Registered Nurse

Gentiva Hospice•Cleveland, TN
•Onsite

About The Position

The Hospice Registered Nurse (RN) provides personalized, skilled nursing care and support to patients with life-limiting illnesses and their families in patients’ homes or institutional settings. The RN serves as a primary point of contact, conducts assessments, develops and updates individualized plans of care, manages symptoms, and coordinates care with an interdisciplinary team. The role includes educating patients and caregivers, communicating changes in condition, maintaining clinical documentation, and supporting continuity of care and quality improvement. On-call and patient support activities may be required as applicable.

Requirements

  • Current license to practice nursing in the state of employment.
  • Current CPR certification.
  • Valid driver’s license and current automobile insurance.
  • 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.
  • Knowledge of terminally ill patients and their families, hospice, and the special needs of hospice patients and families.
  • Knowledge of the roles of hospice disciplines 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.
  • Ability to support patients and families facing life-and-death issues and crises; demonstrate tact, flexibility, maturity, cooperation, and composure.
  • Ability to communicate effectively with people of all socioeconomic backgrounds.
  • Ability to operate nursing assessment tools, computers, fax machines, copiers, and cell phones or beepers.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive in-person and telephonic patient assessments and reassessments, including screenings, and provide appropriate education.
  • 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 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, including appropriate referrals and transitions among home health, palliative, hospice, and other 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 patient care plans warrant participation.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive service.
  • Guide patients and families through the hospice journey and provide emotional, physical, and spiritual support, including bereavement guidance.
  • Teach caregivers to provide safe care and help them understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, regulatory, policy, and compliance 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
  • Generous 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 full-time associates
  • Free continuing education units 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
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