Hospice Registered Nurse

Gentiva Hospice•Anniston, AL
•Onsite

About The Position

Gentiva Hospice is hiring a full-time Hospice Registered Nurse Case Manager to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The role serves Calhoun, Clay, Cleburne, and Talladega Counties, with a stated schedule of Monday through Friday, 8 a.m. to 5 p.m. Care is delivered in patients’ homes, assisted living facilities, or other settings where they reside. The nurse is a primary contact for patients and families, providing skilled nursing care, assessments, symptom management, education, emotional support, and care coordination. The position collaborates with an interdisciplinary team, maintains clinical documentation and regulatory compliance, and participates in on-call and patient-support activities as applicable. The work environment includes patients’ homes and institutional settings, as well as an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. 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 employment.
  • CPR certification.
  • Valid driver’s license and current automobile insurance.
  • Knowledge of terminally ill patients and their families, hospice, hospice team disciplines, community resources, general nursing practice, managed-care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Excellent patient assessment skills and oral and written communication skills.
  • Skills in clinical documentation and program management.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Ability to maintain transportation for work.
  • Sensitivity and tact when supporting patients and families dealing with terminal illness, end-of-life issues, or crisis.
  • Flexibility to perform a variety of tasks and communicate effectively with people from varied socioeconomic backgrounds.
  • Maturity, responsibility, cooperation, and tact in working with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Serve as a primary point of contact and guide patients and families through the hospice journey.
  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management consistent with each patient’s goals of care and individualized plan of care.
  • Develop and update individualized care plans, including visit frequency and identification of patient needs and risks.
  • Coordinate care with physicians, nurse practitioners, and interdisciplinary team members, including LPNs, CNAs, social workers, and chaplains.
  • Provide patients, families, and caregivers with education about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom and pain management.
  • Offer emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
  • Teach caregivers how to care for patients safely and confidently.
  • Communicate changes in condition and signs or symptoms of decline to appropriate providers and the care team.
  • Support continuity of care, appropriate referrals to home health, palliative care, or hospice, and transitions between levels of care.
  • Maintain timely, accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control practices, regulatory requirements, and organizational policies.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants it.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Support quality-improvement and scheduling initiatives.
  • Maintain patient transportation for work and use nursing assessment tools and other required equipment effectively.

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.
  • Paid time off and seven paid holidays for full-time associates.
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for full-time associates.
  • Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs for full-time associates.
  • Free continuing education units for full-time associates.
  • Company-paid life and long-term disability insurance for full-time associates.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
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