Hospice Registered Nurse

Heartland Hospice•Mishawaka, IN

About The Position

Heartland Hospice, part of Gentiva, is seeking a Hospice Registered Nurse / RN Case Manager to provide personalized hospice and palliative nursing care to patients with life-limiting illnesses and support their families. The nurse serves as a primary point of contact, delivering skilled care in patients’ homes, assisted living facilities, or other settings where they live. The role includes assessment, symptom management, care planning, caregiver education, emotional support, care coordination, and accurate clinical documentation. The nurse works with an interdisciplinary team to promote comfort, dignity, continuity of care, and appropriate interventions throughout the hospice journey. The position involves work in patients’ homes and/or institutional settings, as well as travel by automobile. It is safety-sensitive and 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 machines, copiers, and a cell phone or beeper. Heartland Hospice is part of Gentiva, a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations and clinicians across 38 states.

Requirements

  • Registered Nurse education and qualification.
  • At least one year of RN experience in acute care, 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 employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families, hospice, hospice team roles, community resources, general nursing practice, managed care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Strong patient assessment, oral and written communication, documentation, and program management skills.
  • Ability to operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.
  • Sensitivity and tact in supporting patients and families facing end-of-life issues and crises.
  • Flexibility to perform a variety of tasks while maintaining efficiency and composure.
  • Ability to communicate effectively with people from all socioeconomic backgrounds and cooperate with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephonic assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management in accordance with each patient’s individualized plan of care and goals.
  • Develop and update individualized care plans, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
  • Provide patients, families, and caregivers with education about disease processes, self-care, hospice services and philosophy, end-of-life care, medications, symptom and pain management, nutrition, and dietary needs.
  • Offer emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
  • Teach caregivers how to safely and confidently care for patients.
  • Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Maintain timely and accurate clinical records, 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 requires collaboration.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Follow infection-control, regulatory, and organizational compliance standards.
  • Support quality-improvement and scheduling initiatives to promote consistent, compassionate, and efficient care.

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 pet, critical illness, accident, and long-term care benefits for full-time associates.
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