Hospice Registered Nurse

Gentiva Hospice•Anderson, SC

About The Position

Gentiva Hospice is seeking a Hospice Registered Nurse to deliver personalized hospice and palliative care to patients facing life-limiting illness and support their families with dignity, comfort, and compassion. The nurse serves as a primary point of contact for patients and families, providing skilled nursing care in patients’ homes, assisted living facilities, or other institutional settings. Care is guided by individualized plans of care and includes assessment, symptom management, education, coordination, and timely clinical documentation. The Hospice RN works with an interdisciplinary team that includes physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and others. The role also supports transitions between levels of care, participates in on-call and patient-support activities as applicable, and contributes to quality improvement and scheduling initiatives. Work takes place in patients’ homes and/or institutional settings and in an automobile. The position may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials, and requires transportation for work.

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 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, including documentation and program-management skills.
  • Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing end-of-life issues and to communicate effectively with people from all socioeconomic backgrounds.
  • Flexibility to perform varied tasks while maintaining efficiency and composure; maturity, cooperation, tact, and responsible workplace conduct.
  • Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.
  • Must meet applicable state-specific requirements and minimum requirements for benefit eligibility.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ 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, families, 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.
  • Maintain timely, accurate clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when appropriate to achieve desired outcomes.
  • Participate in on-call and patient-support activities as applicable and conduct on-call services in a clinically competent and responsive manner.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers safe and confident care techniques and help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, regulatory, and compliance standards and support organizational 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, 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, including ASN-to-BSN and BSN-to-MSN programs, for full-time associates
  • Free continuing education units (CEUs) 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
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