Registered Nurse Hospice

About You

• Current Registered Nurse license to practice nursing in the state of requested employment
• 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 in individual cases)
• Hospice or palliative care experience preferred
• 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 (Medicare, Medicaid, ACHC, and human resource management principles)
• 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
• 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
• Communicate effectively with people of all socioeconomic backgrounds
• Responsible functioning in the workplace, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team
• 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

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 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 the organization's 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
• 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 (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

Working Conditions

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

Pay

Salary Range: $78,595 - $98,270. 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, certifications and department equity.

Benefits

For Full Time Employees:

• Medical, Dental, Vision
• Wellness Program and Resources
• 401k match
• PTO
• FMLA, ADA and other federal and state required leaves
• Short/Long Term Disability
• HSA Contribution
• Mileage or Fleet Car Program
• Cell Phone Reimbursement (for eligible roles)
• Short Term Incentive (for eligible roles)
• Tuition Reimbursement

For All Associates (Full-Time, Part-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)