Registered Nurse

Gentiva Hospice•Asheboro, NC

About The Position

The Registered Nurse provides hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary point of contact, delivering and documenting skilled care in patients’ homes, assisted living facilities, or other settings where they reside. Care is individualized to each patient’s Plan of Care and includes assessment, symptom management, education, and emotional support. The role coordinates care with an interdisciplinary team, including physicians, nurses, aides, social workers, and chaplains. The nurse helps patients and caregivers understand medications, hospice services, symptom and pain management, nutrition, and end-of-life processes. The position also includes timely clinical documentation, regulatory and infection-control compliance, participation in on-call 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, their families, and hospice care, including 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 and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation skills, and program-management knowledge.
  • Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing end-of-life issues and respond tactfully and sensitively to patients and families in crisis.
  • Ability to adapt among varied tasks while maintaining efficiency and composure, communicate effectively across socioeconomic backgrounds, and work cooperatively with the hospice team.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Serve as a primary contact for hospice patients and their families throughout the hospice journey.
  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone screenings.
  • Deliver skilled nursing interventions and symptom management in alignment with patient goals of care.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Provide education to patients, family members, and caregivers on disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
  • Teach caregivers safe care techniques and provide emotional reassurance and support.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care, appropriate referrals, and transitions between levels of care.
  • Document assessments, physician orders, progress notes, care plans, and other clinical records accurately and promptly.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when appropriate.
  • Participate in on-call and patient-support activities as applicable.
  • Follow infection-control, regulatory, policy, and compliance standards.
  • Support quality-improvement and scheduling initiatives.
  • Offer emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.

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
  • Paid time off and seven paid holidays for full-time associates
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs
  • Free continuing education units (CEUs)
  • Company-paid life and long-term disability insurance for full-time associates
  • Voluntary pet, critical illness, accident, and long-term care benefits
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