Hospice Registered Nurse

Gentiva Hospice•Hobbs, NM

20h

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized, skilled nursing care to hospice patients in their homes, assisted living facilities, or other settings where they reside. The RN serves as a primary contact for patients and families, performs assessments, develops and updates individualized plans of care, manages symptoms, and coordinates care with an interdisciplinary team. The role also includes educating and supporting patients, caregivers, and loved ones through hospice services and end-of-life care, while maintaining timely and accurate clinical documentation and adhering to regulatory, infection control, and organizational standards. The position involves visits to patients’ homes and institutional settings, as well as travel by automobile. It may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The RN must be able to provide compassionate support during crises, adapt to changing tasks, communicate effectively with people of varied socioeconomic backgrounds, and work cooperatively with patients, families, and the hospice team. This is a safety-sensitive position.

Requirements

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 skills.
Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Ability to support people facing life-and-death issues and to deal tactfully with patients, families, coworkers, and hospice team members.
Flexibility to perform varied tasks while maintaining efficiency and composure, and ability to communicate effectively with people of all socioeconomic backgrounds.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone assessments and screenings.
Deliver and document skilled nursing interventions and symptom management aligned with each patient's goals of care and individualized Plan of Care.
Develop and update individualized plans of care, including visit frequency and identification of patient risks.
Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
Provide education to patients, families, and caregivers on disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom and pain management.
Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider and care team.
Offer emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
Support continuity of care by identifying and supporting appropriate home health, palliative care, hospice referrals, and transitions between levels of care.
Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
Maintain effective working relationships with the interdisciplinary group and involve the team when patient care needs warrant collaboration.
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 policy standards.
Support quality improvement and scheduling initiatives and participate in team collaboration and interdisciplinary group activities.

Benefits

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