Registered Nurse

Gentiva Hospice•Burlington, NC

About The Position

Gentiva Hospice seeks a Registered Nurse to provide personalized hospice and palliative nursing care to patients with life-limiting illnesses and support their families. The RN serves as a primary contact for patients and families, delivering skilled care in patients’ homes, assisted living settings, or other institutional settings. The role includes comprehensive assessments, symptom management, individualized care planning, patient and caregiver education, interdisciplinary coordination, and timely clinical documentation. The RN also provides emotional, physical, and spiritual support, participates in on-call activities as applicable, and contributes to quality improvement and scheduling initiatives. The position requires at least one year of RN experience in acute care hospital, oncology, long-term care, hospice, or home health. The successful candidate must hold a current nursing license in the state of employment, CPR certification, current automobile insurance, and a valid driver’s license. Hospice or palliative care experience is preferred. Work takes place in patients’ homes and/or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • 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 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.
  • Knowledge of documentation and program management, general nursing practice, managed care principles, and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to support people facing life-and-death issues and to communicate tactfully with patients and families during times of crisis.
  • Flexibility to perform varied tasks while maintaining efficiency and composure.
  • Ability to communicate effectively with people from all socioeconomic backgrounds and cooperate with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and 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 telephonic RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management in alignment with patient 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 or signs and symptoms of decline to the appropriate provider.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions in levels of care.
  • Maintain 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.
  • Guide patients and families through the hospice journey and provide emotional, physical, and spiritual support, education, comfort, and bereavement guidance.
  • Teach caregivers safe and confident caregiving practices, including medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection control, compliance, and regulatory 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 insurance for full-time associates
  • Dental insurance for full-time associates
  • Vision insurance for full-time associates
  • Mileage reimbursement or fleet vehicle program
  • Generous paid time off and 7 paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance, including ASN to BSN and BSN to MSN
  • Free continuing education units (CEUs)
  • Company-paid life and long-term disability insurance for full-time associates
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
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