Hospice Registered Nurse

Gentiva; Tennessee; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Gentiva in McMinnville, TN is seeking a Home Hospice RN / RN Case Manager to lead patient care in the home setting, coordinating with families and the care team to deliver compassionate, skilled nursing services aligned with each patient's Plan of Care.

This full-time weekday role includes initial assessments, ongoing symptom management, education for caregivers, and collaboration with physicians, LPNs, CNAs, social workers, and chaplains to support end-of-life care.

Responsibilities

• Be the primary point of contact for patients and families, guiding them through every step of their hospice journey.
• Deliver and document skilled nursing care based on each patient's Plan of Care in their home or other residence.
• Perform initial and ongoing assessments to monitor patient condition and adjust care as needed.
• Collaborate with an interdisciplinary team to build and refine personalized care plans.
• Provide emotional, physical, and spiritual support to patients and loved ones, including bereavement guidance.
• Teach caregivers how to care for their loved one safely and confidently.
• Communicate updates in patient condition to the care team for timely interventions.
• Maintain accurate clinical documentation and follow infection control standards.
• Support quality improvement and scheduling initiatives to ensure compassionate, efficient care.
• Explain topics such as medication administration, hospice philosophy, symptom management, and end-of-life processes.

Job description

Overview

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.

This is a full-time weekday position with a limited after hours on call back up rotation supporting patients in the McMinnville and surrounding areas.

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 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