Registered Nurse

Gentiva Hospice•Sanford, NC

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The RN serves as a primary contact, delivers and documents skilled care based on individualized plans of care, assesses patient needs and condition, and coordinates care with an interdisciplinary team. Care may be provided in patients’ homes, assisted living settings, or other institutional settings. The role includes patient and caregiver education, symptom and pain management, emotional and spiritual support, coordination of referrals and transitions in care, and timely communication with providers and the care team. The RN maintains accurate clinical records, follows regulatory and infection-control standards, and participates in on-call support and quality, scheduling, and team activities as applicable.

Requirements

  • Registered Nurse with a current license to practice nursing in the state of requested employment.
  • 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.
  • 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.
  • Excellent patient assessment skills and oral and written communication skills.
  • Ability to document and manage programs and communicate effectively with people of all socioeconomic backgrounds.
  • Sensitivity and tact when supporting patients and families facing life-and-death issues and crises.
  • Flexibility to perform varied tasks without losing efficiency or composure; maturity, cooperation, and tact in working with coworkers and hospice team members.
  • 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.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ 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.
  • Educate patients, families, 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 the appropriate provider.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions in levels of care.
  • Document screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
  • 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 and provide clinically competent, 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.
  • Maintain infection-control and compliance standards and support quality improvement and scheduling initiatives.
  • Help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.

Benefits

  • Competitive pay
  • 401(k) with company match
  • Career advancement opportunities
  • National and local recognition programs
  • Teammate Assistance Fund
  • Medical insurance (full-time associates)
  • Dental insurance (full-time associates)
  • Vision insurance (full-time associates)
  • Mileage reimbursement or fleet vehicle program (full-time associates)
  • Paid time off and seven paid holidays (full-time associates)
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care (full-time associates)
  • Education support and tuition assistance (full-time associates)
  • Free continuing education units (full-time associates)
  • Company-paid life insurance and long-term disability insurance (full-time associates)
  • Voluntary pet, critical illness, accident, and long-term care benefits (full-time associates)
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