Hospice Registered Nurse

Gentiva • Tullahoma, TN

6d

About The Position

Gentiva is hiring a full-time Hospice Registered Nurse/RN Case Manager to provide compassionate, personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The role is a weekday position, 8 a.m.–5 p.m., with a limited after-hours on-call rotation. Care is delivered in patients’ homes, assisted living settings, or other places they call home.

The nurse serves as a primary contact for patients and families, conducts assessments, delivers and documents skilled nursing care, and develops and updates individualized plans of care. The position involves coordinating with an interdisciplinary team, educating patients and caregivers, supporting symptom management and end-of-life care, communicating changes in patient condition, and maintaining accurate clinical records in accordance with regulatory and organizational standards.

The position requires at least one year of RN experience. Hospice or palliative care experience is preferred. A current nursing license in the state of employment, CPR certification, current automobile insurance, and a valid driver’s license are required. The work takes place in patients’ homes and/or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must maintain transportation for work and effectively use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.

Requirements

• Registered Nurse education and qualification.
• At least one year of experience as an RN 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 employment.
• Current CPR certification.
• Current automobile insurance and a valid driver’s license.
• Knowledge of terminally ill patients and their families and understanding of 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 ability, and program management knowledge.
• Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Sensitivity and tact in addressing life-and-death issues and supporting patients and families during crises.
• Flexibility, maturity, cooperation, and the ability to change tasks without loss of efficiency or composure.
• Ability to communicate effectively with people from all socioeconomic backgrounds and work cooperatively with coworkers and hospice team members.
• Ability to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.
• Must have and maintain transportation for work.

Nice To Haves

• Hospice or palliative care experience.

Responsibilities

• Conduct comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephone assessments or screenings.
• Deliver skilled nursing interventions and symptom management in alignment with patient goals of care.
• Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
• Serve as a primary contact for patients and families and guide them through the hospice journey.
• Coordinate care with interdisciplinary team members, including physicians and nurse practitioners, and involve the team when appropriate.
• Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, and safe caregiving.
• Provide emotional, physical, and spiritual support to patients and their loved ones, including comfort and bereavement guidance.
• Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider.
• Support continuity of care by recognizing and supporting home health, palliative care, and hospice referrals and transitions between levels of care.
• Document screenings, assessment findings, physician orders, progress notes, and care plans accurately and promptly.
• Follow infection control, regulatory, compliance, and organizational policy standards.
• Maintain effective working relationships with the interdisciplinary group and participate in team collaboration and IDG activities.
• Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
• Support quality improvement and scheduling initiatives to promote consistent, compassionate, and efficient care.
• Help patients and families understand 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 insurance for full-time associates
• Dental insurance for full-time associates
• Vision insurance for full-time associates
• Mileage reimbursement or fleet vehicle program
• Generous paid time off and seven paid holidays
• 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 pathways
• Free continuing education units (CEUs)
• Company-paid life insurance and long-term disability insurance
• Voluntary pet, critical illness, accident, and long-term care benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed