Hospice Registered Nurse, RN - Full Time

Gentiva Hospice•New Castle, PA

About The Position

The Hospice Registered Nurse (RN), also described as an RN Case Manager, provides personalized hospice and palliative nursing care to patients with life-limiting illnesses in their homes, assisted living residences, and other institutional settings. The RN is a primary contact for patients and families and delivers skilled nursing care according to individualized plans of care, supporting comfort, dignity, and patient and caregiver understanding throughout the hospice journey. The role includes comprehensive initial and ongoing assessments, symptom management, care planning, patient and caregiver education, coordination with an interdisciplinary team, communication about changes in patient condition, and timely clinical documentation. The RN also supports continuity of care, participates in on-call and patient support activities as applicable, and contributes to quality improvement, scheduling, and team collaboration. Work takes place in patient homes or institutional settings and may involve travel by automobile. This is a safety-sensitive position.

Requirements

  • Registered Nurse education and current license to practice nursing in the state of 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.
  • 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, 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, oral and written communication, documentation, and program management skills.
  • Knowledge of general nursing practice, managed care principles, and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Sensitivity and tact in addressing end-of-life issues and supporting patients and families during crises.
  • Flexibility, composure, maturity, cooperation, and effective communication with people of varied socioeconomic backgrounds and members of the hospice team.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments and screenings.
  • Deliver skilled nursing interventions and manage symptoms in alignment with each patient’s goals of care.
  • Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Educate patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, and hospice services.
  • Teach caregivers safe care techniques and provide emotional reassurance and support.
  • Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care, including appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Document patient screening and assessment findings, physician orders, progress notes, and care plans accurately and promptly.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when patient care plans warrant collaboration.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Follow infection-control, regulatory, compliance, and organizational standards.
  • Support quality improvement and scheduling initiatives and participate in team collaboration and IDG activities.

Benefits

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