Hospice Registered Nurse

Gentiva Hospice•Yuma, AZ
•Onsite

About The Position

The Hospice Registered Nurse (RN) / RN Case Manager provides personalized, skilled hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The role serves as a primary point of contact, delivers and documents care in patients’ homes or institutional settings, assesses patient needs, and develops and updates individualized plans of care. The RN works with an interdisciplinary team to coordinate services, manage symptoms, educate patients and caregivers, and provide emotional, physical, and spiritual support. The position also includes documentation, compliance, quality improvement, scheduling support, and on-call and patient support activities as applicable. This is a safety-sensitive position involving work in patients’ homes or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • Registered Nurse education.
  • 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 employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • 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.
  • Good oral and written communication skills, documentation, and program management abilities.
  • Knowledge of general nursing practice and managed care principles, and familiarity with regulatory guidelines such as 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.
  • Ability to demonstrate sensitivity and tact when supporting people facing life-and-death issues and to support others during a crisis.
  • Ability to adapt to varied tasks while maintaining efficiency and composure, communicate with people from diverse socioeconomic backgrounds, and work maturely and cooperatively with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephonic assessments and screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Provide patient and caregiver education 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, appropriate referrals, and transitions between levels of care.
  • Document timely and accurate 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 care goals.
  • Participate in on-call and patient support activities as applicable, responding in a clinically competent and timely manner.
  • Serve as a primary point of contact for patients and families throughout the hospice journey.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
  • Teach caregivers how to safely care for patients and explain medication administration, hospice services, symptom and pain management, and end-of-life expectations.
  • Follow infection-control, regulatory, policy, and compliance standards.
  • Support quality improvement and scheduling initiatives.
  • Maintain timely patient visits and documentation and contribute to team collaboration and patient and caregiver satisfaction.

Benefits

  • Competitive pay
  • 401(k) with company match
  • Career advancement opportunities
  • National and local recognition programs
  • Teammate Assistance Fund
  • Medical insurance for full-time associates
  • Dental insurance for full-time associates
  • 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
  • Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs
  • Free continuing education units
  • Company-paid life insurance for full-time associates
  • Company-paid long-term disability insurance for full-time associates
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
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