Registered Nurse

Gentiva Hospice•Montgomery, AL
•Onsite

About The Position

Gentiva Hospice is seeking a PRN Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. The role serves Butler, Dallas, Lowndes, Montgomery, Macon, Autauga, and Elmore Counties, with flexible days and hours. Care is provided in patients’ homes or institutional settings, including assisted living, and involves serving as a primary contact for patients and families throughout the hospice journey. The RN performs assessments and skilled nursing interventions, manages symptoms, develops and updates individualized plans of care, and coordinates services with an interdisciplinary team. The role includes educating patients and caregivers, communicating changes in condition, maintaining clinical documentation and regulatory compliance, supporting transitions between care levels, and participating in on-call activities as applicable.

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 requested employment.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families, hospice, hospice disciplines, community resources, general nursing practice, managed-care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Excellent patient assessment skills and oral and written communication skills.
  • Ability to document and manage programs effectively.
  • Ability to demonstrate empathy, tact, flexibility, sound judgment, cooperation, maturity, and composure when supporting patients and families facing end-of-life issues.
  • Ability to communicate effectively with people from all socioeconomic backgrounds.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and 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.

Responsibilities

  • Serve as a primary point of contact for hospice patients and their families.
  • Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person and telephonic assessments or screenings.
  • Deliver and document skilled nursing interventions and symptom management in accordance with goals of care and individualized plans of care.
  • Develop and update individualized plans of care, including visit frequency and identification of patient risks.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
  • Provide emotional, physical, and spiritual support to patients and their loved ones, including education, comfort, and bereavement guidance.
  • Teach patients, families, and caregivers about disease processes, self-care, end-of-life care, medication administration, nutrition, symptom and pain management, hospice services, and end-of-life expectations.
  • Communicate changes in condition and signs or symptoms of decline to the appropriate provider and care team.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions in levels of care.
  • Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control, regulatory, and organizational compliance standards.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when appropriate to achieve desired outcomes.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • 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 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
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