Hospice Registered Nurse

Gentiva Hospice•Montgomery, AL
•Onsite

About The Position

Gentiva Hospice is hiring a full-time field Hospice RN Case Manager serving Montgomery, Elmore, Lowndes, Macon, Bullock, Pike, and Lee Counties. The nurse serves as a primary point of contact for patients and families, providing individualized hospice nursing care and guidance in patients’ homes, assisted living facilities, or other settings where they live. The role includes assessment, care planning, symptom management, caregiver education, interdisciplinary coordination, and accurate clinical documentation. The nurse supports patients and loved ones through end-of-life care by providing physical, emotional, and spiritual support, education about hospice services and processes, and guidance on medications and symptom and pain management. The position also supports continuity of care, appropriate transitions and referrals, on-call patient support as applicable, and organizational quality, scheduling, regulatory, and compliance initiatives. Work takes place in patients’ homes and/or institutional settings and in an automobile; potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials.

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, the special needs of hospice patients and families, and the roles of hospice disciplines.
  • Excellent patient assessment skills and knowledge of community resources.
  • Good oral and written communication skills, documentation, and program management abilities.
  • Knowledge of general nursing practice and managed care principles, and familiarity with regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Sensitivity and tact in addressing life-and-death issues and supporting patients and families during crises.
  • Ability to adapt and perform varied tasks efficiently, communicate effectively with people from all socioeconomic backgrounds, and work maturely and cooperatively with coworkers and the hospice team.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Serve as a primary point of contact and guide patients and families through the hospice journey.
  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management in alignment with each patient’s goals of care and individualized plan of care.
  • Develop and update individualized care plans, including visit frequency, to address patient needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
  • Provide patient, family, and caregiver education about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, hospice services, and symptom and pain management.
  • Teach caregivers practical care techniques and provide emotional reassurance and support.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care by identifying and supporting appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Maintain timely, accurate, and complete 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 warrants participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Follow infection-control, regulatory, policy, and compliance standards.
  • Support quality-improvement and scheduling initiatives and contribute to patient and caregiver satisfaction.

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 pathways
  • 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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