Hospice Registered Nurse

Gentiva Hospice • Jacksonville, FL

23h

About The Position

The Hospice Registered Nurse (RN), also described as an RN Case Manager, provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families and caregivers. Care is delivered in patients’ homes, assisted living facilities, or other institutional settings. The RN serves as a primary contact for patients and families, completes assessments, provides skilled nursing interventions and symptom management, and develops and updates individualized plans of care.

The role involves coordinating with an interdisciplinary team, educating patients and caregivers, communicating changes in patient condition, and maintaining accurate clinical documentation. The RN also supports continuity of care, participates in on-call and patient-support activities as applicable, and follows applicable infection-control, regulatory, and organizational standards. The position may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials, and requires transportation for work.

Requirements

• Registered Nurse education and a 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.
• Valid driver’s license and current automobile insurance.
• Must have and maintain transportation for work.
• Knowledge of terminally ill patients and their families, hospice, hospice disciplines, community resources, general nursing practice, and managed care principles.
• Knowledge of applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Strong patient assessment, oral and written communication, documentation, and program management skills.
• Ability to provide sensitive, tactful support to patients and families facing end-of-life issues and crisis.
• Ability to adapt among varied tasks while maintaining efficiency and composure, and communicate effectively with people from different socioeconomic backgrounds.
• Ability to work cooperatively and flexibly with coworkers and hospice team members.

Nice To Haves

• Hospice or palliative care experience.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephone RN assessments or screenings.
• Deliver skilled nursing interventions and symptom management in alignment with patients’ goals of care and individualized plans.
• Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
• Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
• Educate patients, family members, 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 comfort, caregiver guidance, and bereavement guidance.
• Teach caregivers how to provide safe care and offer practical training and emotional reassurance.
• Communicate changes in condition and signs or symptoms of decline to appropriate providers and the care team.
• Support continuity of care by recognizing and supporting home health, palliative care, and hospice referrals and transitions in levels of care.
• Document clinical records promptly, including assessment findings, physician orders, progress notes, and care plans.
• Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants participation.
• Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
• Follow infection-control, compliance, regulatory, and policy standards.
• Support quality improvement and scheduling initiatives and contribute to patient and caregiver satisfaction.

Benefits

• Competitive pay
• 401(k) with company match
• Career advancement opportunities
• National and local recognition programs
• Teammate Assistance Fund
• Medical insurance
• Dental insurance
• Vision insurance
• Mileage reimbursement or fleet vehicle program
• Generous paid time off
• Seven paid holidays
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
• Education support and tuition assistance
• Free continuing education units (CEUs)
• Company-paid life insurance
• Company-paid long-term disability insurance
• Voluntary pet, critical illness, accident, and long-term care benefits

What This Job Offers

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