Registered Nurse

Gentiva Hospice • San Diego, CA

13d

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients with life-limiting illnesses in their homes, assisted living facilities, or other institutional settings. The RN serves as a primary point of contact for patients and families, delivering and documenting skilled nursing care according to individualized plans of care, assessing changes in patient condition, and coordinating timely interventions with an interdisciplinary team. The role also includes supporting patients and loved ones emotionally, physically, and spiritually, educating caregivers, and helping families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.

The RN develops and updates individualized care plans, coordinates with physicians and other clinicians, supports transitions between levels of care, and maintains accurate clinical documentation in compliance with regulatory and organizational standards. The position may include on-call and patient-support activities. Work takes place in patients’ homes and/or institutional settings, as well as in an automobile, and may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Gentiva describes itself as a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of clinicians across 38 states. The listed salary range is $50.00 to $59.00 per hour, with compensation dependent on factors such as location, experience, education, skills, and licensure.

Requirements

• 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.
• Maintain transportation for work.
• Knowledge of terminally ill patients, their families, and hospice care, including the special needs of hospice patients and families.
• Knowledge of the roles of disciplines providing hospice services and of community resources.
• Strong patient assessment skills and knowledge of general nursing practice.
• Good oral and written communication skills, documentation, and program-management knowledge.
• Knowledge of 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.
• Sensitivity to life-and-death issues and the ability to support patients and families during crises.
• Flexibility, tact, maturity, cooperation, and the ability to manage varied tasks without losing efficiency or composure.
• Ability to communicate effectively with people from all socioeconomic backgrounds and to work cooperatively with colleagues and the hospice team.

Nice To Haves

• Hospice or palliative care experience is preferred.

Responsibilities

• Perform comprehensive in-person or telephone patient assessments and reassessments, and provide education to patients, family members, and caregivers.
• Deliver skilled nursing interventions and symptom management consistent with 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 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, referrals, and transitions among home health, palliative, hospice, and other levels of care as appropriate.
• Document screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
• 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 service.
• Provide emotional, physical, and spiritual support to patients and loved ones, including caregiver guidance and bereavement support.
• 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 insurance for full-time associates
• Dental insurance for full-time associates
• Vision insurance for full-time associates
• Mileage reimbursement or fleet vehicle program for full-time associates
• Generous paid time off for full-time associates
• 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
• Company-paid life insurance for full-time associates
• Company-paid long-term disability insurance for full-time associates
• Voluntary pet, critical illness, accident, and long-term care benefits for full-time associates

What This Job Offers

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