Registered Nurse

Gentiva Hospice•Jeffersonville, IN

About The Position

The Registered Nurse provides personalized hospice and palliative nursing care to patients with life-limiting illness and supports their families with dignity, comfort, and compassion. The RN serves as a primary contact for patients and families and delivers and documents skilled nursing care in patients’ homes, assisted living settings, or other locations where they reside. The role includes assessing patient needs and changes in condition, developing and updating individualized plans of care, managing symptoms, and coordinating services with an interdisciplinary team. The RN educates and supports patients, caregivers, and families on disease processes, medications, nutrition, hospice services, end-of-life care, and caregiving techniques, and provides emotional, physical, and spiritual support. The position also involves timely clinical documentation, regulatory and infection-control compliance, participation in quality and scheduling initiatives, and on-call patient support activities as applicable. The work takes place in patients’ homes and/or institutional settings and in an automobile. The role may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

  • Registered Nurse education and 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, 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 skills, documentation, and program management knowledge.
  • Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to demonstrate sensitivity to end-of-life issues, tact with patients and families, and support for people in crisis.
  • Ability to adapt to varied tasks without loss of efficiency or composure and communicate effectively with people of all socioeconomic backgrounds.
  • Maturity, cooperation, flexibility, and tact in working with coworkers and hospice team members.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person or telephonic RN assessments and screenings, and provide appropriate education to patients, family members, and caregivers.
  • Deliver skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, to meet patient needs and identify risks.
  • Coordinate care with interdisciplinary team members, including 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 the appropriate provider.
  • Support continuity of care by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions between levels of care.
  • Document clinical records promptly, including screening and assessment findings, physician orders, progress notes, and care plans.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when the patient’s care plan warrants participation.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive on-call services.
  • Provide emotional, physical, and spiritual support to patients and families, including education, comfort, and bereavement guidance.
  • Teach caregivers to provide safe, confident care and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, compliance, regulatory, and policy 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 ASN-to-BSN and BSN-to-MSN education 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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