Hospice Registered Nurse

Gentiva Hospice•Jasper, IN

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 RN serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses patient needs, and develops and updates individualized plans of care. The role includes symptom management, caregiver education, emotional and practical support, coordination with an interdisciplinary team, and communication about changes in patient condition. The RN also supports continuity of care, transitions between care levels, quality improvement, scheduling, and responsive on-call services as applicable. The position involves work in patients’ homes and/or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

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, hospice patient and family needs, and the roles of disciplines providing hospice services.
  • Strong patient assessment skills; knowledge of community resources, general nursing practice, managed care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Good oral and written communication skills, documentation skills, and program management knowledge.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.
  • Sensitivity and tact when supporting patients and families facing life-and-death issues and crises; flexibility, composure, effective communication across socioeconomic backgrounds, maturity, and cooperation.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephonic RN assessments and screenings; provide education to patients, family members, and caregivers.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, to meet individual needs and identify risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Educate patients and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
  • Communicate changes in condition or signs and symptoms of decline to the appropriate provider.
  • Support continuity of care by recognizing and supporting home health, palliative, and hospice referrals and transitions in levels of care.
  • Document clinical records promptly, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants its participation.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.
  • Teach caregivers safe and confident care practices and help patients and families navigate medication administration, hospice services, symptom and pain management, and end-of-life expectations.
  • 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
  • Paid time off and 7 paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance
  • 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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