PRN Registered Nurse

Gentiva Hospice • Tarboro, NC

7d • Onsite

About The Position

The PRN Registered Nurse provides skilled hospice nursing care to patients with life-limiting illnesses and supports their families in patients’ homes or institutional settings. The nurse serves as a primary point of contact, delivers care according to individualized plans, assesses changing needs, manages symptoms, and coordinates services with an interdisciplinary team. The role includes patient and caregiver education, emotional and practical support, timely clinical documentation, and participation in on-call and continuity-of-care activities as applicable.

Requirements

• Registered Nurse education.
• 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, hospice-service disciplines, community resources, general nursing practice, managed-care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
• Excellent patient assessment skills and good oral and written communication skills.
• Ability to provide documentation and program management and to apply knowledge of the special needs of hospice patients and families.
• Sensitivity and tact when supporting patients and families facing life-and-death issues and crisis.
• Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people of all socioeconomic backgrounds and cooperate tactfully with coworkers and hospice team members.
• Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.
• Must have and maintain transportation for work.
• Must meet applicable state-specific requirements and minimum requirements for benefits eligibility.

Nice To Haves

• Hospice or palliative care experience preferred.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephone assessments or screenings, and provide education as appropriate.
• Deliver skilled nursing interventions and symptom management aligned with patient 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 appropriate providers.
• Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and levels of care.
• Document clinical records in a timely manner, 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, providing clinically competent and responsive service.
• Provide emotional, physical, and spiritual support to patients and loved ones, including caregiver training, comfort, and bereavement guidance.
• Follow infection-control, regulatory, compliance, and organizational standards.
• Support quality improvement and scheduling initiatives.
• Help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.

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 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 for 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 pet, critical illness, accident, and long-term care benefits for full-time associates

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed