Hospice Registered Nurse

Heartland Hospice•Newport News, VA
•Onsite

About The Position

The Hospice Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses and reassesses patient needs, and develops and updates individualized plans of care. The role includes symptom management, caregiver education, emotional and practical support, communication with providers and the interdisciplinary team, and assistance with care transitions. The nurse maintains accurate clinical records, follows infection-control and regulatory standards, and participates in on-call and patient-support activities as applicable. The position requires an active nursing license in the state of employment, CPR certification, a valid driver’s license, current automobile insurance, and transportation for work. Work takes place in patients’ homes or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The role also requires use of nursing assessment tools, computers, fax and copier equipment, and a cell phone or beeper. The listed salary range is $80,000–$90,000, with compensation varying based on factors including location, experience, education, skills, licensure, and certifications. The employer describes a comprehensive benefits package, with some benefits dependent on eligibility or role.

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.
  • Transportation available and maintained for work.
  • Knowledge of terminally ill patients, their families, hospice, and the special needs of hospice patients and families.
  • Knowledge of hospice service disciplines, community resources, general nursing practice, managed care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Strong patient assessment, oral and written communication, documentation, and program management skills.
  • Ability to support patients and families facing end-of-life issues and crises with sensitivity and tact.
  • Ability to adapt to varied tasks and changing circumstances without losing efficiency or composure.
  • Ability to communicate effectively with people from varied socioeconomic backgrounds and to work cooperatively with colleagues and hospice team members.
  • Ability to operate nursing assessment tools, computers, fax 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 and telephone assessments or screenings.
  • Deliver and document skilled nursing interventions and symptom management in accordance with each patient’s goals of care and individualized plan.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with physicians, nurse practitioners, and interdisciplinary team members, including LPNs, CNAs, social workers, and chaplains.
  • Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom and pain management.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
  • Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care, appropriate referrals, and transitions between levels of care.
  • Maintain timely and accurate clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control, regulatory, and organizational compliance standards.
  • 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.
  • Support quality-improvement and scheduling initiatives.

Benefits

  • Medical, dental, and vision insurance
  • Wellness programs and resources
  • 401(k) with company match
  • Paid time off
  • Seven paid holidays
  • Federal- and state-required leaves, including FMLA and ADA-related leave
  • Short-term and long-term disability
  • Health Savings Account contribution
  • Mileage reimbursement or fleet vehicle program
  • Cell phone reimbursement for eligible roles
  • Short-term incentive for eligible roles
  • Tuition reimbursement and education support
  • Free continuing education units
  • Company-paid life insurance
  • Career advancement opportunities
  • National and local recognition programs
  • Teammate Assistance Fund
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
  • Wellness programs including telemedicine, diabetes management, and joint and spine concierge care
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