Registered Nurse
Gentiva · Terrell, TX · Today
HealthcareFull-time
About You
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Education
Registered Nurse
Experience
- 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
Licenses, Certifications and/or Registration
- Current license to practice nursing in the state of requested employment
- CPR Certification
- Current automobile insurance and valid driver's license
Specialized Knowledge and Skills
- 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)
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, Qualities and Aptitudes
- 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
- Must be able 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
- Communicate effectively with people of all socioeconomic backgrounds
- Responsible functioning in the work place, maturity, cooperation, flexibility, 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
What You'll Do as a Hospice RN / RN Case Manager
- 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
Essential Functions Job Responsibilities
- 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
Core Competencies
- 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
Benefits
For All Hospice Associates (Full-Time & Per Diem)
- Competitive Pay
- 401(k) with Company Match
- Career Advancement Opportunities
- National & Local Recognition Programs
- Teammate Assistance Fund
Additional Full-Time Benefits
- Medical, Dental, Vision Insurance
- Mileage Reimbursement or Fleet Vehicle Program
- Generous Paid Time Off + 7 Paid Holidays
- Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
- Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
- Free Continuing Education Units (CEUs)
- Company-paid Life & Long-Term Disability Insurance
- Voluntary Benefits (Pet, Critical Illness, Accident, LTC)