Hospice Registered Nurse, RN - Full Time

Gentiva Hospice•Camp Hill, PA

About The Position

Gentiva Hospice is hiring a full-time Hospice Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The nurse serves as a primary contact for patients and families, delivering skilled nursing care in patients’ homes, assisted living settings, or other places they call home. The role includes assessing patients, managing symptoms, educating caregivers, coordinating with an interdisciplinary team, and maintaining timely, accurate clinical records. The nurse also supports continuity of care, participates in on-call activities as applicable, and contributes to quality improvement and scheduling initiatives. The position requires sensitivity to the impact of terminal illness and end-of-life issues, sound clinical judgment, flexibility, and effective communication with patients, families, coworkers, and the hospice team. Work takes place in patients’ homes and/or institutional settings and in an automobile. The role may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The nurse must maintain transportation for work and be able to use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.

Requirements

  • Registered Nurse education and 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 as experience in individual cases.
  • Current license to practice nursing in the state of requested employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families and an understanding of 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 use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.
  • Must have and maintain transportation for work.
  • Sensitivity and tact when supporting patients and families facing terminal illness, crisis, and end-of-life issues.
  • Ability to perform varied tasks flexibly and efficiently, communicate with people of all socioeconomic backgrounds, and cooperate with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative care experience is preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephone RN assessments or screenings, and provide education as appropriate.
  • Deliver and document skilled nursing interventions and symptom management aligned with patient goals of care.
  • Develop and update individualized plans of care, including visit frequency, to address individual needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Educate patients and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care by recognizing and supporting home health, palliative care, and hospice referrals and transitions in levels of care.
  • Maintain timely and accurate clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve care goals.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers safe and confident caregiving practices, including medication administration, hospice services, symptom and pain management, and end-of-life expectations.
  • Follow infection control, regulatory, and organizational compliance standards.
  • Support organizational 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 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, including ASN-to-BSN and BSN-to-MSN support
  • 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
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