Hospice Registered Nurse

Emerald Coast Hospice•Marianna, FL

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 nurse serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, conducts assessments, develops and updates individualized plans of care, and coordinates with an interdisciplinary team. The role also includes patient and caregiver education, emotional and spiritual support, symptom management, and communication with providers about changes in condition. The RN maintains timely and accurate clinical records, follows infection-control and regulatory requirements, supports continuity of care and quality initiatives, and participates in on-call and patient-support activities as applicable. Work takes place in patients’ homes and/or institutional settings and in an automobile. Potential exposures include 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, the special needs of hospice patients and families, and the roles of disciplines providing hospice services.
  • Strong patient assessment skills; knowledge of community resources, general nursing practice, documentation, program management, managed care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Good oral and written communication skills and the ability to communicate effectively with people of all socioeconomic backgrounds.
  • Sensitivity and tact when supporting patients and families facing end-of-life issues and crises.
  • Flexibility to perform varied tasks while maintaining efficiency and composure, and maturity, cooperation, 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.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with each patient’s goals of care.
  • Develop and update individualized plans of care, including visit frequency, to address patient needs and identified risks.
  • Coordinate care with interdisciplinary team members and consult with 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 and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions between levels of care.
  • Document screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
  • Guide patients and families through the hospice journey and provide emotional, physical, and spiritual support, including bereavement guidance.
  • Teach caregivers safe care techniques and provide practical training and emotional reassurance.
  • Follow infection-control, compliance, and regulatory standards and 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 for full-time associates.
  • Generous 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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