Hospice Nurse, RN
Company: 3HC HOME HEALTH & HOSPICE CARE INC
Location: Clinton
Posted on: February 11, 2026
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Job Description:
Job Description Job Description 3HC Home Health and Hospice
Hospice Nurse, RN Full-time Sampson and Duplin County, North
Carolina Compassionate Care is our Calling! Why choose 3HC: 3HC has
provided compassionate care to North Carolinians since 1981. We
strive to ensure our patients enjoy life’s journey, recover
quickly, and live comfortably. We believe in providing
high-quality, cost-effective care that surpasses industry
standards. If you want to make a difference, provide meaningful
one-on-one care, and develop relationships with both your patients
and team members, join Team 3HC! 3HC strives to provide a positive
work culture that feels more like a family atmosphere where we
support our team members so they can reach their personal &
professional best. Summary: The Hospice Nurse, RN is responsible
for the coordination of all Hospice services in counties assigned
in accordance with the Hospice philosophy, Agency goals,
objectives, and policies. Qualification Requirements Registered
Nurse currently licensed to practice nursing in the state of North
Carolina Minimum of one-year experience as a professional nurse in
an acute care setting preferred Evidence of leadership qualities
Previous experience working with terminally ill patients preferred
Ability to understand and communicate well with patients, family,
staff, physicians, and the public Maintain current CPR
certification (BCLS) Must be dependable and capable of dealing
pleasantly and tactfully with patients, family, staff, providers,
and the public Must be competent to perform delegated tasks to
facilitate positive patient outcomes as indicated in the patient's
individualized plan of care Possess valid Driver's License and
reliable transportation Essential Functions Abides by and supports
3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto
is "Compliance for all and all for Compliance". It is the intent of
3HC to comply with all applicable laws and regulations and that
spirit is embedded in all aspects of our services and business
practices. Our success hinges on doing things ethically and
legally, to which, each and every employee plays a critical role.
Creates positive experiences for internal and external customers
that will meet their expectations. (External customers include our
patients, families, referral sources, vendors, the community, etc.
Internal customers are the people within the agency with whom you
work.) Displays a high degree of courtesy, tact, and knowledge of
services provided by the agency in all contact with staff,
patients, and visitors. Provides comfort to patient/family to
facilitate quality of life and death with dignity: (a) provides
skilled nursing care as outlined in the physician's plan of care,
according to 3HC's policies and procedures and as allowed by the
Practice Act of the N. C. State Board of Nursing; (b) responsible
for completing hospice admissions, educating patients and families
on the hospice concept and the hospice benefit. (c) Plans,
coordinates, provides and directs the delivery of compassionate,
quality patient care. (d) actively participates in the coordination
of all aspects of the patient's hospice care, in accordance with
current professional standards and practice, including
participating in on-going interdisciplinary comprehensive
assessments, developing and evaluating the plan of care, and
contributing to patient counseling and education. (e) Provides
continuity of care to all hospice patients. (f) Assist the
interdisciplinary team in the development and implementation of the
patient/family care plan (g) Refers hospice patients to other
services as needed. (h) Provides end of life care as outlined in
plan of care and policy and procedures. Provides ongoing assessment
of medicinal, DME needs. (i) Participates in QAPI and QI projects
as requested. (j) assists the Social Workers with bereavement
counseling as requested. Continuously evaluates the patient’s
condition to provide support and nursing visits individualized to
the patient need. Maintains current electronic documentation and
downloads daily: (a) ensures complete documentation on an ongoing
basis supporting Hospice guidelines & COPs. (b) assessment
information to be entered in EMR and completed in 48 hours Ensures
that the physician and/or Hospice Medical Director is involved
ongoing with the patient's care: (a) reports to the physician/or
Hospice Medical Director and other applicable personnel, reactions
to treatments, including drugs, and change in the patient's
physical or emotional condition and outcomes of intervention, and
(b) consults with the attending physician and/or Hospice Medical
Director concerning alterations of the plan of treatment and
documents appropriate change of orders where necessary. Verifies
that physician listed on order/plan of treatment will sign orders.
Provides regular supervision to the Licensed Practical Nurses and
paraprofessionals who are providing services to the patient
according to CMS/Hospice guidelines. Ensures task assigned to the
LPN: (a) are within the Nurse Practice Act, (b) Supervises LPN on
every patient at least every 30 days. Ensures that care is provided
by the nursing assistant: (a) provides the certified nursing
assistant with a telephonic plan of care and specific duties to be
performed (b) supervises and evaluates the care given at least
every 14 days, and (c) participates in periodic conferences with
supervisor concerning the certified nursing assistant's
performance. Collaborates with supervisor to meet assigned
productivity standard. Rotates weekday, weekend, and holiday
"on-call" and "back-up call". During low hospice census: (a) covers
visits in other offices as assigned by supervisor (b) makes home
health visits, (c) visits referring hospice physicians for
marketing, and (d) visits nursing homes and talks with
administrators, (e) acts as a resource person for the community on
the Hospice Program if needed, and (f) ensures referrals are
evaluated timely with a NPU rate of less than 6%. Maintains regular
communication with supervisor: (a) communicates problems of the
patient(s) on a timely basis following chain of command, (b)
communicates information using current process and technology
available to 3HC, (c) coordinates hospice care with Director of
Clinical Practice/Assistant Clinical Director and the IDG team.
