Hospice Registered Nurse

Gentiva Hospice•Jackson, TN

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 throughout the hospice journey, delivering skilled nursing care in patients’ homes or institutional settings and developing care based on each patient’s individualized needs and goals. The role includes assessing and reassessing patients, managing symptoms, coordinating with interdisciplinary care teams, and educating patients and caregivers about medications, disease processes, nutrition, self-care, hospice services, and end-of-life care. The RN offers physical, emotional, and spiritual support, documents care, communicates changes in patient condition, and contributes to continuity, quality, and compliance. The position may include on-call and patient-support activities.

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, hospice disciplines, community resources, general nursing practice, and managed care and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Excellent patient assessment skills and oral and written communication skills.
  • Ability to document and support program management.
  • Sensitivity and tact in working with patients facing terminal illness and their families, including the ability to support people during crises.
  • Ability to adapt to changing tasks while maintaining efficiency and composure, and to communicate effectively with people of all socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, and tact in working with coworkers and hospice team members.
  • Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.
  • Must meet applicable state-specific requirements and minimum requirements to be eligible for benefits.

Nice To Haves

  • Hospice or palliative care experience is preferred.

Responsibilities

  • Perform comprehensive in-person and telephonic patient assessments and reassessments, including screenings, and 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 and identification of patient needs and risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Provide education 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, appropriate referrals to home health, palliative care, and hospice, and transitions between levels of care.
  • Document timely clinical records, including 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 team participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Teach caregivers practical and safe caregiving techniques and provide emotional reassurance.
  • Maintain infection control, compliance, and regulatory standards.
  • Support organizational quality-improvement and scheduling initiatives.
  • Provide patients and families with guidance about medication administration, hospice philosophy and services, 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, 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, including ASN-to-BSN and BSN-to-MSN programs, for full-time associates.
  • Free continuing education units (CEUs) for full-time associates.
  • Company-paid life and long-term disability insurance for full-time associates.
  • Voluntary pet, critical illness, accident, and long-term care benefits for full-time associates.
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