Hospice Registered Nurse (Start of Care) - All Locations

JOL HEALTHCARE•Kyle, TX

6d•$100,000 - $100,000

About The Position

The Hospice Registered Nurse (Start of Care) completes compassionate start-of-care assessments, initiates individualized plans of care, and supports patients and families as they transition into hospice services. The role requires sound clinical judgment, strong communication, independent work, and effective collaboration with the interdisciplinary team (IDT). This is a Monday–Friday position with a weekly productivity expectation of 30 points. Productivity includes start-of-care admissions, tuck-in visits, routine nursing visits, and other clinical responsibilities needed to meet full-time productivity.

Requirements

Graduate of an accredited School of Nursing.
Current Registered Nurse (RN) license in the state of practice.
At least 2 years of clinical nursing experience.
Current CPR/BLS certification.
Professional boundaries, ethics, and confidentiality.
Cultural sensitivity and respect for diverse patient populations.
Adaptability and strong organizational skills in a dynamic work environment.
Commitment to compassionate, patient-centered hospice values.

Nice To Haves

BSN preferred.
Home health, hospice, or acute care experience strongly preferred.
Additional certifications such as ACLS or CHPN preferred.

Responsibilities

Perform comprehensive start-of-care assessments for newly admitted hospice patients.
Develop individualized plans of care in collaboration with patients, families, and the IDT.
Complete admission paperwork, consents, medication reconciliation, and required documentation within specified timelines.
Educate patients and caregivers about hospice philosophy, symptom management, medication administration, and safety.
Initiate comfort-focused nursing interventions based on patients’ clinical needs.
Coordinate equipment and supply delivery to support patient comfort and safety.
Communicate with attending physicians to obtain and verify hospice orders.
Provide routine, PRN, and tuck-in nursing visits as needed to meet patient needs and weekly productivity expectations.
Assess and monitor symptoms, treatment response, and overall patient condition.
Implement and adjust nursing interventions in collaboration with the IDT.
Educate patients and caregivers about disease progression, medication use, pain control, and safety practices.
Provide emotional support, guidance, and end-of-life education to families.
Promptly communicate changes in patient status to the IDT, physicians, and hospice leadership.
Participate in IDT meetings and contribute to care planning and case discussions.
Coordinate with social workers, chaplains, aides, and other team members to provide holistic care.
Collaborate with referral sources, facilities, hospitals, and providers to facilitate admissions and transitions.
Maintain accurate, complete, and timely clinical documentation in the EMR and comply with hospice regulations, agency policies, and quality standards.
Coach and train caregivers in symptom management, safety, and comfort measures; prepare families for anticipated end-of-life changes.
Explain the 24/7 hospice support system and how caregivers can access after-hours assistance.
Coordinate pharmacy orders, medication changes, and refills.
Communicate patient and family needs for upcoming weekly visits.
Complete urgent or PRN visits when needed.
Participate in an on-call rotation if required by the agency; the posting describes this as optional, depending on agency policies.
Maintain professional boundaries, ethics, and confidentiality; demonstrate cultural sensitivity, adaptability, and organizational skills; uphold compassionate, patient-centered hospice values.