Hospice Registered Nurse

Gentiva Hospice•Florence, AL

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 and caregivers. The RN serves as a primary contact, delivers and documents skilled nursing care in patients’ homes or institutional settings, assesses patient needs and condition, and develops and updates individualized plans of care. The role includes coordinating with an interdisciplinary team, educating patients and caregivers, supporting transitions in care, and providing emotional, physical, and spiritual support. The RN also participates in on-call and patient-support activities as applicable and follows clinical, regulatory, infection-control, and documentation standards. The work is performed in patients’ homes and/or institutional settings, as well as in an automobile. The role may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must maintain transportation for work and be able to use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.

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.
  • 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.
  • Strong 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 support people facing end-of-life issues and family crises with sensitivity and tact.
  • Flexibility to perform varied tasks and communicate effectively with people from all socioeconomic backgrounds.
  • Ability to work cooperatively and maturely with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with patient 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 by recognizing and supporting home health, palliative, and hospice referrals and transitions between levels of care.
  • Document 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 patient care plans warrant participation.
  • 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 caregiver guidance and bereavement support.
  • Follow infection-control, regulatory, policy, and compliance standards.
  • Support organizational 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 eligible full-time associates.
  • Mileage reimbursement or fleet vehicle program for eligible full-time associates.
  • Generous paid time off and seven paid holidays for eligible full-time associates.
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for eligible full-time associates.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN pathways, for eligible full-time associates.
  • Free continuing education units (CEUs) for eligible full-time associates.
  • Company-paid life and long-term disability insurance for eligible full-time associates.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for eligible full-time associates.
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