Hospice Registered Nurse

Gentiva Hospice•Franklin, TN

About The Position

The Hospice Registered Nurse serves as a primary point of contact for hospice patients and their families, providing personalized, skilled nursing care and guidance throughout the hospice journey. The nurse assesses patients, delivers and documents care based on individualized plans, manages symptoms, and supports patients and loved ones emotionally, physically, and spiritually in homes or institutional settings. The role works closely with an interdisciplinary team to coordinate and adjust care, educate patients and caregivers, communicate changes in condition, and help families understand medications, hospice services, symptom management, and end-of-life processes. The nurse also maintains complete clinical records, follows infection-control and regulatory standards, participates in quality and scheduling initiatives, and provides on-call support as applicable.

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 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, their families, and hospice, including the special needs of hospice patients and families.
  • Knowledge of the roles of disciplines providing hospice services and of community resources.
  • Strong patient assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation skills, and program-management skills.
  • Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Must have and maintain transportation for work.
  • Ability to communicate effectively with people from all socioeconomic backgrounds and to work flexibly, tactfully, cooperatively, and effectively during stressful situations.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone screenings.
  • Deliver skilled nursing interventions and symptom management in alignment with patient goals of care.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom management.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care, including appropriate referrals and transitions between home health, palliative care, hospice, and levels of care.
  • Document screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
  • 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, providing clinically competent and responsive service.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
  • Teach caregivers how to care for patients safely and confidently.
  • Follow infection-control, compliance, regulatory, and organizational standards.
  • Support 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, dental, and vision insurance for full-time associates.
  • Mileage reimbursement or fleet vehicle program for full-time associates.
  • Generous 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 for 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 pet, critical illness, accident, and long-term care benefits for full-time associates.
  • $5,000 sign-on bonus.
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