maintains patient records so that problems, plans, actions, and goals are accurately and clearly stated and changes are reflected as they occur.
  • Seeks input from other team members regarding the patient plan of care to obtain additional knowledge and support.
  • Meets regularly with hospice nursing staff to review problems or unique issues from caseloads, share professional support, and exchange feedback aimed toward enhancing professional growth.
  • Assists other hospice staff as needed.
  • Coordinates provision of pharmacy services, DME, and other supplies in a timely and cost effective manner.
  • Arranges changes to all levels of hospice care as indicated/ordered.
  • Shares in providing 24-hour seven days per week rotation to provide care for patient/families when necessary.
  • Assists with identifying and problem solving quality improvement issues by participating in the Quality Assessment Performance Improvement (QAPI) process.
  • As requested, participates in orientation of new personnel.
  • Maintains regular communications with Manager or designee to review telepage management.
  • Consults with Manager or designee regarding decisions impacting clinical staff and the delivery of care.
  • Makes decisions in conjunction with the Manager that reflect thorough consideration of alternative and creative solutions.
  • Shows sensitivity to the impact of decisions on others.
  • Informs the Manager or designee of unusual or potentially problematic issues.
  • Actively participates in program development via committees, task forces, or educational efforts.
  • Performs other duties as assigned.


RN from an accredited school of nursing. BSN or advanced degree highly desirable.


Minimum of three years work experience in one of the following areas as a Registered Nurse: Hospice, Home Health, Medical/Surgical Unit or Skilled Nursing Facility required. Minimum experience of one year as a Case Manager, Resident Case Manager, Charge Nurse or similar position preferred. Previous Medicare-certified Hospice or Home Health experience strongly preferred. Computer proficiency. Prefer experience with electronic medical records.


Current license to practice as a Registered Nurse in the state of Washington. Current Washington State Driver’s License and proof of automobile liability insurance required. Current American Heart Association (AHA) HealthCare Provider BLS required.

Other Qualifications

Ability to communicate effectively both in written and verbal form. Able to develop effective interpersonal relationships with patients/families, staff, physicians and facility staff/caregivers. Working knowledge of the fundamentals of nursing practice. Current knowledge of practice standards of Hospice. Ability to prioritize and effectively manage multiple tasks while working independently. Ability to collaborate with and delegate to other team members. Ability to educate patient, family/caregivers and facility staff so they may provide effective patient support.

Hiring Manager Contact Information

If you have questions or would like to apply for this position, use the form to the right to submit your resume or ask a question. You may also call 360-814-5550.

Nurse with Patient

Cici Maestas, Hospice Nurse, talks about working at Hospice of the Northwest

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