Hospice Registered Nurse, RN - Full Time

Heartland Hospice•Wyomissing, PA

About The Position

Heartland Hospice is seeking a full-time Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The RN serves as a primary contact for patients and families and delivers skilled nursing care in patients’ homes, assisted living settings, or other places they call home. The role includes assessing patient needs, managing symptoms, developing individualized plans of care, coordinating with an interdisciplinary team, and providing education and emotional support to patients and caregivers. The RN documents clinical care and follows regulatory, compliance, and infection-control standards. The role 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.

Requirements

  • Registered Nurse education.
  • 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.
  • Transportation must be available and maintained for work.
  • Knowledge of terminally ill patients and their families, hospice, and the special needs of hospice patients and families.
  • Knowledge of the roles of disciplines providing hospice services and of community resources.
  • Excellent patient assessment skills.
  • Good oral and written communication skills, documentation skills, and program-management ability.
  • Knowledge of general nursing practice and managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing end-of-life issues and crises, communicate effectively with people of all socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
  • Ability to perform varied tasks and adapt without loss of efficiency or composure.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Ability to satisfy the essential duties of the position.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings, and educate patients, family members, and caregivers as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, to address individual needs and identify risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Provide patient and caregiver education 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 by recognizing and supporting home health, palliative care, and hospice referrals and transitions between levels of care.
  • Document clinical records in a timely manner, including assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the patient’s care plan warrants participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
  • Serve as a primary contact for patients and families throughout the hospice journey.
  • Deliver and document hands-on nursing care in patients’ homes, assisted living settings, or other care settings.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.
  • Teach caregivers safe and confident care techniques and explain medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Maintain accurate clinical documentation and follow infection-control, regulatory, and compliance 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 insurance
  • Dental insurance
  • Vision insurance
  • Mileage reimbursement or fleet vehicle program
  • 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 support
  • 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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