Registered Nurse PRN

Heartland Hospice•Marion, IN
•Onsite

About The Position

The Registered Nurse 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 develops and updates individualized plans of care. The role includes coordinating with an interdisciplinary team, educating patients and caregivers, managing symptoms, communicating changes in condition, and supporting continuity of care and transitions between services. The nurse also participates in on-call and patient-support activities as applicable and contributes to quality, scheduling, and regulatory-compliance efforts.

Requirements

  • Registered Nurse education and qualification.
  • 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.
  • Excellent patient-assessment skills and knowledge of general nursing practice.
  • Good oral and written communication skills, documentation, and program-management abilities.
  • Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.
  • Sensitivity to end-of-life issues; tact and ability to support patients and families in crisis.
  • Flexibility to perform a variety of tasks while maintaining efficiency and composure.
  • Ability to communicate effectively with people of all socioeconomic backgrounds and cooperate with coworkers and hospice team members.

Nice To Haves

  • Hospice or palliative-care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management in alignment with patients’ goals of care.
  • 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.
  • Educate patients 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, referrals, and transitions among home health, palliative, hospice, and other levels of care.
  • Document clinical records promptly, including assessment findings, 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, responding in a clinically competent and timely manner.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers practical and safe care techniques and provide emotional reassurance.
  • Follow infection-control, regulatory, policy, and compliance 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.
  • Full-time associates: medical, dental, and vision insurance.
  • Full-time associates: mileage reimbursement or fleet vehicle program.
  • Full-time associates: generous paid time off and seven paid holidays.
  • Full-time associates: wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
  • Full-time associates: education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs.
  • Full-time associates: free continuing education units.
  • Full-time associates: company-paid life and long-term disability insurance.
  • Full-time associates: voluntary pet, critical illness, accident, and long-term-care benefits.
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