Hospice Registered Nurse

Gentiva Hospice • Fayetteville, NC

6d

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized hospice and palliative care to patients with life-limiting illnesses and supports their families. The RN is a primary point of contact, delivering skilled nursing care in patients’ homes, assisted living settings, or other locations where they reside. The role includes assessing patient needs, developing and updating individualized plans of care, managing symptoms, coordinating with an interdisciplinary team, educating patients and caregivers, and maintaining timely, accurate clinical documentation. The RN also supports continuity of care, appropriate transitions and referrals, quality improvement, and on-call patient support as applicable.

The position requires at least one year of RN experience, a current nursing license in the state of employment, CPR certification, a valid driver’s license, and current automobile insurance. Hospice or palliative care experience is preferred. 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. The role requires reliable transportation and the ability to use nursing assessment tools, computers, fax and copying equipment, and a cell phone or beeper.

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.
• Knowledge of terminally ill patients and their families and an understanding of hospice 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 abilities.
• Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Sensitivity and tact when supporting people facing terminal illness, end-of-life issues, and crisis.
• Ability to adapt, perform a variety of tasks, and maintain efficiency and composure when priorities change.
• Ability to communicate effectively with people from all socioeconomic backgrounds and work cooperatively with colleagues and hospice team members.
• Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and 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 RN assessments or screenings.
• Deliver and document skilled nursing interventions and symptom management aligned with patient goals of care.
• Develop and update individualized plans of care, including visit frequency, to address patient needs and identified risks.
• Coordinate care with interdisciplinary team members, including physicians and nurse practitioners, and involve the team when appropriate.
• Provide education to patients, family members, and caregivers on disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
• Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
• Teach caregivers to provide safe care and help them understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.
• Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
• Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions in levels of care.
• Maintain timely and accurate clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
• Maintain effective working relationships with the interdisciplinary group and communicate updates that support timely interventions.
• Participate in on-call and patient support activities as applicable, providing clinically competent and responsive service.
• Follow infection control, regulatory, compliance, and organizational policy 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 pathways, for full-time associates.
• Free continuing education units 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed