Registered Nurse

Gentiva Hospice•Knoxville, TN

About The Position

Gentiva Hospice is hiring a Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The RN serves as a primary contact for patients and families and delivers skilled nursing care in patients’ homes, assisted living facilities, or other institutional settings. The role includes assessing patient needs, managing symptoms, creating individualized care plans, coordinating with an interdisciplinary team, educating caregivers, and maintaining complete clinical documentation. The RN also supports continuity of care, participates in on-call and patient-support activities as applicable, and follows infection-control, regulatory, and organizational standards. This is a safety-sensitive position.

Requirements

  • Current license to practice nursing in the state of requested employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • 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.
  • Knowledge of terminally ill patients and their families and of hospice services 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 and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation, and program management knowledge.
  • Thorough knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing crisis and end-of-life issues, communicate effectively across socioeconomic backgrounds, and demonstrate flexibility, maturity, cooperation, tact, and composure.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and 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 and telephone assessments or screenings, and educate patients, family members, and caregivers 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, to meet patient needs and identify risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Provide 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 by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Document screening and assessment findings, physician orders, progress notes, and care plans in timely clinical records.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the patient’s care plan warrants participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers how to care for patients safely and confidently.
  • Help patients and families understand medication administration, hospice services and philosophy, symptom and pain management, and end-of-life processes and expectations.
  • Follow infection-control, compliance, and regulatory 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
  • Medical, dental, and vision insurance for full-time employees
  • Mileage reimbursement or fleet vehicle program
  • Generous paid time off and seven paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance (ASN to BSN and BSN to MSN)
  • Free continuing education units (CEUs)
  • Company-paid life and long-term disability insurance
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
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