Registered Nurse

Gentiva Hospice•Tucson, AZ

About The Position

The Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. Care is delivered in patients’ homes, assisted living facilities, or other settings where they live. The RN is a primary contact for patients and families throughout the hospice journey, providing skilled nursing care, assessments, symptom management, education, and emotional support in accordance with individualized plans of care. The position works collaboratively with an interdisciplinary team to coordinate and adjust care, communicate changes in patient condition, support transitions between levels of care, and maintain complete, timely clinical documentation. The RN also participates in on-call and patient support activities as applicable and contributes to quality, scheduling, and regulatory-compliance initiatives. Work settings include patients’ homes or institutional settings and an automobile; potential exposure includes infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • Registered Nurse education and 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.
  • Current CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Must have and maintain transportation for work.
  • Knowledge of terminally ill patients and their families, hospice, hospice disciplines, community resources, general nursing practice, managed care principles, regulatory guidelines, and human resource management principles.
  • Excellent patient assessment skills and oral and written communication skills, as well as documentation and program-management knowledge.
  • Ability to support patients and families during crises, communicate effectively with people of varied socioeconomic backgrounds, adapt to changing tasks, and work cooperatively and tactfully with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
  • Must meet minimum requirements to be eligible for benefits and applicable state-specific requirements.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephone RN assessments and screenings.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care and individualized plans.
  • Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
  • Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
  • Educate patients, family members, 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 appropriate providers.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions in levels of care.
  • Document clinical records promptly, including screening and 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 their loved ones, including comfort, education, and bereavement guidance.
  • Teach caregivers how to safely care for their loved ones and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, regulatory, policy, and compliance standards and 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
  • Dental insurance
  • Vision insurance
  • Mileage reimbursement or fleet vehicle program
  • Generous paid time off and 7 paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance (ASN to BSN, BSN to MSN)
  • Free continuing education units (CEUs)
  • Company-paid life and long-term disability insurance
  • Voluntary pet, critical illness, accident, and long-term care benefits
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