Registered Nurse

Gentiva Hospice•Cleveland, TN

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients facing life-limiting illness, supporting patients and their families with dignity, comfort, and compassion. The RN serves as a primary point of contact, delivers skilled care in patients’ homes or institutional settings, completes assessments, develops and updates individualized plans of care, and coordinates with an interdisciplinary team. The role also includes educating and supporting patients, caregivers, and families, communicating changes in condition, maintaining accurate clinical documentation, and contributing to continuity and quality of care. The position requires working in patients’ homes and/or institutional settings and in an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

  • Registered Nurse.
  • 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 applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Strong patient assessment, oral and written communication, documentation, and program management skills.
  • Ability to provide sensitive support to patients and families facing life-and-death issues and crises.
  • Ability to adapt to varied tasks while maintaining efficiency and composure, communicate with people from varied socioeconomic backgrounds, and work cooperatively with colleagues and the hospice team.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, a copier, 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 or telephone RN assessments and screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with the patient’s goals of care.
  • Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
  • Educate patients, family members, 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, appropriate referrals, and transitions between levels of care.
  • Document screening and assessment findings, physician orders, progress notes, care plans, and other clinical records in a timely manner.
  • 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 service.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers how to provide safe care and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, regulatory, 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
  • 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 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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