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Hospice Registered Nurse

Gentiva Hospice•Anniston, AL
•Onsite

About The Position

Gentiva Hospice is hiring a full-time Hospice Registered Nurse Case Manager to provide personalized hospice and palliative nursing care to patients with life-limiting illnesses and support their families. The role serves Calhoun, Clay, Cleburne, and Talladega Counties and is scheduled Monday through Friday, 8 a.m. to 5 p.m. Care is delivered in patients’ homes, assisted living settings, or other places they call home. The nurse serves as a primary contact for patients and families, provides skilled nursing care and symptom management, and collaborates with an interdisciplinary team to develop and update individualized plans of care. The position also includes patient and caregiver education, emotional and practical support, timely documentation, regulatory compliance, and participation in on-call and patient-support activities as applicable.

Requirements

  • Current license to practice nursing in the state of employment.
  • 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 CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Knowledge of terminally ill patients and their families and of hospice services and needs.
  • Ability to apply knowledge of the special needs of hospice patients and families and understand the roles of hospice disciplines.
  • Strong patient assessment skills.
  • Knowledge of community resources, general nursing practice, documentation, and program management.
  • Good oral and written communication skills.
  • Knowledge of managed-care principles and regulatory guidelines, including Medicare, Medicaid, and ACHC.
  • Ability to demonstrate sensitivity, tact, flexibility, composure, maturity, cooperation, and effective communication with people of varied socioeconomic backgrounds.
  • Ability to provide support to patients and families facing life-and-death issues and crisis.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
  • Ability to meet the requirements of a safety-sensitive position.

Nice To Haves

  • Hospice or palliative care experience.

Responsibilities

  • Serve as a primary point of contact for patients and families throughout the hospice journey.
  • Perform comprehensive initial and ongoing assessments and reassessments, including in-person or telephone assessments and screenings.
  • Deliver and document skilled nursing interventions and symptom management in alignment with individualized plans of care and goals of care.
  • Develop and update individualized care plans, including visit frequency and identified patient risks.
  • Coordinate care with interdisciplinary team members, including physicians, nurse practitioners, LPNs, CNAs, social workers, and chaplains.
  • Provide education to patients, families, and caregivers about disease processes, self-care, end-of-life care, medications, nutrition, hospice services, and symptom and pain management.
  • Offer emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance and support during times of crisis.
  • Teach caregivers how to safely care for patients and provide practical training and reassurance.
  • Communicate changes in patient condition and signs or symptoms of decline to appropriate providers and the care team.
  • Support continuity of care, including appropriate referrals and transitions among home health, palliative care, hospice, and levels of care.
  • Maintain timely and accurate clinical records, including assessment findings, physician orders, progress notes, and care plans.
  • Follow infection-control, regulatory, policy, and compliance standards.
  • Maintain effective working relationships with the interdisciplinary group and involve the team when needed to achieve care-plan outcomes.
  • Participate in on-call and patient-support activities as applicable, providing clinically competent and responsive service.
  • Support organizational quality-improvement and scheduling initiatives.
  • Maintain transportation for work and use required nursing tools and equipment.

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
  • Generous paid time off
  • Seven paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN support
  • 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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