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Hospice Care Registered Nurse with Sign-On Bonus

Heartland Hospice · St Mary, MO

FULL-TIME AND PART-TIME Posted Oct 20, 2026

Job Description

$5,000 Sign-On Bonus!
Lead with Heart. Be the Difference. Transform End-of-Life Care.
Join our team where each day offers a unique opportunity to provide compassionate, personalized hospice and palliative care to patients dealing with life-limiting illnesses. Our mission is to support patients and their families with dignity, comfort, and love.
Key Responsibilities as a Hospice RN/RN Case Manager:
• Serve as the primary contact for patients and families, providing guidance through every step of their hospice journey.

• Administer and document skilled nursing care tailored to each patient's individualized Plan of Care, whether in their home, assisted living, or other residences.

• Conduct initial and ongoing assessments to monitor patient conditions and adjust care as necessary.

• Collaborate with a diverse interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to develop and refine personalized care plans.

• Offer emotional, physical, and spiritual support to both the patient and their loved ones, providing education, comfort, and bereavement guidance.

• Educate caregivers on how to safely and confidently care for their loved ones, offering training and emotional reassurance.

• Communicate significant updates regarding patient conditions to the care team for timely and appropriate interventions.

• Maintain precise, current clinical documentation while adhering to infection control and compliance standards.

• Contribute to the organization's quality improvement and scheduling initiatives to ensure consistent, compassionate, and efficient care.

• Assist patients and families in understanding and navigating key topics such as medication administration, hospice philosophy, symptom management, and end-of-life processes.

Essential Functions:
• Conduct comprehensive patient assessments, including in-person or telephonic screenings, and provide relevant education to patients and caregivers.

• Deliver skilled nursing interventions and symptom management aligned with the established goals of care.

• Develop and update individualized care plans, detailing patient visit frequency and identifying specific needs and risks.

• Cooperate with interdisciplinary teams, consulting with physicians and nurse practitioners as needed.

• Provide education on disease processes, self-care techniques, end-of-life care, medications, and nutritional needs.

• Notify appropriate providers of changes in patient conditions or signs of decline.

• Facilitate continuity of care by recognizing and supporting home health, palliative, and hospice referrals, including transitions in care levels.

• Document all patient-related clinical records accurately and promptly, including assessments, physician orders, progress notes, and care plans.

• Maintain effective working relationships within the interdisciplinary group and engage them when the patient's care plan requires collaborative efforts.

• Participate in on-call services, providing clinical and responsive support as needed.

Core Competencies:
• Clinical excellence and sound judgment
• Empathetic, patient-centered communication
• Interdisciplinary collaboration
• Accountability and regulatory compliance
• Adaptability and critical thinking
• Timeliness in patient visits and documentation
• Accuracy in clinical records
• High patient and caregiver satisfaction
• Compliance with regulatory and policy standards
• Active participation in team collaboration and IDG activities
About You:
To excel in this role, you should meet the following qualifications:
• Education: Registered Nurse.
• Experience: A minimum of one year as an RN in acute care, oncology, long-term care, hospice, or home health. School internships and clinical hours may count as experience in specific cases. Hospice or palliative care experience is preferred.
• Licenses, Certifications and/or Registration:
• Current RN license in the state of employment
• CPR Certification
• Current automobile insurance and valid driver's license
• Specialized Knowledge and Skills: Understanding the needs of terminally ill patients and their families, excellent patient assessment skills, knowledge of community resources, and the ability to communicate effectively are essential.
Working Conditions:
• Your work will take place in patients' homes and/or institutional settings, requiring potential exposure to infections, communicable diseases, and hazardous materials.
Personal Traits and Qualities:
• Demonstrated sensitivity around life and death issues impacting terminal patients; ability to provide support during moments of crisis; adaptability, maturity, and effective communication with individuals from diverse backgrounds are crucial.
Equipment and Tools:
• Ability to operate nursing assessment tools, computers, and standard office equipment. Reliable transportation is required for this role.
We Offer:
Benefits for All Associates (Full-Time, Part-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 Make a Difference?
Apply now to become a vital part of our Hospice Nursing team and help us cherish every moment for our patients and their families.
Location: Heartland Hospice
Our Company:
At Heartland Hospice, part of Gentiva, we take pride in providing compassionate care wherever our patients call home. As a national leader in hospice care, palliative care, and home health care, we operate nearly 600 locations and have thousands of dedicated clinicians across 38 states.
Our mission is to be present for those in need—whether helping individuals recover from illness or guiding patients and their families through the complexities of serious illnesses and terminal diagnoses. With our corporate headquarters in Atlanta, Georgia, we are excited to offer rewarding careers in a collaborative environment where achievements are celebrated and kindness is at the core of what we do.

Benefits

  • Dental insurance
  • Paid time off
  • Health insurance

Additional Details

City
St Mary
State
Missouri
Country
US
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