Hospice Registered Nurse

Emerald Coast Hospice•Milton, FL

About The Position

The Hospice Registered Nurse serves as a primary point of contact for hospice patients and their families, providing skilled, individualized nursing care in patients’ homes, assisted living facilities, or other settings where they reside. The nurse assesses and reassesses patients, delivers symptom management aligned with goals of care, develops and updates individualized care plans, and documents clinical findings and care in a timely manner. The role involves coordinating care with an interdisciplinary group that may include physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains. The nurse educates patients and caregivers about disease processes, medications, nutrition, hospice services, self-care, and end-of-life care, while providing physical, emotional, and spiritual support. The position also supports continuity of care, appropriate transitions and referrals, on-call services as applicable, and quality, scheduling, compliance, and team collaboration initiatives. Work takes place in patients’ homes and/or institutional settings, as well as in an automobile. The position is safety-sensitive and requires transportation for work, a valid driver’s license, current automobile insurance, CPR certification, and a current nursing license in the state of employment. A Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse is required.

Requirements

  • Registered Nurse.
  • 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 requested employment.
  • Current CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Ability to maintain transportation for work.
  • Knowledge of terminally ill patients and their families, hospice, the special needs of hospice patients and families, and the roles of disciplines providing hospice services.
  • Patient assessment skills and knowledge of community resources, general nursing practice, documentation, and program management.
  • Oral and written communication skills and knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support patients and families facing life-and-death issues, communicate with people of varied socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
  • Ability to change between varied tasks without loss of efficiency or composure.
  • Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Completion of a Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive in-person or telephonic patient assessments and reassessments, including screenings, and provide appropriate education to patients, family members, and caregivers.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate patient care across interdisciplinary teams and consult with physicians and nurse practitioners.
  • Educate patients and caregivers 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.
  • Maintain timely clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants team participation.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including caregiver guidance and bereavement support.
  • Follow infection control, regulatory, policy, and compliance standards and support quality improvement and scheduling initiatives.

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 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, for full-time associates.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs, for full-time associates.
  • Free continuing education units for full-time associates.
  • Company-paid life and long-term disability insurance for full-time associates.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care benefits.
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