Registered Nurse

Gentiva Hospice•Liberty Lake, WA
•$47 - $48

About The Position

The Registered Nurse provides personalized hospice and palliative care to patients with life-limiting illnesses and supports their families. The RN serves as a primary point of contact, delivers skilled nursing care in patients’ homes or institutional settings, assesses and monitors patient needs, and develops and updates individualized plans of care. The role includes symptom management, patient and caregiver education, emotional and spiritual support, coordination with an interdisciplinary team, communication of changes in condition, and timely clinical documentation. The RN also supports continuity of care, participates in on-call and patient-support activities as applicable, and follows infection-control, regulatory, and organizational standards. The position may involve work in patient homes, institutional settings, and an automobile. It may entail exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

  • Registered Nurse education/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.
  • 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.
  • Strong patient assessment skills and oral and written communication skills, including clinical documentation and program management.
  • Sensitivity to end-of-life issues and ability to support patients and families during a crisis.
  • Ability to adapt flexibly among varied tasks while maintaining efficiency and composure; communicate effectively across socioeconomic backgrounds; and work maturely and cooperatively with coworkers and the hospice team.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience preferred.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings, and provide education as appropriate.
  • Deliver and document skilled nursing interventions and symptom management aligned with patient goals of care.
  • Develop and update individualized plans of care, including visit frequency and identification of patient needs and risks.
  • Coordinate care with interdisciplinary team members, including physicians and nurse practitioners, and involve the team when warranted by the care plan.
  • 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 by recognizing and supporting appropriate home health, palliative care, and hospice referrals and transitions between 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 participate in team collaboration and activities.
  • 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 comfort and bereavement guidance.
  • Teach caregivers safe and confident care practices and help patients and families understand medication administration, hospice services, symptom and pain management, and end-of-life expectations.
  • Follow infection-control, compliance, regulatory, and organizational 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 insurance for full-time associates
  • Dental insurance for full-time associates
  • Vision insurance for full-time associates
  • Mileage reimbursement or fleet vehicle program
  • Paid time off
  • Seven paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance (ASN to BSN and BSN to MSN)
  • Free continuing education units (CEUs)
  • Company-paid life insurance
  • Company-paid long-term disability insurance
  • Voluntary pet, critical illness, accident, and long-term care benefits
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