Hospice Registered Nurse

Gentiva•Batesville, MS

About The Position

The Hospice Registered Nurse (RN) / RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses patient needs and changes in condition, and develops and updates individualized plans of care. The role includes symptom management, caregiver education, emotional and spiritual support, coordination with an interdisciplinary team, and timely communication with providers. The nurse also maintains accurate clinical records, follows infection-control and regulatory requirements, and participates in on-call and patient-support activities as applicable. Care may take place in patients’ homes, assisted living, or other institutional settings. The position requires a current state nursing license, CPR certification, a valid driver’s license, automobile insurance, and transportation for work. At least one year of RN experience is required; hospice or palliative care experience is preferred.

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 requested employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Transportation that can be maintained and used for work.
  • Knowledge of terminally ill patients and their families, hospice principles, hospice patient and family needs, and the roles of hospice disciplines.
  • Excellent patient assessment skills and knowledge of community resources.
  • Good oral and written communication skills, documentation skills, and program management knowledge.
  • Knowledge of general nursing practice, managed care principles, and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to demonstrate sensitivity to end-of-life issues, tact, and support for people experiencing a crisis.
  • Ability to adapt to varied tasks while maintaining efficiency and composure and to communicate effectively with people from all socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, and tact in 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

  • 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 or telephonic assessments and screenings.
  • Deliver skilled nursing interventions and symptom management in accordance with patient goals of care and individualized plans of care.
  • 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, chaplains, and other providers.
  • Provide patients, caregivers, and family members with education about disease processes, self-care, end-of-life care, medication administration, nutrition, hospice services, symptom and pain management, and end-of-life expectations.
  • Offer emotional, physical, and spiritual support to patients and their loved ones, including bereavement guidance.
  • Communicate changes in patient condition and signs or symptoms of decline to appropriate providers and the care team.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions in levels of care.
  • Document clinical records promptly, including assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when care plans warrant team participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Follow infection-control, regulatory, compliance, and policy standards.
  • 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.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN pathways.
  • Free continuing education units (CEUs).
  • Company-paid life and long-term disability insurance.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
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