Portrait of young nurse with patient in nursing home


Hospice Registered Nurse Team Lead – Edgefield, SC

Job Description

FLSA Status:


Reports To:

Medical Director/VP of Operations



Type / Hours per week:

Full-Time / 40

Position Description:

The primary function of the Registered Nurse Team Lead is to assume overall responsibility for the ongoing and daily operations of the hospice. The Registered Nurse Team Lead functions as the designated Director of Nursing and Quality Assessment/Performance Improvement Coordinator. Responsibilities include the assessment and evaluation of clinical and business operations. This position monitors, facilitates, and as necessary, directs the hospice operations to ensure compliance with the organization’s standards of care, operational practices, Federal and State Regulations and other regulatory agencies.

Essential Duties and Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Must be a leader and provide on-going education to staff on end-of-life care, organizes and directs the hospice functions with overall responsibility of day-to-day program operations. The Registered Nurse Team Lead will carry out the organization’s purposes in a manner consistent with the goals, objectives, and policies. Specifically, the Registered Nurse Team Lead is responsible for:

  • Director of Nursing responsibly as defined in the state hospice regulations. Essential functions include, but are not limited to ensuring adequate staffing levels to maintain quality, safety, service and customer service. Implementing a system for delivery, supervision, and evaluation of nursing and personal care services.
  • Providing orientation, training, and supervision for the hospice team.
  • Providing strong clinical leadership, direction and mentoring to the team.
  • Quality Assessment Performance Improvement Coordinator program. Assess, plan, implement, and evaluate quality assessment and performance improvement. Responsible for the identification of opportunities for improvement and the methodology for monitoring outcomes. Chairs and coordinates the QAPI Committee. QAPI activities shall be identified in the QAPI Plan and may include, but not limited to:
  • Appropriateness of admissions, cont. stay and discharges;
  • Appropriateness of professional services and level of care; effectiveness of pain control and symptom relief;
  • Patient injuries;
  • Medication errors;
  • Infection control surveillance.
  • Facilitates Performance Improvement Projects and ongoing assessment of quality measures within a collaborative framework.
  • Responsible for the infection control plan of surveillance to ensure safe patient and staff outcomes.
  • Demonstration of Core Competencies of the Hospice Registered Nurse within the scope of application to practice:

The competencies represent the skills and knowledge in the performance of safe, consistent, compassionate, state-of-the-art, hospice and palliative care which conforms to the patients’ and their families’ wishes.

  • Clinical Judgment: Demonstrates clinical judgment, critical thinking, analysis and decision-making, based on knowledge and skill in the application of the nursing process using assessment, planning, and management of complex human responses to serious or life-threatening illness for patients and their families.
  • Advocacy and Ethics: Incorporates ethical principles and nursing professional standards in the care of patients and families receiving hospice and palliative care, while advocating for patients’ and families’ rights and access to quality hospice and palliative care across the continuum.
  • Professionalism: Demonstrates knowledge, skills, and behaviors consistent with American Nurses Association (ANA) and Hospice and Palliative Nurses Association (HPNA’s) Palliative Nursing: Scope and Standards of Practice- an Essential Resource for Hospice and Palliative Nurses, as well as the ANA Code of Ethics for Nurses and the HPNA Code of Ethical Conduct.
  • Collaboration: Promotes an interdisciplinary team approach in the provision of hospice and palliative care to the patient with serious or life-threatening illness and their family. Promotes hospice and palliative care concepts to the public regarding potential or actual physical, psychological, emotional, social, and spiritual components of living with a serious or life threatening illness.
  • Systems Thinking: Participates and collaborates in the healthcare delivery system to enhance quality of life for patients and families experiencing serious or life-limiting illness and facilitates the provision of comprehensive coordinated are within and across the healthcare continuum.
  • Cultural and Spiritual Competence: Demonstrates and promotes culturally and spiritually competent care by respecting diversity, in regards to but not limited to race, ethnicity, culture, spirituality, religion, gender, socioeconomic status, sexual orientation, education level, literacy, and location.
  • Facilitator of Learning: Demonstrates knowledge, skills, confidence, and the application of adult learning principles when providing hospice and palliative education to patients/families, healthcare professionals, and the community inherent in the role of the hospice and palliative registered nurse.
  • Communication: Communicates effectively with hospice and palliative care patients, their families, and healthcare professionals by applying knowledge of communication theory ad principles.
  • Evidence-Based Practice and Research Utilization: Utilizes evidence-based literature to help improve outcomes for hospice and palliative patients and their families.
  • Complies with applicable legal requirements, standards, policies and procedures including but not limited to those within the Compliance Process, Code of Conduct, Federal False Claims Act and HIPAA.
  • Ensures policies and procedures are based on standards of care and other evidenced based practices.
  • Other duties as assigned.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Prolonged standing and walking required. Requires working under occasional stressful conditions to meet deadlines and patient needs. May require visits in unsafe neighborhoods and dwellings that may not have elevators.

