Hospice Registered Nurse

Heartland Hospice•Circleville, OH
•$80,000 - $91,000

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. The nurse serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses changing needs, and develops individualized plans of care. The role includes symptom management, caregiver and patient education, emotional and spiritual support, coordination with interdisciplinary care teams, and timely communication of clinical changes. The nurse also supports continuity of care, regulatory compliance, quality improvement, scheduling initiatives, and on-call patient support as applicable. The position involves working in patients’ homes, institutional settings, and an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must maintain transportation for work and be able to use nursing assessment tools, computers, fax and copy equipment, and a cell phone or beeper.

Requirements

  • Registered Nurse education or 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 employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families, hospice philosophy, hospice patient and family needs, and the roles of hospice disciplines.
  • Strong patient assessment skills and knowledge of community resources.
  • Good oral and written communication skills, documentation, and program management knowledge.
  • Knowledge of general nursing practice, managed care principles, and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support patients and families facing end-of-life issues and crisis, communicate with people from varied socioeconomic backgrounds, and demonstrate tact, maturity, cooperation, and flexibility.
  • Ability to perform a variety of tasks and adapt without loss of efficiency or composure.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience.

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 assessments or screenings.
  • Deliver and document skilled nursing interventions and symptom management aligned with each patient’s goals and individualized plan of care.
  • Develop and update individualized care plans, including visit frequency and risk identification.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
  • Provide education to patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, hospice services, and symptom and pain management.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.
  • Communicate changes in patient condition and signs or symptoms of decline to appropriate providers and the care team.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice 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, policy, and compliance standards.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when warranted by the care plan.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Support quality improvement and scheduling initiatives to promote consistent, compassionate, and efficient care.

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.
  • 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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