Palliative Care RN - Advanced Illness Management

Overview

Join us to make a difference when life matters most

We believe every day is an opportunity to make care more personal and life more comfortable. That’s why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.

The Advanced Illness Management (AIM) Palliative Care RN will report directly to the Director of Palliative Care. You will work with patients, their families, and other health care professionals to provide and coordinate high-quality end of life care. AIM Palliative RNs offer in-person and telephonic assessments to palliative care patients in collaboration with the interdisciplinary team. AIM Palliative RN’s primary role provides in-person assessments in private homes, assisted living facilities, and skilled nursing facilities They provide education to patients and families and work to ensure patients are comfortable in their home environment.

As a Registered Nurse / RN, You Will :

Conduct in-person / telephonic RN assessments / screenings and provides education to palliative care patients, family members or caregivers as appropriate.

Complete Risk Stratification Assessment to identify patient support needs per established protocols as appropriate in consultation with the NP

Observes patient visit frequency per patient individual need and risk identification

Provide reliable education and instructions to patients and families with consistently excellent customer service bringing calm, comfort and positively to patients and families

Consult with and educate patients / families regarding disease process, self-care techniques, end-of-life care, medications, nutrition, and dietary needs

Communicate any findings that identify appropriate preventive and rehabilitative skilled nursing, or therapy needs to the PCP or AIM Palliative NP

Educate patient and family on medication administration and treatments as prescribed by the nurse practitioner or physician in the plan of care

Coordinate care with palliative team members

Communicate change in condition, or signs and symptoms of decline to Palliative NP and / or PCP

Support hospice referral as appropriate

Document timely clinical records on all patients including screening / assessment findings, physician orders, progress notes, and care plans

Support care plan development and implementation for palliative care from the initial assessment through discharge. Assessment at a minimum should include : disease-specific changes, decline or change in function, nutrition and / or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient's condition, caregiver and / or family's quality of life.

Collaborate on development and modifications to the palliative plan of care, individualized for each patient, in consultation with the patient, family and other members of the Palliative Care Team.

Facilitate in providing and / or obtaining care for patient when a need is identified in accordance with the Plan of Care.

Participates in evening / weekend call as required, conducting on-call services in a clinically competent and responsive manner.

Facilitate prescription transmission to pharmacy including controlled substances to the extent delegated and licensed, in accordance with state law. Receive laboratory results and other diagnostic tests, provide results to nurse practitioner in a timely manner. Place requests for ordered durable medical equipment as medically necessary.

Communicate clinical findings to the nurse practitioner and / or PCP as needed, but no less than bi-weekly. Re-assess effectiveness of care plan on a regular basis and modify as needed.

Maintain effective working relationships with supportive care team (e.g., Social Worker), as applicable, and involve team when patient's care plan warrants team participation to achieve desired outcome.

Establish and maintain effective working relationships with those contacted in the course of work.

Communicate and document clinical findings, treatment plan and care provided in the patient's medical record in a manner consistent with acceptable standards in order to support sound nursing practice.

About You

Registered Nurse / RN Requirements :

Education :

Registered Nurse

Experience :

2 years of prior skilled Registered Nurse experience

Demonstrated ability to provide quality patient care

Nursing experience in palliative care, oncology, hospice, or geriatric care preferred

Additional, preferred experience to help you be successful in a hospice role : hospital Staff RN, Med Surg, PACU, Float pool, ER or emergency room, critical care, acute care, cardiac, geriatric, admissions, wound care, telemetry or travel nursing

Licenses, Certifications And / or Registration :

Registered Nurse

Licenses, Certifications And / or Registration :

Active and unrestrictive RN license to practice in the state without any board action

CPR Certification

Equipment / Tools / Work-Aids :

Fluent competence in computer programs Microsoft Outlook, Microsoft Word, and Microsoft Excel

Fluent in electronic medical record documentation

Specialized Knowledge And Skills :

Prior clinical experience

Strong compassionate phone skills

Strives for independence and sound critical decision-making regarding the delivery of patient care

Competent to perform afterhours in person visits

Familiar with the concepts and needs of patients / families who are facing advanced illnesses

Excellent written and verbal communication

Always maintains patient confidentiality

Good problem-solving skills

Good time management skills

We Offer

As a Registered Nurse / RN, you will be eligible for :

Competitive Pay

Medical, Dental, Vision Plans

Wellness Program and Resources including :

A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs

Telemedicine Program

Type 2 Diabetes Management Program via Virta Health

A complete Joint and Spine Program with concierge services via Nimble Orthopedics

Generous Paid Time Off (plan increases with tenure) and 7 paid holidays

Pre-tax FSA and HSA plans (HSA w / company contributions)

401(k) with company matching contributions

Career growth opportunities available at both the branch and corporate levels

One on One Onboarding Program

Free Continuing Education Units

Tuition Program that includes :

Access to 280+ program at 25+ learning partners

Programs at every education level from ASN to BSN or BSN to MSN

Online classes with flexible start dates

Tuition reimbursement

Company paid life and long-term disability insurance

Voluntary long-term care, critical illness, accident insurance, and pet insurance

Local and national award programs

Referral bonus program

Mileage reimbursement or Fleet Program

Financial assistance program supporting teammates in times of need

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

ReqID : 2025-125514

Category : Registered Nurse

Position Type : Full-Time

Company : Illumia