Hospice Registered Nurse

Gentiva Hospice•Ocala, FL

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized hospice and palliative nursing care to patients facing life-limiting illness and supports their families with dignity, comfort, and compassion. The nurse serves as a primary contact for patients and families, delivers skilled care in patients’ homes or institutional settings, and guides them through hospice services and end-of-life care. The role includes comprehensive assessments, symptom management, individualized care planning, caregiver education, and coordination with an interdisciplinary team. The RN documents clinical care, communicates changes in patient condition, supports continuity and transitions of care, and participates in on-call and patient-support activities as applicable. The position involves working in patient homes and/or institutional settings and using an automobile for work.

Requirements

  • 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.
  • Must have and maintain transportation for work.
  • 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.
  • Excellent 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.
  • Ability to support people facing life-and-death issues and to deal tactfully with patients and families during times of crisis.
  • Ability to adapt to varied tasks without losing efficiency or composure and to communicate effectively with people of all socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, and tact when working with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper.
  • Must meet applicable state-specific requirements and minimum requirements for benefits eligibility.

Nice To Haves

  • Hospice or palliative care experience is preferred.

Responsibilities

  • Serve as a primary point of contact for patients and families throughout the hospice journey.
  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephonic assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management in alignment with each patient’s goals and individualized Plan of Care.
  • Develop and update individualized care plans, including visit frequency and identification of patient needs and risks.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including education, comfort, and bereavement guidance.
  • Educate patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, hospice services, and symptom and pain management.
  • Teach caregivers to provide care safely and confidently, offering practical instruction and emotional reassurance.
  • Communicate changes in condition and signs or symptoms of decline to appropriate providers and the care team.
  • Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and levels of care.
  • Maintain timely, accurate, and complete clinical records, including assessments, physician orders, progress notes, and care plans.
  • Follow infection-control, regulatory, and organizational compliance standards.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan requires collaboration.
  • Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
  • Support quality-improvement and scheduling initiatives to promote consistent, compassionate, and efficient care.

Benefits

  • Competitive pay
  • 401(k) with company match
  • Career advancement opportunities
  • National and local recognition programs
  • Teammate Assistance Fund
  • Medical insurance (additional full-time benefit)
  • Dental insurance (additional full-time benefit)
  • Vision insurance (additional full-time benefit)
  • Mileage reimbursement or fleet vehicle program (additional full-time benefit)
  • Generous paid time off and seven paid holidays (additional full-time benefit)
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care (additional full-time benefit)
  • Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs (additional full-time benefit)
  • Free continuing education units (additional full-time benefit)
  • Company-paid life and long-term disability insurance (additional full-time benefit)
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage (additional full-time benefit)
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