PRN Registered Nurse

Heartland Hospice•Raleigh, NC

About The Position

The PRN Hospice Registered Nurse (RN) / RN Case Manager provides personalized, skilled hospice nursing care to patients with life-limiting illnesses and supports their families throughout the hospice journey. The nurse serves as a primary contact for patients and families, completes assessments, delivers symptom management, develops individualized care plans, coordinates with an interdisciplinary team, and provides education and emotional support. Care may be delivered in patients’ homes, assisted living settings, or other institutional settings. The role also includes accurate clinical documentation, compliance with infection-control and regulatory standards, participation in on-call and patient-support activities as applicable, and support for continuity and quality of care.

Requirements

Registered Nurse.
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.
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.
Strong patient assessment skills and knowledge of general nursing practice.
Good oral and written communication skills, documentation skills, and program-management skills.
Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to support people facing end-of-life issues and to deal tactfully with patients, families, coworkers, and hospice-team members.
Ability to provide support during times of crisis, communicate effectively with people of all socioeconomic backgrounds, and adapt to changing tasks without losing efficiency or composure.
Maturity, cooperation, flexibility, and responsible workplace conduct.
Ability to operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephonic assessments or screenings.
Deliver skilled nursing interventions and symptom management consistent with each patient’s goals of care and individualized Plan of Care.
Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
Serve as a primary point of contact for patients and families and guide them through the hospice journey.
Coordinate care with the interdisciplinary team, including physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other care providers.
Consult with physicians and other providers and communicate changes in patient condition or signs of decline to the appropriate provider.
Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, dietary needs, hospice services, and symptom and pain management.
Teach caregivers to provide safe care and offer emotional support, reassurance, and bereavement guidance.
Support continuity of care, referrals to home health, palliative care, and hospice, and transitions between levels of care.
Maintain timely, accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
Follow infection-control, regulatory, and organizational compliance standards.
Maintain effective working relationships with the interdisciplinary group and involve the team when patient care plans warrant team participation.
Participate in on-call and patient-support activities as applicable and provide clinically competent, responsive on-call services.
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.
Generous 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, for full-time associates.