Hospice Registered Nurse

Gentiva Hospice • Roanoke Rapids, NC

10h

About The Position

The Hospice Registered Nurse (RN) provides compassionate, skilled nursing care to patients with life-limiting illnesses and supports their families throughout the hospice journey. The RN serves as a primary point of contact, delivering care in patients’ homes, assisted living facilities, or other institutional settings, and coordinates with an interdisciplinary team to meet individualized goals of care.

The role includes comprehensive assessments, symptom management, individualized care planning, caregiver and patient education, communication of changes in condition, and timely clinical documentation. The nurse also supports continuity of care, transitions between care settings and levels of care, quality improvement, scheduling initiatives, and on-call patient support as applicable. Care includes emotional, physical, and spiritual support for patients and their loved ones, including education about hospice services, medications, pain and symptom management, and end-of-life expectations.

The position requires a current nursing license in the state of employment, CPR certification, a valid driver’s license, automobile insurance, and transportation for work. Work takes place in patients’ homes or institutional settings and in an automobile. The role may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

• Registered Nurse education.
• At least one year of RN experience in acute care hospital, oncology, long-term care, hospice, or home health; school internships and clinical hours may be considered in individual cases.
• Current license to practice nursing in the state of employment.
• CPR certification.
• Current automobile insurance and a valid driver’s license.
• Must have and maintain transportation for work.
• Knowledge of terminally ill patients and their families, hospice, hospice patient and family needs, and the roles of disciplines providing hospice services.
• Strong patient assessment skills and knowledge of community resources.
• Good oral and written communication skills, documentation, and program management knowledge.
• Knowledge of general nursing practice, managed care principles, regulatory guidelines including Medicare, Medicaid, and ACHC, and human resource management principles.
• Ability to demonstrate sensitivity, tact, flexibility, composure, maturity, cooperation, and effective communication with people from all socioeconomic backgrounds.
• Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

• Hospice or palliative care experience is preferred.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments and screenings.
• Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
• Develop and update individualized plans of care, including visit frequency and identified risks.
• Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
• Provide patients, families, and caregivers education about disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
• Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
• Support continuity of care, appropriate referrals to home health, palliative care, and hospice, and transitions between levels of care.
• Document patient screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
• Maintain effective working relationships with the interdisciplinary group and involve the team when indicated by the patient’s care plan.
• Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
• Serve as a primary contact for patients and families and provide emotional, physical, and spiritual support, education, comfort, and bereavement guidance.
• Teach caregivers how to provide safe and confident care for their loved ones.
• Maintain accurate clinical documentation and follow infection-control, compliance, and regulatory standards.
• Support quality-improvement and scheduling initiatives.
• Help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.

Benefits

• Competitive pay
• 401(k) with company match
• Career advancement opportunities
• National and local recognition programs
• Teammate Assistance Fund
• Medical insurance for full-time associates
• Dental insurance for full-time associates
• Vision insurance for full-time associates
• Mileage reimbursement or fleet vehicle program for full-time associates
• Generous paid time off and seven paid holidays for full-time associates
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
• Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs
• Free continuing education units (CEUs)
• Company-paid life and long-term disability insurance for full-time associates
• Voluntary pet, critical illness, accident, and long-term care benefits

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed