PRN Registered Nurse

Gentiva Hospice•Tarboro, NC

About The Position

Gentiva Hospice seeks a PRN Registered Nurse / RN Case Manager to provide personalized hospice and palliative care to patients with life-limiting illness. The nurse serves as a primary contact for patients and families, delivers skilled nursing care in patients’ homes or institutional settings, and supports patients and loved ones with education, emotional support, symptom management, and care coordination. The role collaborates with an interdisciplinary team to develop and update individualized plans of care, maintain continuity across care settings, and document care in accordance with regulatory and organizational standards. The position may include on-call and patient-support activities.

Requirements

  • Registered Nurse education and qualification.
  • 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 requested 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 regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Strong patient assessment, oral and written communication, documentation, and program-management skills.
  • Ability to provide sensitive, tactful support to patients and families facing terminal illness and crisis; adapt to changing tasks; communicate effectively across socioeconomic backgrounds; and work cooperatively with hospice colleagues.
  • 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 in-person and telephonic patient assessments and reassessments, including screenings, and provide education to patients, families, and caregivers.
  • Deliver skilled nursing interventions and symptom management aligned with goals of care and individualized plans.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Educate patients and caregivers 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 appropriate providers.
  • Support continuity of care by recognizing referrals and transitions among home health, palliative care, hospice, and levels of care.
  • Document timely clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve desired outcomes.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive services.
  • Provide practical and emotional guidance to caregivers and support patients and families with hospice services, medication administration, pain and symptom management, and end-of-life 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 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.
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