Hospice Registered Nurse

Gentiva Hospice•Rainbow City, AL
•Onsite

About The Position

Gentiva Hospice is seeking a Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The nurse serves as a primary contact throughout the hospice journey and delivers skilled nursing care in patients’ homes, assisted living facilities, or other institutional settings. Care is guided by individualized plans of care and emphasizes dignity, comfort, symptom management, and emotional and spiritual support. The role includes comprehensive assessments and reassessments, care planning, patient and caregiver education, coordination with an interdisciplinary team, and timely clinical documentation. The nurse 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 and scheduling initiatives. Work takes place in patients’ homes or institutional settings and in an automobile.

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.
  • Ability to use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.
  • Must have and maintain transportation for work.
  • Knowledge of terminally ill patients and their families, hospice, hospice-service disciplines, community resources, general nursing practice, managed care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Excellent patient assessment skills and good oral and written communication, documentation, and program-management skills.
  • Sensitivity to end-of-life issues and the ability to support patients and families during crises.
  • Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively across socioeconomic backgrounds and work cooperatively with the hospice team.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephone RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management in accordance with patient goals of care.
  • Develop and update individualized plans of care, including visit frequency and identified risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Educate patients, family members, 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, appropriate referrals, and transitions between home health, palliative, hospice, and other levels of care.
  • Document screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve care-plan 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 loved ones, including comfort and bereavement guidance.
  • Teach caregivers safe care techniques and provide practical and emotional support.
  • Follow infection-control, regulatory, and compliance standards 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, 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 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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