Hospice Registered Nurse

Gentiva Hospice • Goldsboro, NC

4d

About The Position

The Hospice Registered Nurse (RN/RN Case Manager) provides personalized, skilled hospice nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary point of contact, delivering care in patients’ homes, assisted living residences, or other institutional settings. The role includes comprehensive assessments, symptom management, individualized care planning, caregiver education, emotional and spiritual support, and coordination with an interdisciplinary team. The nurse documents clinical care, follows infection-control and regulatory requirements, supports quality-improvement and scheduling initiatives, and participates in on-call and patient-support activities as applicable.

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 employment.
• CPR certification.
• Valid driver’s license and current automobile insurance.
• Maintain transportation for work.
• Knowledge of terminally ill patients and their families, hospice, hospice service disciplines, community resources, general nursing practice, managed care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Strong patient assessment skills, oral and written communication, documentation, and program management skills.
• Ability to communicate effectively with people from all socioeconomic backgrounds and to support patients and families during crises.
• Sensitivity, tact, maturity, cooperation, flexibility, and the ability to shift between varied tasks without losing efficiency or composure.
• Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

• Hospice or palliative care experience.

Responsibilities

• Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephonic RN assessments or screenings.
• Deliver skilled nursing interventions and symptom management in accordance with the patient’s goals of care and individualized Plan of Care.
• Develop and update individualized care plans, including visit frequency and identification of patient needs and risks.
• Serve as a primary contact for patients and families, guiding them through the hospice journey.
• Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other providers.
• Provide patients, families, and caregivers with education on disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom and pain management.
• Offer emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
• Teach caregivers how to provide safe and confident care for patients.
• Communicate changes in condition and signs or symptoms of decline to appropriate providers and the care team.
• Support continuity of care by recognizing and supporting home health, palliative care, and hospice referrals and transitions between levels of care.
• Document clinical records promptly, including 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 goals.
• Follow infection-control, regulatory, policy, and compliance standards.
• Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
• Support organizational 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.
• 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.

What This Job Offers

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