Hospice Registered Nurse

Gentiva Hospice•Montgomery, AL
•Onsite

About The Position

Gentiva Hospice is hiring a full-time field Hospice Registered Nurse / RN Case Manager serving Montgomery, Elmore, Lowndes, Macon, Bullock, Pike, and Lee Counties. The nurse is the primary point of contact for patients and families, delivering individualized hospice nursing care in patients’ homes, assisted living facilities, or other care settings. The role includes assessing patients, managing symptoms, coordinating care with an interdisciplinary team, educating and supporting patients and caregivers, and maintaining accurate clinical records. The nurse also supports continuity of care, quality improvement, scheduling initiatives, and on-call patient support as applicable. The position requires a current nursing license in the state of employment, CPR certification, a valid driver’s license, and current automobile insurance. At least one year of RN experience is required; hospice or palliative care experience is preferred. Work takes place in patients’ homes or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, bodily fluids, and hazardous materials. The employee must maintain transportation for work and be able to use nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.

Requirements

  • Registered Nurse education and qualification.
  • At least one year of RN experience in acute care, 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 employment.
  • Current 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 to end-of-life issues; tact and the ability to support patients and families during crises.
  • Flexibility to perform varied tasks while maintaining efficiency and composure.
  • Ability to communicate effectively with people of all socioeconomic backgrounds and to work cooperatively with coworkers and the hospice team.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Must maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Serve as the primary point of contact for hospice patients and their families.
  • Deliver and document skilled nursing care in accordance with each patient’s individualized plan of care and goals of care.
  • Conduct initial, ongoing, comprehensive, and reassessment screenings, including in-person or telephonic RN assessments.
  • Provide skilled nursing interventions and symptom management, and adjust care as needed.
  • Develop and update individualized plans of care, including visit frequency and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other providers.
  • Provide emotional, physical, and spiritual support to patients and families, including education, comfort, and bereavement guidance.
  • Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, and safe caregiving.
  • Communicate changes in condition, signs and symptoms of decline, and other important updates to appropriate providers and the care team.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative, 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 involve the team when the plan of care warrants collaboration.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive service.
  • Follow infection-control, regulatory, compliance, and organizational standards.
  • Support quality improvement and scheduling initiatives.
  • Help patients and families understand hospice philosophy and services, medication administration, symptom and pain management, and end-of-life processes and expectations.

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.
  • Generous paid time off and 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 programs.
  • Free continuing education units (CEUs).
  • Company-paid life insurance and long-term disability insurance.
  • Voluntary pet, critical illness, accident, and long-term care benefits.
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