Registered Nurse

Heartland Hospice•Butler, MO
•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 RN serves as a primary contact, delivers and documents skilled nursing care in patients’ homes or institutional settings, assesses patient needs, and develops and updates individualized plans of care. The role includes symptom management, caregiver education, emotional and practical support, coordination with an interdisciplinary team, timely communication of changes in patient condition, and accurate clinical documentation. The nurse also supports continuity of care, quality improvement, scheduling initiatives, and on-call patient support as applicable.

Requirements

  • Registered Nurse; a current license to practice nursing in the state of employment is required.
  • 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 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 applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Excellent patient assessment skills and oral and written communication skills.
  • Documentation and program management skills.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.
  • Ability to support patients and families facing life-and-death issues, work flexibly and efficiently across varied tasks, communicate with people of diverse socioeconomic backgrounds, and interact maturely and cooperatively with coworkers and hospice team members.
  • Ability to perform the essential duties satisfactorily.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephonic assessments and screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with each patient’s 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 and signs or symptoms of decline to the appropriate provider.
  • Support continuity of care, appropriate referrals, and transitions between 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 warranted by the patient’s care plan.
  • 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 bereavement guidance.
  • Teach caregivers safe and confident care techniques and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life expectations.
  • Follow infection-control, regulatory, compliance, and clinical documentation 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
  • Paid time off and seven paid holidays for full-time associates
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs
  • Free continuing education units
  • Company-paid life and long-term disability insurance for full-time associates
  • Voluntary pet, critical illness, accident, and long-term care benefits
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