Hospice Registered Nurse, RN - Full Time

Heartland Hospice•Wyomissing, PA

About The Position

Heartland Hospice, part of Gentiva, is seeking a full-time Hospice Registered Nurse / RN Case Manager to provide personalized hospice and palliative care to patients with life-limiting illness and support their families. The nurse is a primary point of contact throughout the hospice journey, delivering and documenting skilled nursing care in patients’ homes, assisted living facilities, or other places they call home. The role includes assessing patient needs, managing symptoms, coordinating care with an interdisciplinary team, educating patients and caregivers, and providing emotional, physical, and spiritual support. The position may involve on-call and patient-support activities. The position is performed in patients’ homes and/or institutional settings, as well as in an automobile. It may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must maintain transportation for work and be able to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper. This is a safety-sensitive position. Heartland Hospice is part of Gentiva, a national provider of hospice, palliative care, home health care, and advanced illness management. The company has nearly 600 locations and thousands of clinicians across 38 states.

Requirements

  • Registered Nurse education and current license to practice nursing in the state of requested employment.
  • 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 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 and of hospice and the specialized 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, and program-management knowledge.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing terminal illness and crisis, communicate effectively with people of all socioeconomic backgrounds, and work flexibly with patients, families, coworkers, and the hospice team.
  • Ability to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.
  • Ability to meet the position’s safety-sensitive requirements and applicable state-specific requirements.

Nice To Haves

  • Hospice or palliative care experience is preferred.

Responsibilities

  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephonic RN assessments or screenings.
  • Deliver skilled nursing interventions and symptom management in accordance with patient goals of care and individualized plans of care.
  • Develop and update individualized care plans, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners, and involve the team when needed to achieve desired outcomes.
  • Provide education to patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, and hospice services.
  • Teach caregivers to care for patients safely and confidently, offering practical training and emotional reassurance.
  • Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider and care team.
  • 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 participate in team collaboration and IDG activities.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Follow infection-control, regulatory, and organizational compliance standards and support quality-improvement and scheduling initiatives.
  • Help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.

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
  • Generous paid time off and seven paid holidays
  • 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 support
  • 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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