Registered Nurse

Gentiva Hospice • Nogales, AZ

3d

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 nurse serves as a primary point of contact, delivering care in patients’ homes, assisted living facilities, or other institutional settings. The role includes assessing patient needs, providing skilled nursing interventions and symptom management, creating and updating individualized plans of care, coordinating with an interdisciplinary team, and educating and supporting patients, caregivers, and loved ones. The nurse also maintains timely clinical records, follows infection-control and regulatory requirements, and participates in on-call and continuity-of-care activities as applicable.

The work takes place in patients’ homes and/or institutional settings, as well as in an automobile. The role may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations and clinicians across 38 states.

Requirements

• Registered Nurse education or 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.
• 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, and regulatory guidelines including Medicare, Medicaid, and ACHC.
• Strong patient-assessment, oral and written communication, documentation, and program-management skills.
• Ability to support patients and families facing end-of-life issues and crises, communicate effectively across socioeconomic backgrounds, and demonstrate flexibility, maturity, cooperation, tact, and composure.
• Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper.

Nice To Haves

• Hospice or palliative care experience is preferred.

Responsibilities

• Perform comprehensive patient assessments and reassessments, including in-person and telephone assessments or screenings.
• Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
• Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
• Coordinate care with interdisciplinary team members and consult with physicians and nurse practitioners.
• Educate patients, families, and caregivers on 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 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 warranted by the patient’s care plan.
• 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.
• Teach caregivers to safely and confidently care for their loved ones, including medication administration, symptom and pain management, hospice services, and end-of-life processes.
• Follow infection-control, compliance, and regulatory 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, dental, and vision insurance for full-time associates
• Mileage reimbursement or fleet vehicle program for full-time associates
• 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 (CEUs) 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

What This Job Offers

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