Registered Nurse

Gentiva Hospice•Chesterfield, SC

About The Position

Gentiva Hospice is seeking a Registered Nurse to provide personalized hospice and palliative nursing care to patients with life-limiting illnesses and support their families. The nurse serves as a primary contact for patients and families, delivering skilled care in patients’ homes, assisted living facilities, or other settings where they live. The role includes assessing patient needs, managing symptoms, coordinating with an interdisciplinary team, educating caregivers, and maintaining accurate clinical records. The nurse also supports continuity of care, quality improvement, and scheduling initiatives, and may participate in on-call and patient-support activities. The position requires sensitivity to end-of-life concerns, effective communication with people from varied socioeconomic backgrounds, flexibility, sound judgment, and the ability to support patients and families during crises. Work takes place in patients’ homes or institutional settings and in an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

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.
  • Strong patient assessment skills and oral and written communication skills.
  • Knowledge of documentation and program management, general nursing practice, and 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 during crises.
  • Flexibility, composure, maturity, cooperation, and effective communication with people of all socioeconomic backgrounds and members of the hospice team.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephone RN assessments or screenings.
  • Deliver and document skilled nursing interventions and symptom management in line with the patient’s goals of care and individualized plan 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, families, 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, including appropriate referrals and transitions among home health, palliative, hospice, and other levels of care.
  • Maintain timely and accurate clinical records, including assessments, 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, providing clinically competent and responsive service.
  • Provide practical caregiver training and emotional support, and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • 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.
  • Generous 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, including ASN-to-BSN and BSN-to-MSN programs, 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 benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.
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