Hospice Registered Nurse

SouthernCare•Foley, AL
•Onsite

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 serves as a primary contact throughout the hospice journey and delivers skilled nursing care in patients’ homes, assisted living facilities, or other institutional settings. Care is guided by individualized plans of care and includes assessment, symptom management, education, emotional support, and coordination with an interdisciplinary team. The role involves comprehensive and ongoing patient assessments, development and revision of care plans, coordination with physicians and other care professionals, and timely communication about changes in patient condition. The RN educates patients, caregivers, and families about disease processes, medications, nutrition, symptom management, hospice services, and end-of-life care. The position also requires accurate clinical documentation, compliance with clinical and regulatory standards, participation in on-call activities as applicable, and support for continuity of care and transitions between services. Work takes place in patients’ homes and/or institutional settings and in an automobile. The position may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The RN must maintain transportation for work and effectively use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper. This is a safety-sensitive position.

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 knowledge.
  • 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 a crisis.
  • Flexibility to perform varied tasks and communicate effectively with people from all socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, and tact in working with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, fax equipment, a copier, and a 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, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate care across interdisciplinary teams, including consultation 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 or signs and 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.
  • Document clinical records promptly, including assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants participation.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers how to provide safe care and offer practical training and emotional reassurance.
  • Follow infection-control, compliance, regulatory, and policy standards.
  • Support quality improvement and scheduling initiatives.
  • Help patients and families understand medication administration, hospice philosophy and services, 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 for full-time associates
  • Paid time off for full-time associates
  • Seven paid holidays for full-time associates
  • 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 support
  • Free continuing education units (CEUs)
  • 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
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