Registered Nurse

Gentiva Hospice•Hobbs, NM

About The Position

The Registered Nurse provides personalized hospice and palliative care to patients facing life-limiting illness, supporting patients and families with dignity, comfort, and compassion. The RN serves as a primary contact for patients and families and delivers skilled nursing care in patients’ homes, assisted living residences, or other institutional settings. The role includes assessment, symptom management, individualized care planning, patient and caregiver education, interdisciplinary coordination, and timely clinical documentation. The RN also participates in on-call and patient-support activities as applicable and supports quality improvement and scheduling initiatives. The position requires sensitivity to end-of-life concerns, sound clinical judgment, flexibility, effective communication, and the ability to work collaboratively with patients, families, and the hospice interdisciplinary team. Work takes place in patients’ homes and/or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

  • Current license to practice nursing in the state of requested employment.
  • Current CPR certification.
  • 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 automobile insurance and a valid driver’s license.
  • Must have and maintain transportation for work.
  • Knowledge of terminally ill patients and their families, hospice, and the special needs of hospice patients and families.
  • Knowledge of the roles of disciplines providing hospice services and of community resources.
  • Strong patient assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation, and program management knowledge.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Sensitivity and tact in addressing life-and-death issues and supporting patients and families during crises.
  • Flexibility to perform a variety of changing tasks without loss of efficiency or composure.
  • Ability to communicate effectively with people of all socioeconomic backgrounds and work cooperatively with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephone assessments or screenings, and provide education as appropriate.
  • Deliver and document skilled nursing interventions and symptom management in alignment with each patient’s goals of care and individualized Plan of Care.
  • Develop and update individualized care plans, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners, and involve the team when the care plan warrants collaboration.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers safe care techniques and provide practical training and emotional reassurance.
  • Educate patients, families, and caregivers about disease processes, self-care, end-of-life care, hospice philosophy and services, medications, nutrition and dietary needs, and symptom and pain management.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals, as well as transitions between levels of care.
  • Maintain timely, accurate, and complete clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control, regulatory, and organizational compliance standards.
  • Maintain effective working relationships with the interdisciplinary group and support team collaboration and patient-care outcomes.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Support organizational quality-improvement and scheduling initiatives.
  • Help patients and families understand medication administration, hospice services, symptom 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, 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 education 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 pet, critical illness, accident, and long-term care benefits for full-time associates.
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