Registered Nurse
hace 4 días
Richmond
Lead with heart. Be the difference. Transform end-of-life care. 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. 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. 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 partitioners., • 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 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. Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive total rewards package, of which base pay is just one component. Salary range: $40.86/hour - $45.67/hour Full-time employee benefits: • Medical, dental & vision, • Wellness program & resources, • 401(k) with company match, • Paid time off (PTO), • FMLA, ADA, and other federal and state-required leaves, • Short-term & long-term disability, • Health savings account (HSA) contribution, • Mileage reimbursement or fleet car program, • Cell phone reimbursement (eligible roles), • Short-term incentive (eligible roles) Tuition reimbursement Benefits 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) Ready to join a team that cares? Apply now to become part of our hospice nursing team and help make every moment count for our patients and their loved ones.