RN - Part-time Weekends

Gentiva Hospice•Ahoskie, NC

About The Position

The Hospice RN / RN Case Manager delivers personalized hospice and palliative nursing care to patients with life-limiting illnesses and supports their families. The position is part-time on weekends, from 8 a.m. to 8 p.m., and provides care in patients’ homes, assisted living facilities, or other settings where they live. The RN serves as a primary contact for patients and families, conducts assessments, provides skilled nursing interventions and symptom management, and develops and updates individualized plans of care. The role also includes educating and supporting patients, caregivers, and loved ones; coordinating with physicians and interdisciplinary team members; communicating changes in condition; and maintaining timely, accurate clinical documentation in accordance with regulatory, infection-control, and organizational standards. The RN may participate in on-call and patient-support activities as applicable. The work takes place in patients’ homes and/or institutional settings and in an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position. The employee must maintain transportation for work and meet applicable state-specific requirements.

Requirements

  • Registered Nurse.
  • 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, hospice disciplines, community resources, general nursing practice, managed-care principles, and regulatory guidelines including Medicare, Medicaid, and ACHC.
  • Excellent patient assessment skills and oral and written communication skills, with knowledge of documentation and program management.
  • Ability to support patients and families facing life-and-death issues and crisis, communicate effectively across socioeconomic backgrounds, and demonstrate flexibility, maturity, cooperation, and tact.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
  • Must have and maintain transportation for work.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Perform comprehensive patient assessments and reassessments, including in-person and telephonic RN assessments or screenings, and provide education as appropriate.
  • Deliver skilled nursing interventions and symptom management consistent with patients’ 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.
  • 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, and hospice referrals and transitions in 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 care plans warrant collaboration.
  • 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 loved ones, including education, comfort, and bereavement guidance.
  • Teach caregivers to care for patients safely and confidently, including medication administration, hospice services, symptom and pain management, and end-of-life processes.
  • Follow infection-control, compliance, and regulatory 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.
  • For full-time employees: medical, dental, and vision insurance.
  • For full-time employees: mileage reimbursement or fleet vehicle program.
  • For full-time employees: generous paid time off and seven paid holidays.
  • For full-time employees: wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
  • For full-time employees: education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN support.
  • For full-time employees: free continuing education units.
  • For full-time employees: company-paid life and long-term disability insurance.
  • For full-time employees: voluntary pet, critical illness, accident, and long-term care benefits.
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