Hospice Registered Nurse

Gentiva Hospice•Asheboro, NC

About The Position

The Hospice Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients facing life-limiting illnesses and supports their families. The RN serves as a primary point of contact, delivers and documents skilled nursing care in patients’ homes or institutional settings, assesses patient needs, and develops and updates individualized plans of care. The role includes symptom management, patient and caregiver education, emotional support, care coordination, and communication with providers and an interdisciplinary team. The nurse also maintains timely and accurate clinical records, follows infection control and regulatory requirements, participates in on-call and patient support activities as applicable, and supports quality improvement and scheduling initiatives. Care may be provided in patients’ homes, assisted living settings, or other places where they live. The position involves travel by automobile and may expose the employee to infections, communicable diseases, odors, blood, excreta, and hazardous materials. Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness care with nearly 600 locations and thousands of clinicians across 38 states.

Requirements

Registered Nurse.
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, and the special needs of hospice patients and families.
Knowledge of the roles of disciplines providing hospice services and community resources.
Excellent patient assessment skills.
Good oral and written communication skills, documentation skills, and program management skills.
Knowledge of general nursing practice and managed care principles.
Knowledge of applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to support patients and families facing life-and-death issues and times of crisis with sensitivity and tact.
Ability to perform varied tasks flexibly and maintain efficiency and composure as tasks change.
Ability to communicate effectively with people of all socioeconomic backgrounds.
Demonstrated maturity, cooperation, flexibility, and tact in dealing with coworkers and hospice team members.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Must meet applicable state-specific requirements and minimum requirements for benefits eligibility.

Nice To Haves

Hospice or palliative care experience is preferred.

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 aligned with patients’ goals of care and individualized plans.
Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
Provide nursing care in patients’ homes, assisted living settings, or other institutional settings.
Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other providers.
Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, hospice services, medications, nutrition, and dietary needs.
Teach caregivers how to provide safe care and offer emotional reassurance and support.
Provide physical, emotional, and spiritual support to patients and their loved ones, including bereavement guidance.
Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider and care team.
Support continuity of care, appropriate referrals, and transitions between levels of care.
Document screening and assessment findings, physician orders, progress notes, care plans, and other clinical records accurately and on time.
Follow infection control, compliance, regulatory, and organizational policy standards.
Maintain effective working relationships with the interdisciplinary group and involve the team when warranted by the patient’s care plan.
Participate in on-call and patient support activities as applicable, responding in a clinically competent and timely manner.
Support quality improvement and scheduling initiatives to promote consistent, compassionate, and efficient care.

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 studies 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.