PRN RN Hospice

We are seeking a Registered Nurse to provide palliative and end‑of‑life care in our Newport News, Virginia facility. The position offers an hourly rate of $33.00 to $66.00, determined by program, work commitment, and business needs.

• Assess, plan, implement, and evaluate the total nursing care of assigned patients.
• Develop initial and ongoing comprehensive assessment of client needs, including physical, functional, psychological, and environmental aspects.
• Assess patient risk for pathological grief, cultural and spiritual implications, and communication patterns.
• Evaluate caregiver’s ability to meet patient needs upon admission and throughout care.
• Determine scope and frequency of services based on acuity and patient/family needs.
• Complete clinical documentation in accordance with Riverside Health System standards, including patient notes, verbal orders, certifications, and recertifications.
• Apply admission and re‑certification criteria for hospice care to establish appropriate levels of care and eligibility.
• Implement individualized plan of care, recommending revisions as necessary.
• Manage patient discomfort and provide symptom relief.
• Provide specialized nursing skills related to palliative and end‑of‑life care.
• Consult, counsel, and educate patients and families on nursing needs, disease process, self‑care techniques, end‑of‑life care, and ethical issues.
• Use a case‑management approach to refer patients to other services and coordinate patient/family services with interdisciplinary teams.
• Provide ongoing evaluation of patient/family response to care and communicate changes to the physician and IDT.
• Initiate preventive and rehabilitative nursing procedures to support physiological and psychosocial outcomes.
• Prepare clinical and progress notes demonstrating progress toward goals.
• Supervise LPNs/LVNs and home health aides, ensuring compliance with regulatory guidelines.
• Provide specialized hospice training to staff, family members, and informal caregivers.
• Participate in training and support of all team members, volunteers, and students.
• Delegate and prioritize tasks to ensure quality patient care.
• Recognize and respond to emergency situations.
• Evaluate personal support needs and utilize available resources.

• Registered Nurse license (required).
• Bachelor’s degree in Nursing (preferred).
• Hospice experience (preferred).
• Registered Nurse – Virginia Department of Health Professions (required).
• CPR/BLS Certification from the American Heart Association, American Red Cross, or American Safety and Health Institute within 30 days of hire (required).