UnityPoint Health Home Hospice Registered Nurse-$5,000 SIGN ON BONUS in Urbandale, Iowa

UnityPoint At Home

Home Hospice Registered Nurse

Monday-Friday 8am-5pm, with some on call


Des Moines, IA

$5,000 SIGN ON BONUS!!

The Home Hospice Registered Nurse plans, organizes and directs home hospice care services, initiates, and implements care primarily in the patient’s home environment. The Home Hospice RN fulfills the role of skilled communicator, educator, leader and motivator. The Hospice RN ensures that high standards of patient care are met at all times.

Essential Functions and Responsibilities:

  • Ensures compassionate, empathetic quality and safe delivery of services to patients according to care plan. Uses equipment and supplies safely, effectively, and efficiently.

  • Consistently utilizes a patient-centered approach considering physical, psych/social, spiritual, educational, safety and related criteria appropriate to the age of the patients served in hospice.

  • Integrates and coordinates the care of the at-risk population across the healthcare continuum making assessments, planning interventions working closely with providers and overall patient care team.

  • Facilitates the interdisciplinary plan of care to meet multiple service needs as well as promote continuity through elimination of fragmentation of care/service

  • Delivers quality care consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of care to honor patient/ family values/ wishes

  • Conducts clinical review of record to include multi-disciplinary review, coordination of care, provided in conjunction with visits and documentation.

  • Identifies risk for acute hospitalization and proactively prevents adverse events.

  • Responsible for looking at the individual needs of each hospice order/referral and determining eligibility for hospice services and appropriate level of care.

  • Assist with implementation and coordination of services required for discharge of patients from hospitals into Hospice’s program of care

  • Responsible for coordinating the patient care team in providing quality, cost effective patient care in the hospice environment

  • Promotes the provision of comfort care to the dying as an active, desirable, and integral component of nursing care in the home.

  • Uses scientifically based standardized tools to assess symptoms (eg., pain, dyspnea, constipation, anxiety, nausea/vomiting, and altered cognition) that are expected by patients at the end of life.

  • Collaborates effectively with patients, families, and other members of the Interdisciplinary Team to develop an individualized plan of care to attain specific goals and outcomes.

  • Utilizes effective teaching and learning strategies when providing hospice education for patients, families, colleagues, and community.

  • Coordinates regular scheduled intermittent visits to patient’s home environment, coordinates level of care changes when appropriate to pain/ symptom management, assesses and implements increased frequency of visits when patient condition warrants

  • Participates in on call schedule to provide 24 hour coverage- makes emergency unscheduled visits during on call hours

  • Achieve certification in Integrated Care Management within 1 year of hire. Certification includes completing the Integrated Care Management formal training session, successfully completing assigned computer based-learning modules within 2 weeks of training, and a competency evaluation. Use the Integrated Care Management philosophy, skills, tools and documentation in clinical practice. Demonstrate competency in selected ICM skills annually.


  • Excellent communication and interpersonal skills and the ability to interact in a appositive and professional manner with hospice team, patients, families and other health care providers

  • Maintains accurate and timely documentation of clinical records.

  • Communicates clinical status and plans clearly, succinctly and accurately to interdisciplinary hospice team, schedulers, team leaders, and physicians.

  • Incorporates technology in practice including appropriate use of point-of- care technology and telehealth as applicable.

  • Serves as patient advocate, educator and as a central source of communication for the patient and their support systems and referral sources

  • Responsible for accurate documentation (i.e.: care plan, care and utilization of resources to achieve quality outcomes, conferences, discharges, billing, coding).

  • Communicates effectively and compassionately with the patient, family, and Hospice team members about end-of-life issues.

  • Demonstrates respect for the patient’s views and wishes during end-of-life care

  • Communicates with patients’ primary physician to report patient changes and request medication and treatment changes based on thorough nursing assessment of end-of-life needs.

Focus Values Behavior

  • Maintains regular and consistent attendance at work.

  • Behaves in a manner consistent with Mission, Vision, Values and Expectations for Excellence.

  • Maintains compliance with OSHA, Accreditation Standards, and Risk Management guidelines.

  • Maintains compliance with Personnel policies and procedures.

  • Behaves in a manner consistent with all Corporate Compliance policies and procedures.

  • Meets measures as determined and required job productivity and performance improvement.

  • Performs other duties as requested by the Clinical Manager to facilitate smooth and effective operations of the organization.

  • Employee is responsible for completion of communication tasks and activities in a timely manner. This would include, but is not limited to: responding to email, voicemail or telephone messages, promptly, accurately, and professionally; attending staff meetings as scheduled or viewing videotapes of those meetings; asking questions of team members and supervisors when needing clarification about various day-to-day issues or patient needs; and reviewing employee communication pieces, to stay aware of UnityPoint at Home programs and initiatives.


  • General supervision is received from the Clinical Manager/Clinical Supervisor.


  • Home Care Aide


  • Graduate of State Board approved program for Registered Nurses and valid license as a Registered Nurse.

  • CPR Certification

  • Valid Mandatory Reporter course completion by state(s) requirement

  • Computer skills necessary

  • Ability to assess and respond to the needs of patients/ families

  • Skilled in coping with family’s emotional stress

  • Ability to work as a collaborative team member.

  • Minimum 1 year recent clinical experience in medical/surgical, oncology, or long term care nursing

  • Has experience in or demonstrates knowledge of nursing care for patients with life-limiting illness

  • Computer/key board proficiency

  • Ability to understand and apply guidelines, policies and procedures.

  • Valid licensed driver with automobile insurance in accordance with state and/or organizational requirements.


  • Masters education in health related field.

  • BSN or BS in health related field.

  • Previous home care or hospice experience

  • CHPN preferred


All staff are expected to participate in appropriate continuing education. You are required to complete:

  • Mandatory Reporter: Child & Dependent Adult Abuse.

  • CPR: Maintain a valid Basic Life Support (BLS) Healthcare Provider Card with Re-certification.

In addition, staff are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. All staff must attend mandatory educational programs.


The following behavior is expected from those employed by this organization:

Demonstration of UPH Values and Standards of Behavior

Foster Unity:

· Leverage the skills and abilities of each person to enable great teams

· Collaborate across department, facilities, business units, and regions

· Seek to understand and are open to diverse thoughts and perspectives

Own The Moment:

· Connect with each person treating them with courtesy, compassion, empathy and respect

· Enthusiastically engage in our work

· Accountable to our individual actions and our team performance

· Responsible for solving problems regardless of the origin

Champion Excellence

· Commit to the best outcomes and highest quality

· Have relentless focus on exceeding expectations

· Believe in sharing our results, learning from our mistakes and celebrating our successes

Seize Opportunities

· Embrace and promote innovation and transformation

· Create partnerships that improve care delivery in our communities

· Have the courage to challenge the status quo

Requisition ID: 2018-54029

Street: 11333 Aurora Ave

Name: 9400 UnityPoint at Home Affiliate

Name: SN Visits- Hosp- DM

FLSA Status: Exempt

Scheduled Hours/Shift: Monday through Friday 8am to 5pm with some on call responsibilities

External Company Name: UnityPoint Health

External Company URL: http://www.unitypoint.org