Hospice Registered Nurse

Heartland Hospice•Mt. Pleasant, MI

5d•Onsite

About The Position

Heartland Hospice, part of Gentiva, seeks a Hospice Registered Nurse/RN Case Manager to provide personalized hospice and palliative nursing care to patients with life-limiting illnesses and support their families. Care is delivered in patients’ homes, assisted living, or other institutional settings. The nurse serves as a primary contact for patients and families, coordinates with an interdisciplinary team, and provides clinical, educational, emotional, physical, and spiritual support throughout the hospice journey. The position includes comprehensive assessments and reassessments, skilled nursing interventions and symptom management, individualized care planning, caregiver education, communication of changes in patient condition, and timely clinical documentation. The nurse also supports continuity of care, participates in on-call and patient-support activities as applicable, and contributes to quality improvement and scheduling initiatives while following applicable clinical, infection-control, regulatory, and organizational standards. Heartland Hospice is part of a national organization with nearly 600 locations and thousands of clinicians across 38 states. The organization describes its work as compassionate care delivered wherever patients call home.

Requirements

Current Registered Nurse license to practice in the state of requested employment.
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 CPR certification.
Valid driver’s license and current automobile insurance; must maintain transportation for work.
Knowledge of terminally ill patients and their families, hospice, and the special needs of hospice patients and families.
Knowledge of the roles of disciplines providing hospice services and of community resources.
Strong patient assessment skills and knowledge of general nursing practice.
Good oral and written communication skills, documentation, and program-management abilities.
Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to provide sensitive, tactful support to patients and families facing life-and-death issues and crises.
Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people of all socioeconomic backgrounds.
Maturity, cooperation, accountability, and tact in working with coworkers and hospice team members.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Ability to work in patients’ homes and institutional settings and to tolerate potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Serve as a primary point of contact and guide patients and families through the hospice journey.
Perform comprehensive in-person or telephonic assessments and reassessments, and provide education as appropriate.
Deliver and document skilled nursing care and interventions, including symptom and pain management, aligned with each patient’s goals and individualized Plan of Care.
Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
Monitor patient condition and communicate changes, signs of decline, and other relevant updates to appropriate providers and the care team.
Coordinate care with physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other interdisciplinary team members.
Provide patient and caregiver education about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom management.
Teach caregivers safe care techniques and provide practical guidance and emotional reassurance.
Offer emotional, physical, and spiritual support to patients and their loved ones, including bereavement guidance.
Support continuity of care, referrals, and transitions among home health, palliative care, hospice, and appropriate levels of care.
Maintain timely, accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
Follow infection-control, compliance, regulatory, and organizational policy standards.
Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve care-plan outcomes.
Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
Support quality improvement and scheduling initiatives.
Maintain transportation for work and use required nursing and office equipment.

Benefits

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