Hospice Registered Nurse, RN - Full Time

Gentiva Hospice•Meadville, PA

About The Position

The Hospice Registered Nurse (RN) provides personalized, skilled nursing care to patients with life-limiting illness and supports their families throughout the hospice journey. The RN is a primary point of contact, delivering care in patients’ homes, assisted living facilities, or other settings where they reside. Care includes comprehensive assessments, symptom management, individualized care planning, patient and caregiver education, and emotional, physical, and spiritual support. The RN collaborates with an interdisciplinary team to coordinate and adapt care, communicate changes in patient condition, support transitions between care levels, and maintain accurate clinical records. The role also includes participation in on-call and patient-support activities as applicable, along with adherence to infection-control, regulatory, and organizational standards. The position involves working in patients’ homes or institutional settings and using an automobile to travel for work. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness care, with nearly 600 locations and clinicians across 38 states.

Requirements

  • Registered Nurse education and a 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.
  • Current CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Ability to 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 of community resources.
  • Strong patient assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation, and program-management knowledge.
  • Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Sensitivity and tact when addressing end-of-life issues and supporting patients and families during a crisis.
  • Flexibility to perform varied tasks and adapt without loss of efficiency or composure.
  • Ability to communicate effectively with people of 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 preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management in alignment with each patient’s goals of care and individualized Plan 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.
  • Educate patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
  • Teach caregivers to provide safe care and help patients and families understand hospice services, medication administration, symptom and pain management, and end-of-life processes.
  • Communicate changes in condition or signs and symptoms of decline to the appropriate provider.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, hospice referrals, and transitions in levels of care.
  • Maintain timely and accurate clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve care-plan goals.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
  • Follow infection-control, compliance, regulatory, and organizational 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.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs.
  • Free continuing education units (CEUs).
  • Company-paid life and long-term disability insurance for full-time associates.
  • Voluntary pet, critical illness, accident, and long-term care benefits.
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