Hospice Registered Nurse

Gentiva Hospice•Pensacola, FL

About The Position

The Hospice Registered Nurse provides skilled, individualized hospice nursing care to patients with life-limiting illnesses and supports their families and caregivers. The RN is a primary point of contact throughout the hospice journey, delivering care in patients’ homes or institutional settings and coordinating with an interdisciplinary team to plan and adjust care. The role includes patient and caregiver education, symptom management, clinical documentation, communication about changes in condition, and support for continuity of care and transitions between care levels. On-call and patient support activities may be required as applicable. The position requires sensitivity to the physical, emotional, and spiritual needs of patients and families facing end-of-life issues. 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 employee must maintain transportation for work and meet Florida Level 2 background-screening requirements through the Care Provider Background Screening Clearinghouse.

Requirements

  • Registered Nurse.
  • 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-team disciplines, community resources, general nursing practice, managed-care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Strong patient assessment skills and oral and written communication skills.
  • Ability to document and manage programs effectively.
  • Ability to support patients and families facing life-and-death issues and provide tactful support during crises.
  • Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people from all socioeconomic backgrounds and cooperate with coworkers and hospice-team members.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Must have and maintain transportation for work.
  • Must pass a Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.
  • Must meet applicable state-specific requirements and minimum eligibility requirements for benefits.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephone assessments and screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management consistent with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with the interdisciplinary team and consult with physicians and nurse practitioners.
  • Educate patients and caregivers 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, including appropriate referrals and transitions among home health, palliative, hospice, and other levels of care.
  • Maintain timely and accurate 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 needed to achieve care-plan outcomes.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Guide patients and families through hospice services, medication administration, pain and symptom management, and end-of-life processes.
  • Teach caregivers practical care techniques and provide emotional support and reassurance.
  • Follow infection-control, regulatory, compliance, and organizational policy standards.
  • Support quality-improvement and scheduling initiatives and contribute to team collaboration and patient satisfaction.

Benefits

  • Competitive pay.
  • 401(k) with company match.
  • Career advancement opportunities.
  • National and local recognition programs.
  • Teammate Assistance Fund.
  • For full-time associates: 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.
  • 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.
  • Free continuing education units (CEUs).
  • For full-time associates: company-paid life and long-term disability insurance.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
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