Hospice Registered Nurse

Gentiva Hospice•Orlando, FL

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides personalized, skilled hospice nursing care to patients with life-limiting illness and supports their families. The nurse serves as a primary point of contact, delivers care in patients’ homes or institutional settings, and assesses patient needs to guide and update individualized plans of care. The role includes symptom management, patient and caregiver education, coordination with an interdisciplinary team, communication about changes in condition, and timely clinical documentation. The nurse also supports continuity of care, quality initiatives, and on-call patient support as applicable. The position requires an active nursing license in the state of employment, CPR certification, a valid driver’s license, current automobile insurance, and transportation for work. Candidates need at least one year of RN experience; hospice or palliative care experience is preferred. Work takes place in patient homes or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

  • Registered Nurse education and current license to practice nursing in the state of 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, 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 and tact when supporting patients and families facing end-of-life issues and crises.
  • Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people of all socioeconomic backgrounds.
  • Responsible, mature, cooperative, and flexible approach when working with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephone RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management in accordance with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency and identified risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Educate patients, families, 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 appropriate providers.
  • Support continuity of care, referrals to home health, palliative care, or hospice as appropriate, and transitions between levels of care.
  • Maintain timely clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when warranted by the patient’s care plan.
  • 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 safely care for patients and help families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection control, compliance, regulatory, and organizational 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 7 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 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 benefits, for full-time associates
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