RN Hospice Per Diem
Gentiva

Registered Nurse

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 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 IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome.

  • 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

About You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education:

  • Registered Nurse

Experience:

  • A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases.

  • Hospice or palliative care experience preferred

Licenses, Certifications and/or Registration:

  • Current license to practice nursing in the state of requested employment

  • CPR Certification

  • Current automobile insurance and valid driver’s license

Specialized Knowledge and Skills:

  • Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles).

Working Conditions:

  • Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.

Personal Traits, Qualities and Aptitudes:

  • Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team.

Equipment/Tools/Work-Aids:

  • Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work.

We Offer

Benefits for All Hospice Associates (Full-Time & Per Diem):

  • Competitive Pay

  • 401(k) with Company Match

  • Career Advancement Opportunities

  • National & Local Recognition Programs

  • Teammate Assistance Fund

Additional Full-Time Benefits:

  • Medical, Dental, Vision Insurance

  • Mileage Reimbursement or Fleet Vehicle Program

  • Generous Paid Time Off + 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 & Long-Term Disability Insurance

  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Ready to Join a Team That Cares?

Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones.

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: 2026-142528
Category: Registered Nurses
Position Type: Flex/Per Diem
Company: Gentiva Hospice

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Select Medical

Registered Nurse (RN) - PRN Night

$48 / hour
Overview Baylor Scott & White Institute for Rehabilitation *Joint venture with Select Medical* Frisco, TX Registered Nurse PRN Night Shift 6:30 p.m. - 7:00 a.m. PRN Hourly Pay: $48.00/per hour Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation and multiple traumas. Why Join Us: Start Strong: Extensive orientation program to ensure a smooth transition into our setting. Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities Receive admissions and/or transfers Initial and ongoing systematic patient assessment Timely and accurate documentation using EPIC Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Instruct and counsel patients/families Qualifications Minimum Qualifications: Valid State RN license At least one year of RN experience BLS required at hire Preferred Qualifications: BSN or enrollment in a BSN program Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans
AdventHealth

Pre-Surgery Registered Nurse

$45.39 / hour
Our promise to you: Joining Texas Health Mansfield is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Mansfield is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: PRN Shift: Day (United States of America) Address: 2300 LONESTAR RD City: MANSFIELD State: Texas Postal Code: 76063 Job Description: Schedule: PRN position with variable scheduling based on patient volume. Shifts generally begin at 5:30 AM and typically ends at 12:00 PM, with flexibility required as shift lengths may vary. PRN Rate: $45.39/hour ​ Assesses and documents patients and family's needs to provide necessary data for quality care. Gathers and analyzes data to formulate initial nursing care and discharge plans. Identifies and reports patient condition abnormalities to anesthesia or surgeon. Observes and assesses assigned patients during their stay in the outpatient surgery department. Documents medications, drug allergies, and patient information. Implements and documents nursing interventions and physician's orders accurately and promptly. Prepares and administers medications, IV fluids, and blood products according to orders and hospital policy. Coordinates scheduling and preparation for various procedures. Communicates with patients and families, providing pre-op and post-op education and addressing their needs. Utilizes the Computerized Physician Order entry process and proficiently uses the Electronic Medical Record for retrieval of patient information. Maintains a safe environment by checking equipment, stocking supplies, and reporting safety concerns. Participates in professional development and maintain required certifications and competencies. Performs other duties as assigned. Knowledge, Skills, and Abilities: High level of organizational skills. [Required] Computer skills required. [Required] Education: Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Field of Study: N/A Work Experience: 1+ previous experience as RN on surgical floor or recovery room, preferably surgical unit [Required] Additional Information: N/A Licenses and Certifications: Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required[ Added Advanced Cardiac Life Support Cert (ACLS) [Required] Pediatric Advanced Life Support Cert (PALS) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/2vvwrzem Pay Range: $33.28 - $61.91 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
AdventHealth

Pre-Op RN PRN

$45.39 / hour
Our promise to you: Joining Texas Health Mansfield is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Mansfield is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: PRN Shift: Day (United States of America) Address: 2300 LONESTAR RD City: MANSFIELD State: Texas Postal Code: 76063 Job Description: Schedule: PRN position with variable scheduling based on patient volume. Shifts generally begin at 5:30 AM and typically ends at 12:00 PM, with flexibility required as shift lengths may vary. PRN Rate: $45.39/hour ​ Assesses and documents patients and family's needs to provide necessary data for quality care. Gathers and analyzes data to formulate initial nursing care and discharge plans. Identifies and reports patient condition abnormalities to anesthesia or surgeon. Observes and assesses assigned patients during their stay in the outpatient surgery department. Documents medications, drug allergies, and patient information. Implements and documents nursing interventions and physician's orders accurately and promptly. Prepares and administers medications, IV fluids, and blood products according to orders and hospital policy. Coordinates scheduling and preparation for various procedures. Communicates with patients and families, providing pre-op and post-op education and addressing their needs. Utilizes the Computerized Physician Order entry process and proficiently uses the Electronic Medical Record for retrieval of patient information. Maintains a safe environment by checking equipment, stocking supplies, and reporting safety concerns. Participates in professional development and maintain required certifications and competencies. Performs other duties as assigned. Knowledge, Skills, and Abilities: High level of organizational skills. [Required] Computer skills required. [Required] Education: Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Field of Study: N/A Work Experience: 1+ previous experience as RN on surgical floor or recovery room, preferably surgical unit [Required] Additional Information: N/A Licenses and Certifications: Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required[ Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/2vvwrzem Pay Range: $33.28 - $61.91 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
AdventHealth

