Registered Nurse Hospice PRN

Gentiva Hospice•Carroll, IA
•Onsite

About The Position

The Hospice Registered Nurse provides personalized, skilled nursing care and support to patients with life-limiting illnesses and their families in patients’ homes or institutional settings. The RN serves as a primary point of contact, conducts assessments, delivers symptom management, develops individualized plans of care, and coordinates services with an interdisciplinary team. The role also includes educating and supporting patients, caregivers, and families, maintaining accurate clinical records, and participating in on-call activities as applicable. This is a safety-sensitive position.

Requirements

  • Registered Nurse education and current license to practice nursing in the state of 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.
  • Knowledge of terminally ill patients and their families, hospice, hospice disciplines, community resources, general nursing practice, managed care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Strong patient assessment, oral and written communication, documentation, and program-management skills.
  • Ability to support patients and families facing end-of-life issues, communicate effectively across socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
  • Ability to perform varied tasks and maintain efficiency and composure as work changes.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copiers, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephone assessments and screenings, and provide education as appropriate.
  • 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.
  • Educate patients and caregivers 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, referrals to home health, palliative care, or hospice, 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 appropriate to achieve desired outcomes.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive service.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers how to safely care for patients and help families understand medication administration, hospice services, symptom and pain management, and end-of-life expectations.
  • Follow infection-control, regulatory, compliance, 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.
  • Full-time associates: medical, dental, and vision insurance.
  • Full-time associates: mileage reimbursement or fleet vehicle program.
  • Full-time associates: generous paid time off and seven paid holidays.
  • Full-time associates: wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
  • Full-time associates: education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs.
  • Full-time associates: free continuing education units.
  • Full-time associates: company-paid life and long-term disability insurance.
  • Full-time associates: voluntary pet, critical illness, accident, and long-term care benefits.
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