Hospice Registered Nurse

Emerald Coast Hospice•Crestview, FL

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides skilled, personalized hospice nursing care to patients with life-limiting illnesses and supports their families. Care is delivered in patients’ homes, assisted living facilities, or other settings where they reside. The nurse serves as a primary contact for patients and families, completing assessments, providing symptom management and education, coordinating individualized plans of care, and communicating changes in patient condition to the appropriate providers and interdisciplinary team. The role also provides emotional, physical, and spiritual support to patients and loved ones, including guidance on hospice services, medications, pain and symptom management, end-of-life care, and bereavement. The nurse maintains timely and accurate clinical records, follows infection-control and regulatory requirements, participates in team and quality initiatives, and provides on-call and patient support as applicable. Work takes place in patients’ homes or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • Registered Nurse education and qualification.
  • 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 of community resources.
  • Excellent patient assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation, and program-management ability.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Sensitivity to end-of-life issues and the ability to support patients and families during a crisis.
  • Ability to adapt, perform varied tasks efficiently, and communicate effectively with people from varied socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, and tact when working 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 pass a Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care and individualized plans of care.
  • Develop and update individualized care plans, including visit frequency and identification of patient needs and risks.
  • Coordinate care with the interdisciplinary team and consult with physicians and nurse practitioners.
  • 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 by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Document screening and assessment findings, physician orders, progress notes, care plans, and other clinical records accurately and promptly.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve desired care outcomes.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive service.
  • Guide patients and families through hospice services, medication administration, pain and symptom management, and end-of-life processes and expectations.
  • Teach caregivers how to care for patients safely and provide practical and emotional support.
  • Follow infection-control, compliance, regulatory, 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 insurance (full-time associates)
  • Dental insurance (full-time associates)
  • Vision insurance (full-time associates)
  • Mileage reimbursement or fleet vehicle program (full-time associates)
  • Generous paid time off (full-time associates)
  • Seven paid holidays (full-time associates)
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care (full-time associates)
  • Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs (full-time associates)
  • Free continuing education units (full-time associates)
  • Company-paid life insurance (full-time associates)
  • Company-paid long-term disability insurance (full-time associates)
  • Voluntary pet, critical illness, accident, and long-term care benefits (full-time associates)
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