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RN Hospice Home Care

Gentiva Hospice · Fredericksburg, VA

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FULL-TIME Posted Nov 9, 2026 83,675–104,595 a year

Job Description

Transform End-of-Life Care.

For a complete understanding of this opportunity, and what will be required to be a successful applicant, read on.
Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. 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
Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Full-Time Employee Benefits
~ Medical, Dental & Vision
~ Short-Term & Long-Term Disability
~ Health Savings Account (HSA) Contribution
~ Mileage Reimbursement or Fleet Car Program
~ Cell Phone Reimbursement (eligible roles)
~ Short-Term Incentive (eligible roles)
~ Tuition Reimbursement

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.
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.
Accountability and regulatory compliance
Accuracy and completeness of clinical records
Compliance with regulatory and policy standards
Registered Nurse

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
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; knowledge of community resources; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.

Personal Traits, Qualities and Aptitudes:
~ 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,

Benefits

  • Dental insurance
  • Health insurance

Additional Details

City
Fredericksburg
State
Virginia
Country
US
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