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Hospice Registered Nurse

Emerald Coast Hospice•Crestview, FL

About The Position

The Hospice Registered Nurse (RN)/RN Case Manager provides skilled, compassionate hospice and palliative nursing care to patients facing life-limiting illness and supports their families and caregivers. The nurse serves as a primary contact throughout the hospice journey, delivering care in patients’ homes, assisted living facilities, or other institutional settings. Care is individualized according to each patient’s Plan of Care and goals, with ongoing assessment, symptom management, education, and coordination with an interdisciplinary team. The role includes supporting patients and loved ones emotionally, physically, and spiritually; teaching caregivers practical care techniques; communicating changes in condition; maintaining accurate clinical records; and participating in quality, scheduling, and on-call activities as applicable. The position requires travel between care settings and may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • Registered Nurse education.
  • 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 of hospice care and the special needs of hospice patients and families.
  • Knowledge of the roles of disciplines providing hospice services and of community resources.
  • Excellent patient assessment skills; good oral and written communication skills; documentation and program management abilities; and knowledge of general nursing practice.
  • Thorough 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.
  • Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people from all socioeconomic backgrounds and to work cooperatively with hospice team members.
  • 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 skilled nursing interventions and symptom management aligned with patients’ goals of care.
  • Develop and update individualized plans of care, including visit frequency, to address patient needs and identified 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 or signs and 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.
  • 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 needed to achieve desired outcomes.
  • Participate in on-call and patient support activities as applicable, providing clinically competent and responsive on-call services.
  • Serve as a primary point of contact for patients and families and guide them through the hospice journey.
  • Deliver and document hands-on nursing care in patients’ homes, assisted living facilities, or other settings.
  • Provide emotional, physical, and spiritual support to patients and loved ones, including comfort, education, and bereavement guidance.
  • Teach caregivers to provide safe care and offer practical training and emotional reassurance.
  • Maintain accurate clinical documentation and follow infection control, regulatory, compliance, and organizational standards.
  • Support quality improvement and scheduling initiatives.
  • Help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.

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 for full-time associates
  • Generous paid time off for full-time associates
  • Seven paid holidays for full-time associates
  • 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 for full-time associates
  • Company-paid long-term disability insurance for full-time associates
  • Voluntary pet, critical illness, accident, and long-term care benefits

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