Registered Nurse

Gentiva Hospice • Bakersfield, CA

18d • $48 - $51

About The Position

The Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients facing life-limiting illness and supports their families. The RN serves as a primary point of contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses patient needs and changes in condition, and coordinates individualized care with an interdisciplinary team. The role includes educating and supporting patients, caregivers, and loved ones on medications, symptom management, hospice services, and end-of-life care. The RN also maintains clinical records, follows infection-control and regulatory standards, supports continuity of care and quality initiatives, and participates in on-call and patient-support activities as applicable.

The position is based in patients’ homes and/or institutional settings and involves automobile use. Potential exposure includes infections, communicable diseases, odors, blood, excreta, and hazardous materials. The employee must maintain transportation for work and be able to operate nursing assessment tools, computers, fax equipment, a copier, and a cell phone or beeper. This is a safety-sensitive position.

Requirements

• Registered Nurse.
• 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 employment.
• CPR certification.
• Current automobile insurance and a valid driver’s license.
• Maintain transportation to be used for work.
• Knowledge of terminally ill patients and their families and understanding of hospice and their special needs.
• Knowledge of the roles of disciplines providing hospice services and of community resources.
• Excellent patient assessment skills and good oral and written communication skills.
• Knowledge of documentation, program management, general nursing practice, managed care principles, regulatory guidelines (including Medicare, Medicaid, and ACHC), and human resource management principles.
• Ability to demonstrate sensitivity to end-of-life issues, tact with patients and families, and support for others during a crisis.
• Ability to adapt to varied tasks without loss of efficiency or composure and communicate effectively with people from all socioeconomic backgrounds.
• Responsible, mature, cooperative, and flexible approach to work and interactions with coworkers and hospice team members.
• Ability to operate nursing assessment tools, computers, fax equipment, copier, and cell phone or beeper.

Nice To Haves

• Hospice or palliative care experience preferred.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings, and educate patients, family members, and caregivers.
• Deliver skilled nursing interventions and symptom management aligned with goals of care.
• Develop and update individualized plans of care, including visit frequency, to meet patient needs and identify risks.
• Coordinate care with interdisciplinary team members, including physicians and nurse practitioners.
• Provide education 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 by recognizing and supporting appropriate home health, palliative, and hospice referrals and transitions in levels of care.
• Document timely clinical records, including assessment findings, physician orders, progress notes, and care plans.
• Maintain effective working relationships with the interdisciplinary group and involve the team when the patient’s care plan warrants participation.
• Participate in on-call and patient-support activities as applicable and provide clinically competent, responsive on-call services.
• Provide emotional, physical, and spiritual support to patients and loved ones, including comfort and bereavement guidance.
• Teach caregivers safe and confident caregiving practices, offering practical training and emotional reassurance.
• Follow infection-control, compliance, and regulatory standards and support quality improvement and scheduling initiatives.

Benefits

• 401(k) with company match
• Career advancement opportunities
• National and local recognition programs
• Teammate Assistance Fund
• Medical insurance (additional full-time benefit)
• Dental insurance (additional full-time benefit)
• Vision insurance (additional full-time benefit)
• Mileage reimbursement or fleet vehicle program (additional full-time benefit)
• Generous paid time off and seven paid holidays (additional full-time benefit)
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care (additional full-time benefit)
• Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN pathways (additional full-time benefit)
• Free continuing education units (additional full-time benefit)
• Company-paid life insurance and long-term disability insurance (additional full-time benefit)
• Voluntary pet, critical illness, accident, and long-term care benefits (additional full-time benefit)

What This Job Offers

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