Registered Nurse

Gentiva Hospice•Terre Haute, IN

About The Position

The Registered Nurse / RN Case Manager provides personalized hospice and palliative care to patients with life-limiting illnesses and supports their families. Care is delivered in patients’ homes, assisted living facilities, or other institutional settings. The RN serves as a primary contact for patients and families, provides skilled nursing interventions and symptom management, and develops and updates individualized plans of care in collaboration with an interdisciplinary team. The role includes assessing patients, educating patients and caregivers, communicating changes in condition to providers, documenting clinical care, supporting care transitions, and participating in on-call activities as applicable. The RN also offers emotional, physical, and spiritual support and helps patients and families understand medications, hospice services, symptom and pain management, and end-of-life processes.

Requirements

  • Registered Nurse with a current license to practice nursing in the state of requested employment.
  • 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.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families, hospice, hospice team roles, community resources, general nursing practice, managed care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Strong patient assessment skills and oral and written communication skills.
  • Documentation and program management skills.
  • Ability to sensitively support patients and families facing life-and-death issues and crises.
  • Ability to adapt to varied tasks while maintaining efficiency and composure, and to communicate effectively with people from all socioeconomic backgrounds.
  • Ability to function responsibly and work cooperatively 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 preferred.

Responsibilities

  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephone assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management consistent with goals of care and individualized plans.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners as needed.
  • Educate patients, family members, and caregivers on 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 home health, palliative care, hospice, and different levels of care.
  • Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • 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 on-call services.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers to provide safe care and help patients and families navigate medication administration, hospice philosophy and services, symptom and pain management, and end-of-life expectations.
  • Follow infection control, regulatory, compliance, and organizational policy 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
  • 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 pet, critical illness, accident, and long-term care benefits for full-time associates
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