On-Call Hospice Nurse (RN) | After Hours

About the Role

Wellspring Lutheran Services Hospice is seeking an After Hours Registered Nurse to provide comfort-focused care during evenings, nights, weekends, and holidays. In this role, you will serve as the primary clinical resource for patients and families, providing skilled nursing care, symptom management, telephone triage, admissions, crisis intervention, and end-of-life support across Saginaw, Bay City, Frankenmuth, Caro, and surrounding areas.

What Your Impact Will Look Like

• Serve as the reassuring voice on the other end of the phone when caregivers have concerns during the night, using clinical judgment to assess symptoms and prioritize patient needs
• Provide hands-on nursing care wherever patients call home, including private residences, assisted living communities, skilled nursing facilities, and hospital settings
• Help manage pain, respiratory distress, anxiety, agitation, nausea, and other end-of-life symptoms
• Guide families through difficult conversations and provide education about medications, symptom changes, disease progression, and the hospice journey
• Welcome patients into hospice services through after-hours admissions
• Respond to urgent symptom crises, offer reassurance to worried family members, and support families through the final hours of a loved one's life

The Nurse We're Looking For

• Believes exceptional hospice care combines clinical excellence with compassion
• Remains calm and confident when facing urgent situations and can make sound clinical decisions independently
• Understands that supporting the family is just as important as caring for the patient
• Communicates with empathy while helping others navigate difficult conversations and emotional circumstances
• Compassionate, dependable, and able to build trust quickly with patients, families, physicians, and colleagues
• Appreciates the unique privilege of caring for individuals at the end of life
• Values teamwork and understands the importance of clear communication, timely documentation, and continuity of care

Requirements

• Current Registered Nurse (RN) license through the State of Michigan
• Graduate of an accredited Registered Nursing program
• Minimum of one year of nursing experience
• Hospice, palliative care, oncology, home health, ICU, ER, or geriatric nursing experience preferred
• Strong assessment, critical thinking, and clinical decision-making skills
• Thorough understanding of hospice philosophy and end-of-life care
• Ability to work independently and manage multiple priorities
• Excellent communication and interpersonal skills
• Ability to provide emotional support to patients and families during difficult situations
• Valid driver's license, reliable transportation, acceptable driving record, and proof of automobile insurance

Schedule

• Full-time 7 Days On / 7 Days Off rotation
• Primary after-hours coverage for on-call, including scheduled evenings (admits/visits as needed), overnight hours, every other weekend, and 2 holidays per year
• Respond to patient needs throughout the assigned service area
• Combination of telephone triage, on-call support, patient visits, admissions, and end-of-life care responsibilities during scheduled coverage periods

Benefits

• Health, dental, and vision insurance
• Paid time off and paid holidays
• 403(b) retirement plan with employer matching
• DailyPay access to earned wages
• Employee Assistance Program (SupportLinc)
• Professional development and continuing education opportunities
• Mileage reimbursement for work-related travel
• Supportive interdisciplinary hospice team committed to compassionate, patient-centered care