Hospice Registered Nurse

Gentiva Hospice•Williamston, NC

About The Position

Gentiva Hospice is seeking a Hospice Registered Nurse to support Chowan County and the surrounding area. The RN serves as a primary point of contact for patients and families throughout the hospice journey, providing skilled nursing care in patients’ homes, assisted living settings, or other places they call home. The position includes comprehensive assessments, symptom management, individualized care planning, caregiver education, and coordination with an interdisciplinary team. The RN also provides emotional, physical, and spiritual support to patients and loved ones, maintains timely and accurate clinical documentation, and follows infection-control, regulatory, and organizational standards. On-call and patient-support activities are part of the role as applicable.

Requirements

  • Registered Nurse education and a current license to practice nursing in the state of requested employment.
  • 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 CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Ability to apply knowledge of terminally ill patients and their families, hospice philosophy, 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 skills, and program management ability.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
  • Must have and maintain transportation for work.
  • Ability to support patients and families facing life-and-death issues and to communicate tactfully with them during crises.
  • Flexibility to perform varied tasks and adapt without loss of efficiency or composure.
  • Ability to communicate effectively with people from all socioeconomic backgrounds and work cooperatively with colleagues and hospice team members.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephonic assessments and screenings.
  • Deliver skilled nursing interventions and symptom management in alignment with each patient’s goals of care and individualized Plan of Care.
  • Develop and update individualized care plans, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other interdisciplinary team members.
  • Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, symptom and pain management, and expected processes.
  • Teach caregivers safe care techniques and provide emotional reassurance and support.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care, including appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including bereavement guidance.
  • Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control practices, regulatory requirements, and organizational policies.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when indicated by the patient’s care plan.
  • Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
  • 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, 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.
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