Hospice Registered Nurse

Gentiva Hospice•Ocala, FL

About The Position

The Hospice Registered Nurse (RN) provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families and caregivers. The RN serves as a primary point of contact, delivers and documents skilled nursing care in patients’ homes or institutional settings, conducts assessments, and develops and updates individualized plans of care. The role includes symptom management, patient and caregiver education, emotional and spiritual support, care coordination with an interdisciplinary team, and timely communication with providers about changes in a patient’s condition. The RN maintains accurate clinical records, follows infection-control and regulatory requirements, supports transitions across levels of care, and participates in on-call and patient-support activities as applicable. The work may take place in patients’ homes, institutional settings, and an automobile. The position requires a current nursing license in the state of employment, CPR certification, a valid driver’s license, current automobile insurance, and transportation for work. Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations and thousands of clinicians across 38 states.

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.
  • Must have and maintain transportation for work.
  • Knowledge of terminally ill patients and their families and an 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.
  • Good oral and written communication skills.
  • Knowledge of documentation and program management, general nursing practice, managed care principles, and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing end-of-life issues and crisis, communicate effectively with people of all socioeconomic backgrounds, and adapt flexibly while maintaining efficiency and composure.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must meet applicable state-specific requirements and minimum requirements for benefits eligibility.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management consistent 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, families, 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 appropriate providers.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions in levels of care.
  • Maintain 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 collaboration.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
  • Serve as a primary contact for patients and families throughout the hospice journey.
  • Provide emotional, physical, and spiritual support, comfort, education, and bereavement guidance to patients and loved ones.
  • Teach caregivers safe and confident caregiving practices.
  • Follow infection-control, compliance, and regulatory standards.
  • Support quality-improvement and scheduling initiatives.
  • 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, 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 pet, critical illness, accident, and long-term care benefits for full-time associates.
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