Hospice Registered Nurse

Gentiva Hospice•Conyers, GA

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 point of contact, delivering and documenting skilled care in patients’ homes, assisted living settings, or other places they call home. The role includes assessing patients, managing symptoms, developing and updating individualized plans of care, coordinating with an interdisciplinary team, educating caregivers, communicating changes in condition, and supporting patients and families through end-of-life care. The position also participates in on-call and patient-support activities as applicable and contributes to quality, scheduling, continuity-of-care, and regulatory-compliance efforts. The work takes place in patients’ homes and/or institutional settings and in an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must maintain transportation for work and effectively use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper. This is a safety-sensitive position.

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.
  • Knowledge of terminally ill patients and their families, hospice, hospice disciplines, general nursing practice, community resources, managed care principles, regulatory guidelines (including Medicare, Medicaid, and ACHC), and human resource management principles.
  • Ability to assess patients, communicate orally and in writing, document care, and manage programs.
  • Ability to support patients and families facing life-and-death issues and provide tactful support during times of crisis.
  • Flexibility to perform varied tasks while maintaining efficiency and composure, and the ability to communicate effectively with people of all socioeconomic backgrounds.
  • Maturity, cooperation, tact, and flexibility when working with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone RN assessments and screenings.
  • Deliver skilled nursing interventions and manage symptoms in accordance with the patient’s goals of care and individualized plan of care.
  • Develop and update individualized care plans, including visit frequency and identified patient risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Educate patients, families, 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 emotional reassurance and support.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider, such as an NP, PCP, or hospice physician.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions between 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 needed to achieve care-plan outcomes.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including bereavement guidance.
  • Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
  • Follow infection-control, regulatory, and organizational policy requirements 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 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 (CEUs)
  • Company-paid life insurance and long-term disability insurance for full-time associates
  • Voluntary pet, critical illness, accident, and long-term care benefits
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