Registered Nurse

Gentiva Hospice•Clovis, NM

About The Position

The Registered Nurse provides hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The RN is 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 position performs assessments, provides symptom and pain management, develops and updates individualized plans of care, and educates patients and caregivers about medications, disease processes, hospice services, nutrition, and end-of-life care. The RN coordinates care with an interdisciplinary team that may include physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains. The role includes communicating changes in patient condition, supporting transitions in levels of care, maintaining timely and accurate clinical records, and participating in on-call and patient-support activities as applicable. The position is based in patient homes and/or institutional settings and involves travel by automobile.

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 and an understanding of hospice and the special needs of hospice patients and families.
Knowledge of the roles of disciplines providing hospice services and of community resources.
Excellent patient assessment skills.
Good oral and written communication skills, documentation skills, and program-management knowledge.
Knowledge of general nursing practice, managed-care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
Ability to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
Must have and maintain transportation for work.
Ability to support patients and families dealing with end-of-life issues and to communicate effectively with people from all socioeconomic backgrounds.
Flexibility, sound judgment, tact, maturity, cooperation, and the ability to perform varied tasks without loss of efficiency or composure.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings.
Deliver skilled nursing interventions and symptom management aligned with each patient’s goals of care.
Develop and update individualized plans of care, including visit frequency and risk identification.
Coordinate care with interdisciplinary teams and consult with 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, including appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
Maintain timely and accurate clinical records, including assessments, physician orders, progress notes, and care plans.
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 care for patients safely and confidently.
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 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.