Registered Nurse Hospice
About The Position
The Registered Nurse (Hospice RN/RN Case Manager) provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses patient needs and condition, and develops and updates individualized plans of care. The role includes symptom management, patient and caregiver education, emotional and spiritual support, care coordination with interdisciplinary teams and providers, and timely communication and clinical documentation. The nurse also supports continuity of care, quality improvement and scheduling initiatives, and participates in on-call and patient-support activities as applicable. The position is based in patients’ homes and/or institutional settings and involves travel by 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, 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 capabilities.
- Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
- Sensitivity and tact when supporting patients and families facing life-and-death issues and crises.
- Ability to adapt and perform varied tasks without loss of efficiency or composure; communicate effectively across socioeconomic backgrounds; and work maturely, cooperatively, and flexibly with coworkers and the hospice team.
- Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
- Ability to meet applicable state-specific requirements.
Nice To Haves
- Hospice or palliative care experience preferred.
Responsibilities
- Serve as a primary point of contact and guide patients and families through the hospice journey.
- Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephonic RN assessments and screenings.
- Deliver and document skilled nursing interventions and symptom management aligned with each patient’s goals and individualized plan of care.
- Develop and update individualized care plans, including visit frequency and identification of patient needs and risks.
- Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
- Provide education to patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, medication administration, nutrition, hospice services, and symptom and pain management.
- Offer emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
- Teach caregivers how to provide safe care and offer practical training and emotional reassurance.
- Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
- Support continuity of care, appropriate referrals, and transitions among home health, palliative care, hospice, and levels of care.
- Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
- Follow infection-control, regulatory, policy, and compliance standards.
- Maintain effective working relationships with the interdisciplinary group and involve the team when the care plan warrants participation.
- Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
- Support quality-improvement and scheduling initiatives.
- Maintain transportation for work and effectively use required nursing and office equipment.
Benefits
- Medical, dental, and vision insurance
- 401(k) with company match
- Paid time off
- Seven paid holidays
- FMLA, ADA, and other required federal and state leaves
- Short- and long-term disability
- Health Savings Account contribution
- Mileage reimbursement or fleet vehicle program
- Cell phone reimbursement for eligible roles
- Short-term incentive for eligible roles
- Tuition reimbursement and education support
- Wellness programs and resources, including telemedicine, diabetes management, and joint and spine concierge care
- Free continuing education units
- Company-paid life and long-term disability insurance
- Voluntary pet, critical illness, accident, and long-term care benefits
- Career advancement opportunities
- National and local recognition programs
- Teammate Assistance Fund
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