Registered Nurse- Surgery Room

$45.39 / hour
Our promise to you: Joining Texas Health Mansfield is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Mansfield is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: PRN Shift: Day (United States of America) Address: 2300 LONESTAR RD City: MANSFIELD State: Texas Postal Code: 76063 Job Description: Schedule: Flexible schedule, Friday Availability needed (PRN) On Call - 1 weekend per month and 2 weekdays per month PRN Rate: $45.39/hour Conduct comprehensive assessments to evaluate the physiological, psychological, developmental, sociocultural, spiritual, and lifestyle factors of patients. Develop and implement individualized care plans based on patient needs and standards of care, regularly evaluating and revising these plans as necessary. Administer medications and treatments accurately and safely, following physician orders and hospital protocols, and monitor for adverse reactions Educate patients and families about health conditions, treatments, medications, and self-care strategies to promote understanding and compliance. Collaborate with medical staff and ancillary departments to coordinate and optimize patient care, ensuring effective communication and teamwork. Maintain accurate and timely documentation of patient information, care activities, interventions, and outcomes in the medical record. Evaluate the effectiveness of care plans and interventions continuously, making necessary adjustments to improve patient health and achieve positive outcomes. Ensure compliance with infection control protocols, safety standards, and regulatory requirements to maintain a safe healthcare environment. Provide emotional support and therapeutic communication to patients and their families, addressing their emotional and psychological needs. Supervise and delegate care provided by members of the healthcare team to ensure quality and efficiency. Engage in continuous professional development and participate in performance improvement activities to enhance patient care and operational efficiency. Respond to code situations promptly and effectively, providing necessary interventions to stabilize patients. Knowledge, Skills, and Abilities: Organizational and multi-tasking skills Knowledge of nursing care methods and procedures Ability to work as a Team player within a unit Effective verbal and oral communication and problem-solving skills EKG (based on patient ; see document EKG and Advanced Life Support Requirements) Must be fluent in English (read, verbal and written skills) Basic computer skills – must be able to navigate Microsoft windows based programs Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes Education: Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Work Experience: 1+ Operating Room experience [Preferred] Additional Information: Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements Licenses and Certifications: Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required] Acute/Critical Care Clinical Nurse Specialist (CCNS) [Preferred] Neonatal Med Certification (NEONATAL MED) [Preferred] Pediatric ER Assess, Recog & Stabilization (PEARS) [Preferred] Registered Diagnostic Medical Sonographer w/ OB/GYN Spec (RDMS-OBGYN) [Preferred] NonViolent Crisis Intervention Program [Preferred] S.T.A.B.L.E. Certification [Preferred] Trauma Nurse Course Certified (TNCC) [Preferred] Advanced Burn Life Support (ABLS) [Preferred] Critical Care Registered Nurse - Tele-ICU (CCRN-E) [Preferred] International Board Certified Lactation Consultant (IBCLC) [Preferred] Oncology Nurse Society (ONS) [Preferred] Board Certified Pediatrics (BCP) [Preferred] Stroke Certified Registered Nurse (SCRN) [Preferred] Gerontological Nurse (GERO-BC) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/49cf4xnf Pay Range: $33.28 - $61.91 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Bristol Hospice

Admissions RN

Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community The Admissions RN is also responsible for developing and increasing the access to Bristol Hospice Services in the communities that the location serves. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an Average Day You Will: (includes but not limited to) Relate information to the DPCS, ED and Community Education Director of initiatives that promote hospice access in the hospice community Ensure the educational needs of the community related to hospice care and services, are assessed and met on an ongoing basis Establish and monitor community, customer, payer and patient perceptions of Bristol Hospice as a high-quality provider of hospice services in the community Facilitate communication with agency and referral sources as needed to promote the continuum of care Maintain comprehensive working knowledge in the field of Hospice educational resources and share information with appropriate organizational personnel Facilitate the hospice referral process Serve as a resource to review and consult available patient information related to the case, to determine hospice care needs and criteria Coordinate and communicate with hospice agency leadership and referral sources to promote care coordination and a timely admission process Complete hospice consults/evaluations and admissions Ensure coordination and communication with referral sources and hospice agency leadership Complete initial assessments of patients and families to determine hospice needs Facilitate and complete admissions as indicated Provide a complete physical assessment and history of current and previous illness(es) of referrals Work with the intake department so they can serve as a liaison between facility, physicians, hospitals, skilled nursing facilities, community and hospice programs, with coordination of referrals/admission process and services Coordinate with the ED and DPCS regarding the need for planning, implementation and evaluation of in-service and continuing education programs May be required to actively participate in the Quality Assurance Performance Improvement (QAPI) process, as directed by ED or DPCS May be required to function as an RN Case Manager and maintain an assigned patient case load as determined by the ED or the DPCS Provide professional nursing care by utilizing all elements of the nursing process Use health assessment data to determine nursing diagnosis May be required to participate in IDT meetings and work with the IDT to determine the patient/family plan of care, as needed Provide patient/family education related to the patient/family plan of care All other duties as assigned Requirements: Must have a current RN license in the state Must have a minimum of one (1) year of experience as a professional nurse within the last three (3) years or have a bachelor’s degree in nursing from a program accredited by the National League of Nursing Must be able to travel 20% of the time, often without notice Must be flexible in work hours Must possess the willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.