Ensures that 3HC can bill for services appropriately: (a) completes
certifications and re-certifications within designated timeframes;
(b) obtains verbal orders from Hospital, MD and attending within 48
hours of SOC; and (c) keeps up-to-date on reimbursement criteria
and documentation requirements for all patients under his/her care
and management, including preauthorization and re-authorizations
for insurance. Stays abreast of overall patient care and improves
nursing care skills: (a) participates in office staff meetings,
hospice's quality assessment and performance improvement program,
the intra-disciplinary team in the development and implementation
of the patient/family care plan, patient care conferences, record
audits, utilization reviews, quality improvement activities, and
in-services; (b) attends and participates in interdisciplinary team
conferences at least 75% of the time; (c) attends agency mandatory
in-services, hospice sponsored in-service training/continuing
education seminars, IDG and satisfies CEU requirements of the State
Board of Nursing; and (d) strives to improve nursing care through
continuing education, active participation in professional and
related organizations and individual research and readings. Notify
attending physicians, staff members and family members of patient
deaths when they occur. Collaborates with contracted pharmacy
regarding medication changes, administration, and recommendations.
Share pharmacy recommendations with the attending MD. Collaborates
with supervisor to meet assigned productivity standard. The hospice
nurse floater is not required to take on call hours. Hospice, RN
FLOATERS : On-call for base office per office need/rotation
HH&HOSPICE NURSE, RN BAYLOR: (a) is responsible for working
from 5pm Friday - 8am Monday; (b) provide specialized hospice
training to other staff, family members and informal caregivers to
insure adequate care; (c) develops and implements the patient care
plan in cooperation with other agency professional and
paraprofessionals who will be providing care to the patient in EMR
(d) ensures complete documentation on an ongoing basis supporting
hospice guidelines and COPs; (e) provides regular supervision to
Licensed Practical Nurses and paraprofessional who are providing
services to the patient according to CMS/HOSPICE guidelines; (f)
turns in all paperwork to designated person in the office by 5:00pm
on Monday and communicates laptop daily Saturday and Sunday. Makes
verbal/written report of new admissions and ER visits to primary
nurse Sunday night or Monday morning between 8am-9am; (g)
collaborates with supervisor to meet assigned productivity
standard; (h) completes scheduled visits after 5pm on Fridays as
warranted and (i) works at least one weekend day. HH&HOSPICE
NURSE, RN EVENING: (a) collaborate with supervisor to meet
productivity of 100% for work hours 12pm-11pm Monday-Thursday; (b)
covers on-call for clinical office Monday-Thursday and (c) visits
done after 11pm will be paid at over quota rate and not considered
part of quota. Hospice Admissions Nurse: Provide hospice admissions
or tuck-ins; (a) develops and implements the patient care plan in
cooperation with other agency professional and paraprofessionals
who will be providing care to the patient in EMR; (b) ensures
complete documentation on an ongoing basis supporting HH/hospice
guidelines and COPs; (c) turns in all paperwork to designated
person in the office next day as needed and communicates ipad
daily. Makes verbal/written report of new admissions and ER visits
to primary nurse as needed completed (d) collaborates with
supervisor to meet assigned productivity standard; (e) completes
scheduled visits as needed per productivity. (f) on-call per needs
of the office. Demonstrates an interest in personal and
professional growth for self and staff: (a) attends and
participates in workshops, seminars, webcasts to keep abreast of
current changes in rules, regulations, relating to job functions
and department; (b) does individual reading and research; and (c)
recommends educational opportunities for staff and encourages
participation. Demonstrates a willingness to be cost effective in
the use of agency resources, the monitoring of waste, and the
proper and safe use of supplies and equipment. Adheres to 3HC's
Personnel Policy and performs other appropriate duties as assigned
by supervisor to promote the successful operations and future
growth of 3HC. 3HC is an equal opportunity employer. All applicants
will be considered for employment without attention to race, color,
religion, sex or sexual orientation, age, marital status, gender
identity, national veteran or disability status.
Keywords: 3HC HOME HEALTH & HOSPICE CARE INC, Jacksonville , Hospice Nurse, RN, Healthcare , Clinton, North Carolina
