Registered Nurse

Gentiva Hospice • Livingston, TN

6d

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. This is a less-than-full-time position assisting with visits as needed; applicants may share their availability. Care is delivered in patients’ homes, assisted living settings, or other places they call home. The RN serves as a primary contact for patients and families, delivers and documents skilled nursing care, assesses patient needs and changes in condition, and works with an interdisciplinary team to develop and update individualized plans of care. The role also provides patient and caregiver education, emotional and practical support, and on-call patient support as applicable.

The position requires at least one year of RN experience in acute care, oncology, long-term care, hospice, or home health. School internships and clinical hours may be considered in individual cases. 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. This is a safety-sensitive position.

Requirements

• Registered Nurse education and a 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.
• CPR certification.
• Current automobile insurance and a valid driver’s license.
• Knowledge of terminally ill patients and their families, hospice, hospice team roles, community resources, general nursing practice, and managed care and regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Strong patient assessment skills and oral and written communication skills.
• Ability to provide documentation and program management and to operate effectively with people from varied socioeconomic backgrounds.
• Sensitivity to end-of-life issues; tact and ability to support patients and families in crisis.
• Flexibility to perform varied tasks while maintaining efficiency and composure, and maturity, cooperation, and tact when working with colleagues and the hospice team.
• Ability to maintain transportation for work and operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.

Nice To Haves

• Hospice or palliative care experience.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephone RN assessments or screenings, and provide education as appropriate.
• Deliver skilled nursing interventions and symptom management in line 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.
• Provide patient and caregiver education 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 the appropriate provider.
• Support continuity of care, including appropriate referrals to home health, palliative care, and hospice and transitions between levels of care.
• Document patient screenings, assessments, physician orders, progress notes, and care plans accurately and promptly.
• Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants participation.
• Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
• Guide patients and families through the hospice journey and provide emotional, physical, and spiritual support, including bereavement guidance.
• Teach caregivers safe and confident care techniques and explain medication administration, hospice services, symptom and pain management, and end-of-life processes.
• Follow infection-control, regulatory, compliance, and policy standards and 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.
• Additional benefits listed for full-time employees: medical, dental, and vision insurance; mileage reimbursement or fleet vehicle program; generous paid time off and seven paid holidays; wellness programs; education support and tuition assistance; free continuing education units; company-paid life and long-term disability insurance; and voluntary benefits including pet, critical illness, accident, and long-term care coverage.

What This Job Offers

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