E= Essential D= Desirable



The hospice administrator must be either a South Carolina-licensed health care professional, who has at least one year of supervisory or management experience in a hospice setting or an individual with education, training and experience in health services administration and at least two years of supervisory or management experience in a hospice setting.


The hospice Administrator must be a South Carolina licensed registered nurse.


Education: Graduate of an accredited college with a minimum of an Associate Degree in Nursing.


Licensure: Current South Carolina Divers License.


Licensure: Current unencumbered South Carolina Nursing License.


Transportation: Reliable transportation with valid and current auto liability insurance. Will need to travel locally with some exposure to weather. Will need to travel occasionally out of service area for meetings and other activities.



Must be a South Carolina-licensed healthcare professional with at least one (1) year of supervisory or management experience in a hospice setting.


Prior experience with complex clinical and community healthcare systems.

Skills and Abilities:


Ability to multi-task and work in a fast pace and team-oriented environment.


Self-driven, excellent leadership, communication, interpersonal, organizational and problem solving skills.


Proficient in MS Office to include, Word, Outlook, Excel and PowerPoint.


Ability to read, write, speak, and understand the English language


Ability to communicate effectively and positively in all interactions.


Excellent organizational, interpersonal and communication skills.


Excellent problem-solving, decision-making and assertiveness skills



Knowledge of South Carolilna Hospice Rules and Code of Federal Regulations Hospice Care


Knowledge of CoP: Quality assessment and performance improvement


Prior experience with budgetary responsibilities including budget development and monitoring

Other Job Specifications:


Must be in good physical and mental health, free from infectious diseases.


Must be able to work a minimum of forty hours per week, plus extended hours when the demand requires.


Lifting – may be required to lift patients, medical equipment, and supplies, with weights up to 50 pounds. May move objects from a lower to higher position or along horizontal level from position to position.


Vision/Hearing – must possess the power to perceive sound with or without correction. Ability to make fine discrimination in sound. Eyesight needed, or prosthetics used to enable adequate sight to meet requirements.


Mobility – must have mobility skills as required with standing, walking, stooping, bending, lifting, and reaching. May have prolonged periods of sitting and driving.


May be subject to fall, infectious diseases, or odors throughout the work-day. Must have the ability to perceive through physical contact, especially the fingertips.

Key Information Regarding Position:

Is this position closely, moderately, or minimally supervised?


Does this position have access to confidential information?


If “Yes”, please explain:

This position requires access to patient information and related documents.

Does this position have access to or handle company funds?


If “Yes”, please explain:

This position requires access to company financial reports, budgets and company credit card.

OSHA AND Bloodborne Pathogens Susceptibility:

This position may require hands on patient assessment. Thus, the risk of contact with blood and bloodborne pathogens is moderate. Personal protective equipment is provided. Employees with this risk are encouraged to be inoculated with the HBV vaccine to prevent exposure to Hepatitis B. Universal Precautions techniques must be adhered to in all patient contact.

Additional Notes:

The employee is required to possess the normal requirements for reading written instructions, spreadsheets and computer screens. The employee will meet the normal requirements for understanding verbal instructions.

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) are required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.

A review of this position has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and responsibilities are essential job functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. To perform this job successfully, the incumbent(s) will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others.

EEO Statement:

Palladium Hospice and Palliative Care provides equal employment and advancement opportunities to all individuals, employment decisions shall be based on merit, qualifications and abilities. Palladium Hospice and Palliative Care does not discriminate in employment opportunities or practices on the basis of race, national origin, color, sex (including pregnancy), religion, age, disability or handicap, genetic information, veteran status, uniformed service status, or any other characteristics protected by law.

Job Type: Full-time