Staff - Registered Nurse (RN) - Hospice - $71K-88K per year

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. 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 the patient’s home or facility. 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 to the patient and loved ones, 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. Essential Functions / Job Responsibilities Perform comprehensive patient assessments and reassessments, including in‑person and 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 changes in condition or signs of decline to appropriate provider (e.g., NP, PCP, hospice physician). Support continuity of care by recognizing and supporting home health, palliative and hospice referrals and 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 the team when the patient's care plan warrants participation. 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 Requirements Education Registered Nurse (BSN or equivalent). Experience Minimum of one year of RN experience, preferably in acute care hospital, oncology, long‑term care, hospice or home health. School internships and clinical hours may be considered. Licenses, Certifications and/or Registration Current license to practice nursing in the state of requested employment. CPR certification. Valid driver’s license and automobile insurance. Specialized Knowledge and Skills Knowledge of terminally ill patients and their families, hospice principles, and interdisciplinary roles. Excellent patient assessment skills and documentation. Knowledge of community resources and managed care principles, including Medicare, Medicaid and ACHC regulations. Strong oral and written communication skills; ability to explain complex concepts to patients and families. Working Conditions Patient homes and/or institutional settings; potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. Personal Traits, Qualities and Aptitudes Sensitivity to life‑and‑death issues; tact in dealing with patients and families. Flexibility to perform a variety of tasks with composure. Effective communication with people of all socioeconomic backgrounds. Equipment / Tools / Work‑Aids Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have transportation for work. We Offer Competitive pay and 401(k) with company match. Medical, dental, vision insurance Mileage reimbursement or fleet vehicle program Generous paid time off and 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 and long‑term disability insurance Voluntary benefits (pet, critical illness, accident, LTC) Legalese This is a safety‑sensitive position. Employee must meet minimum requirements to be eligible for benefits. Where applicable, employee must meet state‑specific requirements. We are proud to be an EEO employer. We maintain a drug‑free workplace. Location Heartland Hospice, Des Moines, Iowa. #J-18808-Ljbffr