Registered Nurse

Gentiva Hospice • San Diego, CA

17h • $50 - $59

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. Care is delivered in patients’ homes, assisted living facilities, and other institutional settings. The RN serves as a primary contact for patients and families, conducts assessments, delivers skilled nursing interventions, manages symptoms, and develops and updates individualized plans of care in collaboration with an interdisciplinary team.

The role includes educating patients, caregivers, and families about disease processes, hospice services, end-of-life care, medications, symptom management, nutrition, and self-care. The RN communicates changes in condition to appropriate providers, documents care and clinical findings, supports continuity of care and transitions between levels of service, and participates in on-call and patient support activities as applicable. The position also involves maintaining regulatory and infection-control compliance and contributing to quality improvement and scheduling initiatives.

Work takes place 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. The RN must maintain transportation for work and effectively use nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper.

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 regulatory guidelines such as Medicare, Medicaid, and ACHC.
• Excellent patient assessment skills and oral and written communication skills; knowledge of documentation and program management.
• Sensitivity to end-of-life issues and ability to support patients and families during a crisis.
• Ability to adapt and perform varied tasks without loss of efficiency or composure, communicate effectively with people of all socioeconomic backgrounds, and work cooperatively with colleagues and the hospice team.
• Ability to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper; must maintain transportation for work.

Nice To Haves

• Hospice or palliative care experience preferred.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephone RN assessments or screenings, and provide education as appropriate.
• Deliver skilled nursing interventions and symptom management aligned with patients’ 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 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, appropriate referrals to home health, palliative, and hospice services, and transitions between levels of care.
• Document timely clinical records, 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 warranted by the patient’s care plan.
• 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 comfort, education, and bereavement guidance.
• Teach caregivers to care for patients safely and confidently.
• Follow infection-control, regulatory, and compliance standards and contribute to 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 insurance (additional full-time benefit)
• Dental insurance (additional full-time benefit)
• Vision insurance (additional full-time benefit)
• Mileage reimbursement or fleet vehicle program (additional full-time benefit)
• Paid time off and seven paid holidays (additional full-time benefit)
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care (additional full-time benefit)
• Education support and tuition assistance (ASN to BSN, BSN to MSN) (additional full-time benefit)
• Free continuing education units (additional full-time benefit)
• Company-paid life and long-term disability insurance (additional full-time benefit)
• Voluntary pet, critical illness, accident, and long-term care benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed