Hospice Registered Nurse

Gentiva Hospice•Memphis, TN

About The Position

Gentiva Hospice is hiring a full-time Hospice Registered Nurse / RN Case Manager to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The nurse is a primary point of contact, delivering and documenting skilled nursing care according to individualized plans of care in patients’ homes, assisted living facilities, or other settings where they live. This is a weekday position with a limited after-hours on-call rotation. The role includes assessing patients, managing symptoms, coordinating care with an interdisciplinary team, educating patients and caregivers, and providing emotional, physical, and spiritual support. The nurse helps patients and families understand hospice services, medications, pain and symptom management, and end-of-life processes. The role also requires timely clinical documentation, compliance with infection-control and regulatory standards, and participation in quality improvement, scheduling, and on-call activities.

Requirements

  • Registered Nurse education and 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.
  • 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.
  • Excellent 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 provide tactful, sensitive support to patients and families facing end-of-life issues and crises.
  • Ability to adapt to varied tasks while maintaining efficiency and composure and to communicate effectively with people from all socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, tact, and responsible functioning in the workplace and with the hospice team.
  • 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 is preferred.

Responsibilities

  • Serve as a primary point of contact for hospice patients and their families throughout the hospice journey.
  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephonic assessments or screenings.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care and individualized plans.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other members of the interdisciplinary team.
  • Provide education to patients, families, and caregivers about disease processes, self-care, hospice and end-of-life care, medications, nutrition, and dietary needs.
  • Teach caregivers how to safely and confidently care for their loved ones, providing practical instruction and emotional reassurance.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and levels of care.
  • Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control, regulatory, and organizational compliance standards.
  • 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, providing clinically competent and responsive service.
  • Support quality-improvement and scheduling initiatives.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including bereavement guidance.

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
  • Generous paid time off and 7 paid holidays
  • 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
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
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