Registered Nurse
Gentiva · Pullman, WA · Today
Healthcare$37–$42/hrFull-time
Lead with heart. Be the difference. Transform end-of-life care by delivering personalized, meaningful hospice and palliative care to patients facing life-limiting illness. Support patients and their families with dignity, comfort, and love.
Responsibilities
- Be 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.
- 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 not just to the patient, but to their loved ones as well—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 the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient.
- Help patients and families understand and navigate topics such as:
- Medication administration
- Hospice philosophy and services
- Symptom and pain management
- End-of-life processes and expectations
- Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members, and caregivers as appropriate.
- 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 the continuity of care by recognizing and supporting home health, palliative, and hospice referrals as appropriate and recognizing and supporting transitions in levels of care.
- Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans.
- Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome.
- Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner.
Requirements
- A minimum of one (1) year experience as an RN, either 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.
- Current license to practice nursing in the state of requested employment.
- CPR Certification.
- Current automobile insurance and valid driver’s license.
- Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient 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, regulatory guidelines (i.e., Medicare, Medicaid, ACHC), and human resource management principles.
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
- Compliance with regulatory and policy standards
- Participation in team collaboration and IDG activities
Working Conditions
- Patient’s homes and/or institutional setting and automobile.
- Potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.
Personal Traits
- Sensitivity to the impact of life and death issues faced by individuals with terminal illness.
- Tact in dealing with these patients and their families; ability to support others at a time of crisis.
- Ability to demonstrate flexibility by performing 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/Work-Aids
- Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper.
- Must have and maintain transportation to be used for work.
Pay
Compensation may vary within the salary range provided based on several factors including but not limited to a candidate’s location, experience, education, skills, licensure, and certifications. Salary Range – $37.00/hour - $42.00/hour.
Benefits
- Competitive Pay
- 401(k) with Company Match
- Career Advancement Opportunities
- National & Local Recognition Programs
- Teammate Assistance Fund
- Medical, Dental, Vision Insurance (Full-Time)
- Mileage Reimbursement or Fleet Vehicle Program (Full-Time)
- Generous Paid Time Off + 7 Paid Holidays (Full-Time)
- Wellness Programs (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, LTC) (Full-Time)