PRN Registered Nurse
About The Position
The PRN Hospice Registered Nurse / RN Case Manager provides personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The nurse serves as a primary contact, delivers and documents skilled care in patients’ homes or institutional settings, assesses changing needs, and helps develop and revise individualized plans of care. The role includes patient and caregiver education, symptom and pain management, emotional and spiritual support, and coordination with an interdisciplinary team. The position also involves on-call and patient-support activities as applicable, timely clinical documentation, and compliance with regulatory, infection-control, and organizational standards. The role is based in patients’ homes and/or institutional settings and involves automobile use. Work may include exposure to 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, facsimile equipment, a copier, and a cell phone or beeper.
Requirements
- Registered Nurse; current license to practice nursing in the state of 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.
- Valid driver’s license and current automobile insurance.
- Knowledge of terminally ill patients and their families, hospice services, and the special needs of hospice patients and families.
- Knowledge of the roles of disciplines providing hospice services and community resources.
- Strong patient assessment skills and knowledge of general nursing practice.
- Good oral and written communication skills, documentation, and program management skills.
- Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
- Sensitivity and tact when supporting patients and families facing terminal illness, death, and crisis.
- Ability to adapt to varied tasks while maintaining efficiency and composure, and to communicate effectively with people from all socioeconomic backgrounds.
- Ability to function responsibly and demonstrate maturity, cooperation, flexibility, and tact with coworkers and hospice team members.
- Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper; must maintain transportation for work.
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 patient goals of care.
- 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, 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 appropriate providers.
- Support continuity of care, appropriate referrals, and transitions between levels of care.
- Document screening and assessment findings, physician orders, progress notes, and care plans in a timely manner.
- Maintain effective working relationships with the interdisciplinary group and involve the team when appropriate to achieve care 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 education, comfort, and bereavement guidance.
- Maintain infection-control and regulatory compliance and 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
- Full-time associates: medical, dental, and vision insurance
- Full-time associates: mileage reimbursement or fleet vehicle program
- Full-time associates: paid time off and seven paid holidays
- Full-time associates: wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
- Full-time associates: education support and tuition assistance, including ASN to BSN and BSN to MSN
- Full-time associates: free continuing education units
- Full-time associates: company-paid life and long-term disability insurance
- Full-time associates: voluntary pet, critical illness, accident, and long-term care benefits
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What This Job Offers
Career Level
Entry Level
Education Level
No Education Listed
