Hospice Registered Nurse, RN - Flex/Per Diem/PRN

Gentiva Hospice•East Pennsboro Township, PA

About The Position

The Hospice Registered Nurse (RN) provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The RN serves as a primary point of contact, delivers and documents skilled care in patients’ homes or institutional settings, and assesses patient needs and changes in condition. The role includes developing and updating individualized plans of care, coordinating services with an interdisciplinary team, educating patients and caregivers, and providing emotional, physical, and spiritual support. The RN maintains accurate clinical records, follows infection-control and regulatory standards, and participates in on-call and patient-support activities as applicable. This is a safety-sensitive position.

Requirements

Registered Nurse education and 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.
Knowledge of terminally ill patients, their families, hospice, hospice disciplines, community resources, general nursing practice, managed care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
Excellent patient assessment skills and oral and written communication skills.
Ability to document and manage programs effectively.
Sensitivity to end-of-life issues and ability to support patients and families in crisis.
Flexibility, sound judgment, maturity, cooperation, tact, and ability to communicate effectively with people from varied socioeconomic backgrounds.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Ability to meet applicable state-specific requirements and minimum requirements for benefits eligibility.

Nice To Haves

Hospice or palliative care experience preferred.

Responsibilities

Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings, and provide education as appropriate.
Deliver skilled nursing interventions and symptom management in alignment with patient goals of care.
Develop and update individualized plans of care, including visit frequency and identification of patient risks.
Coordinate care with interdisciplinary team members, including 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, appropriate referrals, and transitions among home health, palliative care, hospice, and levels of care.
Document assessments, physician orders, progress notes, and care plans accurately and promptly.
Maintain effective working relationships with the interdisciplinary group and involve the team when warranted by the care plan.
Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
Provide emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.
Teach caregivers to provide safe care and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life expectations.
Follow infection-control, compliance, and regulatory standards and 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
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
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
For full-time associates: free continuing education units (CEUs)
For full-time associates: company-paid life and long-term disability insurance
For full-time associates: voluntary pet, critical illness, accident, and long-term care benefits