Hospice Registered Nurse

Gentiva Hospice•Americus, GA

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The RN is a primary contact for patients and caregivers, delivering and documenting skilled care in patients’ homes, assisted living facilities, or other settings where they reside. The role includes comprehensive assessments, symptom management, individualized care planning, patient and caregiver education, emotional and practical support, and coordination with an interdisciplinary team. The RN communicates changes in condition to appropriate providers, maintains accurate clinical records, follows infection-control and regulatory requirements, and supports quality improvement and scheduling initiatives. On-call and patient-support activities are included as applicable. The position is performed in patients’ homes and/or institutional settings, as well as in an automobile. The work may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must have and maintain transportation for work and be able to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.

Requirements

  • Registered Nurse.
  • 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 and their families and of hospice care and 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, and program management skills.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support patients and families facing life-and-death issues and times of crisis, communicate effectively with people from all socioeconomic backgrounds, and work tactfully and cooperatively with coworkers and hospice team members.
  • Flexibility to perform a variety of tasks and adapt to changing duties without loss of efficiency or composure.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive 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.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Educate patients, family members, 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, 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.
  • Maintain effective relationships with the interdisciplinary group and involve the team when needed to achieve desired outcomes.
  • Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
  • Teach caregivers how to provide safe and confident care for their loved one.
  • Follow infection-control, regulatory, compliance, 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, including ASN-to-BSN and BSN-to-MSN programs, for full-time associates.
  • Free continuing education units (CEUs) for full-time associates.
  • Company-paid life and long-term disability insurance for full-time associates.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.
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