Hospice Registered Nurse, RN - Full Time

Gentiva Hospice•New Castle, PA

About The Position

The Hospice Registered Nurse (RN) provides personalized nursing care and support to patients with life-limiting illnesses and their families in patients’ homes, assisted living settings, or other locations where they reside. The RN serves as a primary point of contact, performs initial and ongoing assessments, delivers skilled nursing interventions and symptom management, and develops and updates individualized plans of care. The role includes educating patients and caregivers, supporting them through end-of-life care, coordinating with an interdisciplinary team, and maintaining timely, accurate clinical documentation in accordance with regulatory and organizational standards. The position may involve in-person and telephonic assessments, patient visits, on-call services, and coordination of transitions among home health, palliative care, hospice, and different levels of care. Work takes place in patients’ homes or institutional settings and in an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. The role requires access to and maintenance of transportation for work.

Requirements

  • Registered Nurse.
  • 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.
  • Excellent patient assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation skills, and program-management knowledge.
  • 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.
  • Sensitivity to end-of-life issues and the ability to support patients and families during a crisis.
  • Flexibility to perform varied tasks while maintaining efficiency and composure.
  • Ability to communicate effectively with people of all socioeconomic backgrounds and to work cooperatively and tactfully with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings, and provide education to patients, family members, and caregivers.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, to meet patient needs and identify risks.
  • Coordinate care with interdisciplinary team members and consult 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 and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and levels of care.
  • Maintain timely clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve desired outcomes.
  • 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 to care for their loved ones safely and confidently.
  • 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.
  • 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 ASN-to-BSN and BSN-to-MSN programs 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 benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.
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