Hospice Registered Nurse

rivhs; Smithfield (VA); On-site; USD 50,000 - 69,000; Full time

Job summary

Riverside Health seeks a compassionate Registered Nurse for its Hospice team serving Smithfield, Virginia. You will deliver specialized end-of-life care, assess patient needs, educate families, and collaborate with an interdisciplinary team to promote comfort and dignity.

The role requires RN licensure in Virginia, CPR/BLS certification, and a willingness to travel to patient homes as part of a visiting nursing schedule. This is an on-site hospice position in Smithfield, VA.

Qualifications

• Acute care experience preferred.
• Bachelor's degree in nursing preferred.
• RN license (Virginia) required; CPR/BLS certification required within 30 days.

Responsibilities

• Assess, plan, implement and evaluate total nursing care for assigned patients on a visiting basis.
• Assess patient risk for grief, cultural/spiritual needs, and caregiver capability; tailor services.
• Complete all required clinical documentation per RHS standards and deadlines.
• Initiate individualized care plans; manage symptoms and provide education to patient and family.
• Coordinate with interdisciplinary team; refer to other services as needed and document progress.
• Supervise LPNs/LVNs and Home Health Aides; provide training and ensure quality patient care.

Skills

Acute care experience

Patient assessment

End-of-life care

Education

Bachelor's Degree in Nursing (Preferred)

Registered Nurse (RN) License - VDHP (Required)

CPR/BLS Certification - Required

Job description

Location

Smithfield, Virginia

Hiring Range

$36.50 - $50.23/Hourly

Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. At Riverside Health, we care for others as we would care for those we love. Our Hospice team serving Smithfield, Virginia and the surrounding communities is seeking a compassionate and dedicated Registered Nurse to provide exceptional end-of-life care to patients and support to their families. In this role, you will partner with an interdisciplinary team to deliver individualized hospice care, manage symptoms, educate caregivers, and promote comfort, dignity, and quality of life throughout the patient journey. If you are passionate about making a meaningful difference, thrive in a patient-centered environment, and are committed to providing compassionate care during life's most critical moments, we invite you to join our team and help us continue our mission of caring for the communities we serve.

What you will do

• Assesses, plans, implements, and evaluates the total nursing care of assigned patients on caseload on an intermittent visiting basis. Develops an initial and ongoing comprehensive assessment of client needs, including the impact of the terminal diagnosis on the patients physical. functional, psychological, and environmental needs and activities of daily living.
• Assesses the patient's risk for pathological grief, cultural and spiritual implications, and verbal/non-verbal communication patterns. Assesses the ability of the caregiver to meet the patient's immediate needs upon admission and throughout care. Determines scope and frequency of services needed based on acuity and patient/family needs.
• Accurately completes all required clinical documentation consistently per RHS standards which includes completing and "locking" patient notes and verbal orders, as well as completing certifications and recertification's after the department's multi-disciplinary team meetings. Required documentation is to be completed no later than the last day of the month in order to provide timely billing. Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
• Implements/initiates an individualized plan of care and recommends revisions to the plan when necessary. Manages patient's discomfort and provides symptom relief. Provides services and/or treatments requiring specialized nursing skill related to palliative and end-of-life care. Consults with, councils and educates the patient and family in meeting nursing needs, the disease process, self-care techniques, end of life care and the processes for dealing with issues of ethical concerns.
• Uses case management approach and refers patient to other services as needed. Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary teams. Provides on-going evaluation of patient/family response to care. informs the physician and the IDT of changes in the patients needs, and the patient's plan of care. Initiates appropriate preventive and rehabilitative nursing procedures and provides treatments and procedures that contribute to the physiological and psychosocial outcomes and stability of the patient. Prepares clinical and progress notes that demonstrate progress toward established goal(s). Referral of patients to other services as needed.
• Supervises LPN/LVN's, and Home Health Aides in providing services to the patient according to regulatory guidelines. Provides specialized hospice training to other staff, family members and informal caregivers to ensure adequate care. Participates positively in training and support of all team members, volunteers and students as needed. Delegates and prioritizes tasks appropriately to facilitate quality patient care and ensure patient care needs are met. Recognizes and responds to emergency situations. Evaluates own needs for support and uses identified systems and resources to meet need.

Qualifications

• Education
  • Registered Nurse (Required)
  • Bachelors Degree, Nursing (Preferred)
• Experience
  • Acute Care (Preferred)
• Licenses and Certifications
  • Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required)
  • CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)
  • Valid Drivers License Required
• Drives personal vehicle for RHS business 25% or more of the time to perform essential functions of the job