Registered Nurse - Evenings

Lead with heart and transform end-of-life care. Join our team to deliver personalized, meaningful hospice and palliative care to patients and their families with dignity, comfort, and love.

Responsibilities

• Be the primary point of contact for patients and families, guiding them through every step of their hospice journey.
• Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home.
• Perform initial and ongoing assessments to monitor patient condition and adjust care as needed.
• Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans.
• Provide emotional, physical, and spiritual support to patients and their loved ones—offering education, comfort, and bereavement guidance.
• Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance.
• Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions.
• Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards.
• Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient.
• Help patients and families understand and navigate topics such as:
  • Medication administration
  • Hospice philosophy and services
  • Symptom and pain management
  • End-of-life processes and expectations
• Perform comprehensive patient assessments and reassessments, including in-person/telephonic RN assessments/screenings, and provide education to patients, family members, and caregivers.
• Deliver skilled nursing interventions and symptom management aligned with goals of care.
• Develop and update individualized plans of care, including patient visit frequency to meet individual needs and risk identification.
• Coordinate care across interdisciplinary teams, including consultation with physicians and nurse practitioners.
• Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition, and dietary needs.
• Communicate changes in condition or signs and symptoms of decline to appropriate providers (e.g., NP, PCP, Hospice Physician).
• Support continuity of care by recognizing and facilitating home health, palliative, and hospice referrals, as well as transitions in levels of care.
• Document timely clinical records on all patients, including screening/assessment findings, physician orders, progress notes, and care plans.
• Maintain effective working relationships with the interdisciplinary group (IDG) and involve the team when a patient's care plan warrants participation to achieve desired outcomes.
• Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner.

Requirements

• A minimum of one (1) year of experience as an RN, either in acute care hospital, oncology, long-term care, hospice, or home health. School internships and clinical hours may be considered as experience in individual cases.
• Hospice or palliative care experience preferred.
• Current license to practice nursing in the state of requested employment.
• CPR Certification.
• Current automobile insurance and valid driver’s license.

Qualifications

• Knowledge of terminally ill patients and their families, along with an understanding of hospice and the ability to apply knowledge of the special needs of hospice patients and families.
• Knowledge of roles of all disciplines providing hospice services.
• Excellent patient assessment skills.
• Knowledge of community resources.
• Good oral and written communication skills.
• Documentation and program management skills.
• Thorough knowledge of general nursing practice.
• Understanding of managed care principles and regulatory guidelines (e.g., Medicare, Medicaid, ACHC).
• Human resource management principles.

Skills

• Clinical excellence and sound judgment.
• Patient-centered communication and empathy.
• Interdisciplinary collaboration.
• Accountability and regulatory compliance.
• Adaptability and critical thinking.
• Timeliness of patient visits and documentation.
• Accuracy and completeness of clinical records.
• Patient and caregiver satisfaction.
• Compliance with regulatory and policy standards.
• Participation in team collaboration and IDG activities.

Personal Traits

• Sensitivity to the impact of life and death issues faced by individuals with terminal illness.
• Tact in dealing with patients and their families.
• Ability to support others at a time of crisis.
• Demonstrated flexibility in performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure.
• Effective communication with people of all socioeconomic backgrounds.
• Responsible functioning in the workplace, maturity, cooperation, flexibility, and tact in dealing with co-workers and all members of the hospice team.

Working Conditions

• Patient’s homes and/or institutional settings and automobile.
• Potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Equipment/Tools/Work-Aids

• Effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper.
• Must have and maintain transportation to be used for work.

Benefits

For All Hospice Associates (Full-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)