Registered Nurse, RN

Gentiva Hospice•Auburndale, MA

1d•$97,000 - $105,000

About The Position

The Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The RN is the primary point of contact throughout the hospice journey, delivering skilled care in patients’ homes, assisted living facilities, or other institutional settings. The role includes comprehensive assessments, individualized care planning, symptom management, caregiver education, emotional support, and coordination with an interdisciplinary team. The position is full-time, Monday through Friday, on the day shift, with on-call and patient-support activities as applicable. The RN coordinates care with physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other team members; documents assessments, orders, progress, and care plans; and follows clinical, regulatory, infection-control, and compliance standards. The role also supports continuity of care, appropriate transitions and referrals, quality improvement, scheduling initiatives, and patient and caregiver satisfaction. Work takes place in patients’ homes and/or institutional settings and in an automobile. Conditions may include exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. The nurse must maintain transportation for work and be able to operate nursing assessment tools, computers, fax and copy equipment, and a cell phone or beeper.

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, hospice, hospice disciplines, community resources, general nursing practice, managed care principles, and applicable 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 life-and-death issues and crisis, communicate effectively with people of varied socioeconomic backgrounds, and work cooperatively with colleagues and the hospice team.
Ability to adapt flexibly to varied tasks without losing efficiency or composure.
Ability to operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Must meet applicable state-specific requirements and minimum requirements for benefits eligibility.

Nice To Haves

Hospice or palliative care experience preferred.

Responsibilities

Serve as the primary point of contact for hospice patients and their families, guiding them through the hospice journey.
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 care plans, including visit frequency and identification of patient needs and risks.
Coordinate care with interdisciplinary team members, consulting with physicians and nurse practitioners as appropriate.
Provide patient, family, and caregiver education on 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 practical and emotional support, including guidance about end-of-life processes and expectations.
Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
Support continuity of care, appropriate referrals to home health, palliative care, or hospice, and transitions between levels of care.
Document screening and assessment findings, 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.
Follow infection-control, regulatory, policy, and compliance standards.
Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
Support quality improvement and scheduling initiatives and promote consistent, compassionate, efficient care.
Maintain patient and caregiver satisfaction and contribute to team collaboration and interdisciplinary group activities.

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, including 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.