Hospice Registered Nurse

Heartland Hospice • Portsmouth, OH

3d • $80,400 - $96,505

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families and caregivers. The RN serves as a primary point of contact, delivers and documents skilled nursing care in patients’ homes or institutional settings, and develops and updates individualized plans of care in collaboration with an interdisciplinary team.

The role includes patient assessments and reassessments, symptom and pain management, caregiver education, communication of changes in patient condition, care coordination, and timely clinical documentation. The RN also supports continuity of care and transitions between levels of care, participates in on-call and patient-support activities as applicable, and contributes to quality improvement, scheduling, and regulatory compliance. The position involves travel to patient locations using personal or other maintained transportation and may include exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

• Registered Nurse; education listed as 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.
• CPR certification.
• Current automobile insurance and a valid driver’s license.
• 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 skills and knowledge of general nursing practice.
• Good oral and written communication skills, documentation, and program management knowledge.
• Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Ability to communicate effectively with people of all socioeconomic backgrounds and demonstrate empathy, tact, flexibility, maturity, cooperation, and sound judgment.
• Ability to support patients and families facing life-and-death issues and to provide support during times of crisis.
• Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper, and to maintain transportation for work.
• Ability to perform the essential duties satisfactorily and comply with applicable workplace and state-specific requirements.

Nice To Haves

• Hospice or palliative care experience preferred.

Responsibilities

• Serve as a primary point of contact for patients and families throughout the hospice journey.
• Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephone RN assessments or screenings.
• Deliver and document skilled nursing interventions and symptom management aligned with each patient’s goals of care and individualized plan.
• 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, and maintain effective working relationships with the team.
• Educate patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, hospice services, and symptom management.
• Provide emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
• Communicate changes in 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 assessment findings, physician orders, progress notes, and care plans.
• Follow infection control, regulatory, and organizational compliance standards.
• Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
• Support quality improvement and scheduling initiatives and participate in team and interdisciplinary group activities.
• Operate nursing assessment tools, computers, fax and copying equipment, and a cell phone or beeper; maintain transportation for work.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed