Hospice Registered Nurse

New Century Hospice•Beeville, TX

10d

About The Position

The Hospice Registered Nurse (also referred to as Hospice RN / RN Case Manager) delivers personalized hospice and palliative nursing care to patients with life-limiting illness and supports their families with dignity, comfort, and compassion. The nurse serves as a primary contact for patients and families, providing skilled care in patients’ homes, assisted living, or other institutional settings. The role includes assessment, symptom management, individualized care planning, caregiver education, emotional support, and coordination with an interdisciplinary care team. The RN documents clinical care and maintains regulatory, infection-control, and compliance standards. The position also supports continuity of care, quality improvement, scheduling initiatives, and on-call patient support as applicable. Work takes place in patients’ homes and/or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

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 and their families, hospice, hospice services, 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.
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 operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Ability to support people facing end-of-life issues and times of crisis, communicate effectively with people from all socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
Ability to move among varied tasks without loss of efficiency or composure.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephone RN assessments or screenings.
Deliver skilled nursing interventions and symptom management consistent with each patient’s goals of care and individualized Plan of Care.
Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
Provide education to patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom and pain management.
Teach caregivers to provide safe and confident care and offer emotional reassurance and support.
Provide physical, emotional, and spiritual support to patients and their loved ones, including bereavement guidance.
Coordinate care with interdisciplinary team members, consult with physicians and nurse practitioners, and involve the team when patient care needs warrant.
Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider.
Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions in levels of care.
Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
Follow infection-control, regulatory, policy, and compliance standards.
Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
Support quality improvement and scheduling initiatives and maintain effective working relationships with the interdisciplinary group.

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.