Jobs · Healthcare · Texas

Hospice Registered Nurse

Gentiva · Devine, TX · 4 days ago
HealthcareFull-time

About the role

Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. As a Hospice RN / RN Case Manager, you will be the primary point of contact for patients and families, guiding them through every step of their hospice journey.

Responsibilities

  • Serve as the primary point of contact for patients and families, guiding them through every step of their hospice journey
  • Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home
  • Perform initial and ongoing assessments to monitor patient condition and adjust care as needed, including in-person/telephonic RN assessments/screenings
  • Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans
  • Provide emotional, physical, and spiritual support to patients and their loved ones, offering education, comfort, and bereavement guidance
  • Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance
  • Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions
  • Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards
  • Support quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient
  • Help patients and families understand and navigate medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations
  • Deliver skilled nursing interventions and symptom management aligned with goals of care
  • Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification
  • Coordinate care across interdisciplinary teams including consultation with physicians and nurse practitioners
  • Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs
  • Communicate change in condition or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician)
  • Support continuity of care by recognizing and supporting home health, palliative and hospice referrals and transitions in levels of care
  • Document timely clinical records including screening/assessment findings, physician orders, progress notes, and care plans
  • Maintain effective working relationships with the interdisciplinary group (IDG) and involve team when patient's care plan warrants team participation
  • Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner

Requirements

  • Education: Registered Nurse
  • Experience: Minimum of one (1) year experience as an RN in acute care hospital, oncology, long-term care, hospice, or home health. School internships and clinical hours may be considered as experience in individual cases. Hospice or palliative care experience preferred.
  • Licenses & Certifications: Current license to practice nursing in the state of requested employment; CPR Certification; current automobile insurance and valid driver’s license

Skills

  • Clinical excellence and sound judgment
  • Patient-centered communication and empathy
  • Interdisciplinary collaboration
  • Accountability and regulatory compliance
  • Adaptability and critical thinking
  • Timeliness of patient visits and documentation
  • Accuracy and completeness of clinical records
  • Patient and caregiver satisfaction focus
  • Compliance with regulatory and policy standards (Medicare, Medicaid, ACHC)
  • Participation in team collaboration and IDG activities
  • Knowledge of terminally ill patients and their families along with understanding of hospice
  • Ability to apply knowledge of the special needs of hospice patients and families
  • Knowledge of roles of all disciplines providing hospice services
  • Excellent patient assessment skills
  • Knowledge of community resources
  • Good oral and written communication skills
  • Documentation and program management
  • Knowledge of general nursing practice
  • Thorough knowledge of managed care principles and human resource management principles

Working conditions

Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Personal qualities

  • Sensitivity to the impact of life and death issues faced by individuals with terminal illness
  • Tact in dealing with patients and their families
  • Ability to support others at a time of crisis
  • Flexibility to perform a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure
  • Effective communication with people of all socioeconomic backgrounds
  • Responsible functioning in the workplace, maturity, cooperation, flexibility, and tact in dealing with co-workers and all members of the hospice team

Equipment & tools

  • Nursing assessment tools
  • Computers, facsimile equipment, copier
  • Cell phone/beeper
  • Must have and maintain transportation for work

Benefits

  • Competitive pay
  • 401(k) with company match
  • Career advancement opportunities
  • National & local recognition programs
  • Teammate Assistance Fund
  • Medical, dental, and vision insurance (full-time)
  • Mileage reimbursement or fleet vehicle program (full-time)
  • Generous paid time off + 7 paid holidays (full-time)
  • Wellness programs including telemedicine, diabetes management, joint & spine concierge care (full-time)
  • Education support & tuition assistance (ASN to BSN, BSN to MSN) (full-time)
  • Free continuing education units (CEUs) (full-time)
  • Company-paid life & long-term disability insurance (full-time)
  • Voluntary benefits: pet, critical illness, accident, long-term care (full-time)

Position Type: Full-Time | Company: New Century Hospice | ReqID: 2026-143814

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