Hospice Registered Nurse

Gentiva Hospice•Williamsburg, VA

12d•$80,000 - $90,000

About The Position

Gentiva Hospice is seeking a Registered Nurse to provide compassionate, personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The RN serves as a primary point of contact throughout the hospice journey and delivers skilled nursing care in patients’ homes, assisted living residences, and other institutional settings. The role includes assessing patients, managing symptoms, developing and updating individualized plans of care, coordinating with an interdisciplinary team, educating caregivers, and maintaining timely, accurate clinical records. The nurse also supports care transitions, participates in on-call and patient-support activities as applicable, and contributes to quality improvement and scheduling initiatives. The position requires a current nursing license in the state of employment, CPR certification, a valid driver’s license, automobile insurance, and transportation for work. Candidates need at least one year of RN experience; hospice or palliative care experience is preferred. The work takes place in patients’ 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. The listed salary range is $80,000–$90,000. Compensation may vary based on factors including location, experience, education, skills, licensure, certifications, and internal equity. The full-time benefits package includes health and wellness offerings, retirement plan matching, paid time off and holidays, disability and life insurance, tuition and continuing education support, and mileage reimbursement or a fleet vehicle program. Some benefits are subject to eligibility.

Requirements

Registered Nurse education and qualification.
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.
Must have and maintain transportation for work.
Knowledge of terminally ill patients and their families, 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 knowledge.
Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to demonstrate sensitivity to end-of-life issues, tact with patients and families, and support for people in crisis.
Ability to adapt and perform a variety of tasks while maintaining efficiency and composure.
Ability to communicate effectively with people of all socioeconomic backgrounds and cooperate with coworkers and hospice team members.
Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

Hospice or palliative care experience.

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 and telephonic assessments or screenings.
Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care and individualized plans.
Develop and update individualized plans of care, 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 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 safe care techniques and provide practical training and emotional reassurance.
Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
Support continuity of care, referrals to home health, palliative care, and hospice, and transitions between levels of care.
Document clinical records promptly and accurately, including assessment findings, physician orders, progress notes, and care plans.
Follow infection-control, regulatory, policy, and compliance standards.
Maintain effective working relationships with the interdisciplinary group and involve the team when indicated by the patient’s care plan.
Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
Support organizational quality improvement and scheduling initiatives.
Maintain patient visit timeliness, accurate records, and patient and caregiver satisfaction.

Benefits

Medical, dental, and vision insurance
Wellness program and resources
401(k) with company match
Paid time off
FMLA, ADA, and other federal- and state-required leaves
Short-term and long-term disability
Health Savings Account contribution
Mileage reimbursement or fleet car/vehicle program
Cell phone reimbursement for eligible roles
Short-term incentive for eligible roles
Tuition reimbursement and education support, including ASN-to-BSN and BSN-to-MSN assistance
Competitive pay
Career advancement opportunities
National and local recognition programs
Teammate Assistance Fund
Seven paid holidays
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
Free continuing education units
Company-paid life and long-term disability insurance
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage