Registered Nurse

Gentiva Hospice•Sanford, NC

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients facing life-limiting illness and supports their families and caregivers. The RN serves as a primary point of contact throughout the hospice journey, delivering and documenting skilled care in patients’ homes, assisted living facilities, or other institutional settings. The role includes assessment, symptom management, care planning, education, coordination with an interdisciplinary team, and support for patients and loved ones through end-of-life care.

Requirements

  • Registered Nurse education and 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.
  • Current CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families, hospice, and the special needs of hospice patients and families.
  • Knowledge of the roles of hospice disciplines, community resources, general nursing practice, managed-care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Strong patient-assessment skills and oral and written communication skills.
  • Knowledge of documentation and program management.
  • Ability to support patients and families facing life-and-death issues and crises, communicate effectively with people from varied socioeconomic backgrounds, and work flexibly and cooperatively with colleagues and the hospice team.
  • 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 preferred.

Responsibilities

  • Perform comprehensive in-person and telephone patient assessments and reassessments, and educate patients, family members, and caregivers as appropriate.
  • Deliver skilled nursing interventions and symptom management consistent with goals of care and individualized plans of care.
  • Develop and update individualized care plans, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members and consult with 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 the appropriate provider.
  • Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and different levels of care.
  • Maintain timely clinical documentation, including screening and 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 care-plan goals.
  • 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 safe and confident care techniques and help families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, regulatory, policy, and compliance 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, 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, for full-time associates.
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