Hospice RN

Job Title/Position

Hospice RN Registered Nurse Case Manager

Reports To: Director of Clinical Services

Location: Gillette, Wyoming

Stillwater Hospice is a growing organization with nine locations. Stillwater prioritizes the team and delivers high-quality patient service and community dedication. Stillwater Hospice Nurses are a critical part of the care team. If you are excited about a meaningful role on a growing, dynamic team, apply now!

Currently Interviewing

• Pay rate: $36 - $40 / hour
• Additional on-call pay
• Benefits and PTO for full-time staff

• Health Insurance
• Dental Insurance
• 401k Retirement Plan
  • 100% match up to 4%
  • No vesting period
• Paid Time Off (PTO) with immediate accrual
• Flexible Work Schedule with Work/Life Balance
• Stillwater University for learning and development

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

• Completes an initial, comprehensive assessment of the patient and family to determine hospice needs, including a complete physical assessment and history of current and previous illnesses.
• Provides professional nursing care by utilizing all elements of the nursing process as defined in the state Nurse Practice Act.
• Assesses and evaluates patient status by:
• Writing and initiating plan of care
• Regularly re-evaluating patient and family/caregiver needs
• Participating in revising the plan of care as necessary
• Initiates the plan of care and makes revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan with goals based on nursing diagnosis and incorporating palliative actions, including the patient and family in planning.
• Initiates appropriate preventive and rehabilitative nursing procedures; administers medications and treatments as prescribed.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instruction to the patient as appropriate per assessment and plan.
• Assists the patient with activities of daily living and facilitates self-sufficiency and optional comfort care.
• Acts as Case Manager when assigned by Clinical Supervisor and coordinates patient care for the caseload.

• Completes, maintains and submits accurate clinical notes regarding the patient’s condition and care provided; records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient’s needs and reports changes in condition; obtains/receives physician orders as required.
• Coordinates with community health-related persons to implement the care plan.
• Teaches patient and family/caregiver self-care techniques; provides medication, diet and other instructions as ordered by the physician; collaborates with the interdisciplinary team.
• Provides and maintains a safe environment for the patient.
• Assists patient and family/caregiver and other team members in providing continuity of care.
• Works with the family/caregiver and hospice interdisciplinary group to meet emotional needs.
• Attends interdisciplinary group meetings.

• Participates in on-call duties as defined by the on-call policy.
• Ensures arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Maintains professional development through continuing education and in-service classes.
• Fulfills requested and/or accepted case assignments.
• Participates in quality assessment and performance improvement activities.

• Graduate of an accredited school of nursing. One to two years of recent acute care experience in an institutional setting, and one to two years of recent home care experience.
• Current licensure in the state.
• Must be a licensed driver with insured automobile in good working order.
• Bachelor’s degree; hospice care experience preferred but not required.
• Management experience not required; responsible for supervising hospice aides.
• Excellent observation, verbal and written communication skills; problem solving; basic math skills; nursing skills per competency checklist.
• Ability to stand/walk for prolonged periods; ability to lift, position and transfer patients; ability to lift supplies and equipment; good coordination for reaching, stooping, bending, kneeling and crouching; adequate visual acuity and hearing for nursing skills.