Registered Nurse

Heartland Hospice•Butler, MO

About The Position

Heartland Hospice is seeking a Registered Nurse to provide personalized hospice and palliative nursing care to patients with life-limiting illnesses and support their families. The RN is a primary point of contact throughout the hospice journey, providing skilled nursing care in patients’ homes, assisted living residences, or other settings where they live. The role includes assessing patient needs, managing symptoms, developing and updating individualized plans of care, educating patients and caregivers, coordinating with an interdisciplinary team, and documenting care accurately. The position also supports continuity of care, on-call services as applicable, quality improvement, and scheduling initiatives. This is a safety-sensitive position.

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 requested employment.
CPR certification.
Current automobile insurance and a valid driver’s license.
Knowledge of terminally ill patients and their families and an understanding of 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 skills, and program management knowledge.
Knowledge of managed care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Must have and maintain transportation for work.
Sensitivity and tact when supporting people facing terminal illness, end-of-life issues, and crises.
Ability to perform varied tasks flexibly and maintain efficiency and composure when priorities change.
Ability to communicate effectively with people of all socioeconomic backgrounds and to work cooperatively with coworkers and hospice team members.

Nice To Haves

Hospice or palliative care experience.

Responsibilities

Perform comprehensive initial and ongoing patient assessments and reassessments, including in-person or telephonic assessments and screenings.
Deliver skilled nursing interventions and symptom management consistent with each patient’s goals of care and individualized plan of care.
Develop and update individualized plans of care, including visit frequency, based on patient needs and identified risks.
Coordinate care with the interdisciplinary team, including physicians, nurse practitioners, LPNs, CNAs, social workers, chaplains, and other providers.
Provide emotional, physical, and spiritual support to patients and their loved ones, including education, comfort, and bereavement guidance.
Educate patients, family members, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, and dietary needs.
Teach caregivers how to care for patients safely and confidently, providing practical instruction and emotional reassurance.
Communicate changes in patient 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 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 needed to achieve desired outcomes.
Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
Support quality improvement and scheduling initiatives to help ensure care is consistent, compassionate, and efficient.

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 programs for full-time associates.
Free continuing education units (CEUs) 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.