Hospice Nurse, RN
Company: 3HC HOME HEALTH & HOSPICE CARE INC
Location: Kinston
Posted on: February 14, 2026
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Job Description:
Job Description Job Description 3HC Home Health and Hospice
Hospice Nurse, RN Full-time Kinston, 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, Greenville , Hospice Nurse, RN, Healthcare , Kinston, North Carolina
