Hospice Registered Nurse

Emerald Coast Hospice•Marianna, FL
•Onsite

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized, skilled hospice nursing care to patients with life-limiting illnesses and supports their families and caregivers. The RN serves as a primary point of contact, delivering care in patients’ homes, assisted living facilities, or other settings where they live. The role includes assessing patient needs, managing symptoms, coordinating individualized care, educating caregivers, and providing emotional, physical, and spiritual support. The RN works with an interdisciplinary team to develop and update care plans, communicate changes in patient condition, support appropriate transitions in care, and maintain timely, complete clinical records. The position also involves on-call and patient-support activities as applicable, participation in quality and scheduling initiatives, and compliance with applicable clinical, regulatory, and infection-control standards. 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.

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 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 skills, and program-management knowledge.
  • 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 of all socioeconomic backgrounds.
  • Flexibility, tact, maturity, cooperation, and the ability to change tasks without losing efficiency or composure.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.

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 in accordance with patient goals of care and individualized plans.
  • Develop and update individualized plans of care, including visit frequency and identification of patient 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.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including bereavement guidance.
  • Teach caregivers safe and confident care techniques and provide practical and emotional support.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care, appropriate referrals, and transitions among home health, palliative, hospice, and other levels of care.
  • Maintain timely, accurate clinical records, including assessments, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve desired outcomes.
  • Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
  • Follow infection-control, regulatory, compliance, and organizational policy standards.
  • 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 eligible full-time associates.
  • Mileage reimbursement or fleet vehicle program.
  • Paid time off and seven paid holidays for eligible full-time associates.
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN support.
  • Free continuing education units (CEUs).
  • Company-paid life and long-term disability insurance for eligible full-time associates.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
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