Hospice Registered Nurse

Gentiva Hospice • Flint, MI

10d

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 the primary point of contact throughout the hospice journey, delivering skilled nursing care in patients’ homes, assisted living settings, or other places they call home. The role includes assessment and reassessment, symptom management, individualized care planning, patient and caregiver education, coordination with interdisciplinary care teams, and timely clinical documentation. The RN also provides emotional, physical, and spiritual support, participates in on-call and patient support activities as applicable, and helps maintain continuity, quality, and regulatory compliance in care delivery.

The work takes place in patients’ homes and/or institutional settings and in an automobile. It may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The RN must maintain transportation for work and be able to use nursing assessment tools, computers, fax equipment, a copier, 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.
• Must have and maintain transportation for work.
• Knowledge of terminally ill patients and their families and of hospice services and philosophy.
• Ability to apply knowledge of the special needs of hospice patients and families and of the roles of hospice disciplines.
• Excellent patient assessment skills.
• Knowledge of community resources and general nursing practice.
• Good oral and written communication skills, documentation skills, and program management knowledge.
• Thorough knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Ability to support people experiencing crisis and sensitivity to the impact of life-and-death issues.
• Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people of all socioeconomic backgrounds.
• Maturity, cooperation, tact, and flexibility in the workplace and in dealings with coworkers and hospice team members.
• Ability to effectively operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.

Nice To Haves

• Hospice or palliative care experience preferred.

Responsibilities

• Serve as the primary point of contact for patients and families throughout the hospice journey.
• Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone assessments and screenings.
• Provide skilled nursing interventions and symptom management in accordance with the patient’s goals of care and individualized Plan of Care.
• Develop and update individualized plans of care, including visit frequency and identified risks.
• Deliver and document hands-on nursing care in patients’ homes, assisted living settings, or other care locations.
• Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
• Provide patient and caregiver education on disease processes, self-care, end-of-life care, medication administration, nutrition, hospice services, and symptom and pain management.
• Offer emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
• Teach caregivers practical care techniques and provide reassurance and support.
• Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
• Support continuity of care, appropriate referrals, and transitions among home health, palliative care, hospice, and levels of care.
• Document clinical records promptly, including assessment findings, physician orders, progress notes, and care plans.
• Follow infection control, regulatory, and organizational compliance standards.
• 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.
• Support quality improvement and scheduling initiatives to promote consistent, compassionate, and efficient care.
• Maintain patient transportation for work and effectively operate required equipment and work aids.

Benefits

• Competitive pay
• 401(k) with company match
• Career advancement opportunities
• National and local recognition programs
• Teammate Assistance Fund
• Medical insurance for full-time associates
• Dental insurance for full-time associates
• Vision insurance for full-time associates
• Mileage reimbursement or fleet vehicle program for full-time associates
• Generous paid time off for full-time associates
• Seven paid holidays for full-time associates
• Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care, for full-time associates
• Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs for full-time associates
• Free continuing education units for full-time associates
• Company-paid life insurance for full-time associates
• Company-paid long-term disability insurance for full-time associates
• Voluntary pet, critical illness, accident, and long-term care benefits for full-time associates

What This Job Offers

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