Hospice Registered Nurse

Heartland Hospice•Oklahoma City, OK
•Onsite

About The Position

The Hospice Registered Nurse serves as a primary point of contact for patients and families throughout the hospice journey, delivering personalized skilled nursing care in patients’ homes, assisted living facilities, or other settings where they live. The RN completes initial and ongoing assessments, provides symptom and pain management, and develops and updates individualized plans of care in collaboration with patients, caregivers, physicians, and the interdisciplinary team. The role also includes educating and supporting patients and loved ones, coordinating transitions and referrals, maintaining clinical records, and participating in on-call and patient-support activities as applicable. The position is based in patients’ homes and/or institutional settings, with travel by automobile. It may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The RN must have and maintain transportation for work and be able to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper. This is a safety-sensitive position.

Requirements

  • Registered Nurse education and current license to practice nursing 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.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families, hospice, hospice service disciplines, community resources, general nursing practice, managed care principles, regulatory guidelines, and documentation and program management.
  • Strong patient assessment skills and good oral and written communication skills.
  • Ability to support patients and families facing life-and-death issues and crisis, communicate with people of varied socioeconomic backgrounds, and perform changing tasks with flexibility and composure.
  • Ability to maintain effective, cooperative, tactful, and mature working relationships with coworkers and hospice team members.
  • Must have and maintain transportation for work and be able to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
  • Meet applicable state-specific requirements and minimum requirements for benefit eligibility.

Nice To Haves

  • Hospice or palliative care experience is preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephone assessments or screenings, and provide appropriate education.
  • Deliver skilled nursing interventions and symptom management consistent with patient goals of care.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members 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 by recognizing and supporting home health, palliative care, and hospice referrals and transitions between levels of care.
  • Document timely and accurate screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve care outcomes.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers safe and confident care techniques and help families understand medication administration, hospice services, symptom management, and end-of-life processes.
  • Follow infection-control, regulatory, and policy requirements 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 insurance for full-time associates
  • Dental insurance for full-time associates
  • Vision insurance for full-time associates
  • Mileage reimbursement or fleet vehicle program
  • Generous paid time off and 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 pathways
  • Free continuing education units
  • Company-paid life insurance and long-term disability insurance for full-time associates
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
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