Hospice Registered Nurse
About The Position
Gentiva Hospice is hiring a full-time field RN case manager to provide personalized hospice and palliative care in patients’ homes, assisted living settings, and other places they call home in Butler, Dallas, Lowndes, Montgomery, Macon, Autauga, and Elmore Counties. The nurse serves as a primary point of contact for patients and families, delivering skilled nursing care, coordinating services with an interdisciplinary team, and providing education and emotional, physical, and spiritual support throughout the hospice journey. The role includes assessing patients, identifying changing needs, developing and updating individualized plans of care, managing symptoms, and documenting care. The nurse also educates patients, caregivers, and families about disease processes, medications, nutrition, hospice services, end-of-life care, and transitions between levels of care. Participation in on-call and patient support activities is required as applicable. The position involves working in patients’ homes and/or institutional settings and using an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.
Requirements
- 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.
- 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, 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 and knowledge of general nursing practice.
- Good oral and written communication skills, documentation, and program-management skills.
- Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
- Ability to provide tactful, sensitive support to patients and families facing life-and-death issues and crises.
- Ability to perform varied tasks flexibly and maintain efficiency and composure as work changes.
- Ability to communicate effectively with people from all socioeconomic backgrounds and cooperate with coworkers and hospice team members.
- Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Nice To Haves
- Hospice or palliative care experience is preferred.
Responsibilities
- Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephonic RN assessments and screenings.
- Deliver and document skilled nursing interventions and symptom management in accordance with goals of care and individualized plans.
- Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
- Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners as appropriate.
- Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
- Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
- Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and other levels of care.
- Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
- Maintain effective working relationships with the interdisciplinary group and involve team members when warranted by the care plan.
- Participate in on-call and patient support activities as applicable, providing clinically competent and responsive service.
- Teach caregivers to provide safe care and offer practical guidance and emotional reassurance.
- Follow infection-control, regulatory, compliance, and organizational standards.
- Support quality-improvement and scheduling initiatives.
- Help patients and families understand hospice philosophy and services, medication administration, 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
- Dental insurance
- Vision insurance
- Mileage reimbursement or fleet vehicle program
- Generous paid time off
- 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 pathways
- Free continuing education units (CEUs)
- Company-paid life insurance
- Company-paid long-term disability insurance
- Voluntary pet, critical illness, accident, and long-term care benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
