Hospice Registered Nurse

Gentiva Hospice • Harrisonburg, VA

12d • Onsite

About The Position

The Hospice Registered Nurse (RN) / RN Case Manager provides skilled, individualized hospice nursing care to patients with life-limiting illnesses in their homes, assisted living residences, or other institutional settings. The RN serves as a primary contact for patients and families, conducting assessments, delivering symptom management, coordinating care, and providing education and emotional support throughout the hospice journey. The role works closely with an interdisciplinary team to develop and update plans of care, maintain clinical records, and support continuity and quality of care. The position may include on-call and patient-support activities as applicable.

Requirements

• Current license to practice nursing in the state of employment.
• 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 CPR certification.
• Current automobile insurance and a valid driver’s license.
• 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 such as Medicare, Medicaid, and ACHC.
• Strong patient assessment, oral and written communication, documentation, and program-management skills.
• Ability to support patients and families facing end-of-life issues and times of crisis, communicate effectively with people from varied socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
• Ability to adapt to varied tasks and changing circumstances without loss of efficiency or composure.
• Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
• Must meet applicable state-specific requirements and minimum requirements for benefit eligibility.

Nice To Haves

• Hospice or palliative care experience preferred.

Responsibilities

• Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone RN assessments and screenings.
• Deliver skilled nursing interventions and symptom management consistent with patients’ goals of care and individualized plans of care.
• Develop and update individualized care plans, including visit frequency, based on patient needs and identified risks.
• Coordinate care with the interdisciplinary team, including physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other providers.
• Provide education to patients, families, and caregivers about disease processes, self-care, hospice services and philosophy, end-of-life care, medications, symptom and pain management, nutrition, and dietary needs.
• Offer emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
• Teach caregivers safe and confident caregiving practices and provide practical and emotional support.
• Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider and care team.
• Support continuity of care, appropriate referrals, and transitions among home health, palliative care, hospice, and levels of care.
• Document timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
• Follow infection-control requirements, regulatory guidelines, and organizational policies and compliance standards.
• 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.
• Support quality-improvement and scheduling initiatives and contribute to consistent, compassionate, and efficient care.

Benefits

• Medical, dental, and vision insurance
• Wellness programs and resources
• 401(k) with company match
• Paid time off (PTO) and seven paid holidays
• FMLA, ADA, and other federal- and state-required leaves
• Short-term and long-term disability coverage
• Health Savings Account (HSA) contribution
• Mileage reimbursement or fleet vehicle program
• Cell phone reimbursement for eligible roles
• Short-term incentive for eligible roles
• Tuition reimbursement and education support
• Career advancement opportunities
• National and local recognition programs
• Teammate Assistance Fund
• Free continuing education units (CEUs)
• Company-paid life and long-term disability insurance
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
• Competitive pay

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed