Registered Nurse

Gentiva Hospice•Liberty Lake, WA

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients with life-limiting illnesses 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 or institutional settings. The role includes assessing patient needs, managing symptoms, coordinating individualized care with an interdisciplinary team, educating caregivers, and offering emotional, physical, and spiritual support. The RN also supports continuity of care, quality improvement, scheduling initiatives, and responsive on-call services as applicable.

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.
Current CPR certification.
Current automobile insurance and a valid driver’s license.
Knowledge of terminally ill patients and their families, hospice, hospice patient and family needs, and the roles of hospice disciplines.
Strong patient assessment skills and knowledge of community resources.
Good oral and written communication skills, documentation, and program management knowledge.
Knowledge of general nursing practice and managed care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
Ability to support patients and families facing life-and-death issues and crisis, communicate with people from varied socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
Ability to perform varied tasks while maintaining efficiency and composure.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Ability to perform the essential duties satisfactorily.

Nice To Haves

Hospice or palliative care experience preferred.

Responsibilities

Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings, and provide education as appropriate.
Deliver skilled nursing interventions and symptom management consistent with patient goals of care.
Develop and update individualized plans of care, including visit frequency, to address patient needs and identified risks.
Coordinate care with interdisciplinary team members, including 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 home health, palliative, and hospice referrals and transitions between levels of care.
Document clinical records promptly, 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 care-plan outcomes.
Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
Guide patients and families on medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.
Teach caregivers to care for patients safely and confidently, providing practical instruction and emotional reassurance.
Follow infection-control, regulatory, compliance, and organizational standards.
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 (CEUs) 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.