Registered Nurse

Gentiva Hospice•Hendersonville, TN

About The Position

Gentiva Hospice is seeking a Registered Nurse to provide personalized hospice and palliative care to patients with life-limiting illnesses and support their families. This less-than-full-time position offers a flexible schedule, with visits as needed during the week and/or weekends based on the nurse’s availability. Care is delivered in patients’ homes, assisted living facilities, or other settings where they reside. The RN serves as a primary contact for patients and families, providing skilled nursing care, assessment, symptom management, education, emotional support, and care coordination. The nurse develops and updates individualized plans of care in collaboration with patients, caregivers, physicians, nurse practitioners, and the interdisciplinary team. The role also includes timely clinical documentation, communication about changes in patient condition, participation in on-call and patient-support activities as applicable, and compliance with clinical, regulatory, and infection-control standards.

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 employment.
CPR certification.
Current automobile insurance and a valid driver’s license.
Knowledge of terminally ill patients and their families, hospice philosophy, and the special needs of hospice patients and families.
Knowledge of the roles of disciplines providing hospice services and of community resources.
Strong patient assessment skills and knowledge of general nursing practice.
Good oral and written communication, documentation, and program-management skills.
Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to support individuals and families facing end-of-life issues and crises, communicate effectively with people from all socioeconomic backgrounds, and work with tact, maturity, cooperation, and flexibility.
Ability to perform a variety of tasks and adapt to changing duties without losing efficiency or composure.
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 eligibility requirements for benefits.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive patient assessments and reassessments, including in-person and telephonic assessments or screenings.
Deliver and document skilled nursing interventions and symptom management in accordance with each patient’s individualized plan of care and goals.
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, family members, 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 the appropriate provider.
Support continuity of care, including appropriate referrals and transitions among home health, palliative, hospice, and other levels of care.
Maintain timely and accurate 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 needed to achieve care-plan outcomes.
Participate in on-call and patient-support activities as applicable, responding in a clinically competent and timely manner.
Provide emotional, physical, and spiritual support to patients and loved ones, including education, comfort, and bereavement guidance.
Teach caregivers safe and confident ways to care for patients.
Follow infection-control, regulatory, compliance, and organizational standards.
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.
For eligible full-time associates: medical, dental, and vision insurance.
For eligible full-time associates: mileage reimbursement or fleet vehicle program.
For eligible full-time associates: generous paid time off and seven paid holidays.
For eligible full-time associates: wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
For eligible full-time associates: education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs.
For eligible full-time associates: free continuing education units.
For eligible full-time associates: company-paid life and long-term disability insurance.
For eligible full-time associates: voluntary pet, critical illness, accident, and long-term care benefits.