Hospice Registered Nurse, RN - Full Time

Gentiva Hospice•East Pennsboro Township, PA

About The Position

The Hospice Registered Nurse (RN) / RN Case Manager provides personalized hospice and palliative care to patients with life-limiting illnesses and supports their families. The RN serves as a primary point of contact, delivers and documents skilled nursing care, conducts assessments, develops and updates individualized plans of care, coordinates with interdisciplinary providers, and offers practical, emotional, and spiritual support and education. Care may be provided in patients’ homes or institutional settings. The role includes managing symptoms and pain in keeping with goals of care; educating patients and caregivers about medications, nutrition, hospice services, self-care, and end-of-life processes; communicating changes in condition; maintaining timely and accurate clinical records; supporting transitions and referrals across levels of care; and participating in on-call activities as applicable. 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. The work is safety-sensitive and may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • Registered Nurse education and qualification.
  • 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, and the special needs of hospice patients and families.
  • Knowledge of the roles of disciplines providing hospice services and of community resources.
  • Excellent patient assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation, and program management skills.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Sensitivity and tact in dealing with life-and-death issues and patients’ families, and ability to support people during a crisis.
  • Flexibility to perform varied tasks and communicate effectively with people of all socioeconomic backgrounds.
  • Maturity, cooperation, and tact in working with coworkers and hospice team members.
  • Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephonic RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management in alignment with patients’ 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, and dietary needs.
  • Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions in levels of care.
  • Document screening and assessment findings, physician orders, progress notes, care plans, and other clinical records in a timely manner.
  • Maintain effective working relationships with the interdisciplinary group and involve the team in care planning when appropriate.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive services.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
  • Teach caregivers how to care for patients safely and confidently.
  • Follow infection-control, regulatory, compliance, and organizational standards.
  • 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 insurance
  • Dental insurance
  • Vision insurance
  • Mileage reimbursement or fleet vehicle program
  • Generous paid time off
  • Seven paid holidays
  • 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 insurance
  • Company-paid long-term disability insurance
  • Voluntary pet, critical illness, accident, and long-term care benefits
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