Hospice Registered Nurse

Heartland Hospice•Oklahoma City, OK
•Onsite

About The Position

Heartland Hospice, part of Gentiva, is seeking a Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The nurse serves as a primary contact for patients and families and delivers skilled nursing care in patients’ homes, assisted living residences, or other institutional settings. Care is based on individualized plans of care and includes assessment, symptom management, education, emotional support, and timely documentation. The role works closely with an interdisciplinary group that may include physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains. The nurse helps patients and families understand hospice services, medications, pain and symptom management, and end-of-life processes; teaches caregivers safe care practices; and supports transitions between levels of care. The position may include on-call and patient support activities and involves travel by automobile to care locations. The work takes place in patients’ homes and/or institutional settings and in an automobile. Potential exposure includes infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position. The employee must meet applicable state requirements and minimum requirements to be eligible for benefits.

Requirements

  • Registered Nurse education.
  • 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 good oral and written communication skills.
  • Documentation 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 individuals and families facing life-and-death issues and to communicate effectively with people of all socioeconomic backgrounds.
  • Flexibility to change between varied tasks without loss of efficiency or composure; maturity, cooperation, tact, and responsible workplace functioning.
  • 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 or telephone RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Educate patients, family members, 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, appropriate 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 needed to achieve care goals.
  • Participate in on-call and patient support activities, providing clinically competent and responsive on-call services as applicable.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers practical skills to care for their loved one safely and confidently.
  • Follow infection control, regulatory, and organizational compliance 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 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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