Hospice RN – After Hours

Role Snapshot

• Position: Hospice RN – After Hours
• Focus: Urgent nursing care, symptom management, and admissions outside traditional hours
• Schedule: Friday 5pm to Monday 8:30am
• Work Setting: Patient homes, facilities, hospitals, and emergency departments
• Coverage: Assigned service area within the posted location

Role Summary

As a Hospice RN – After Hours, you will provide responsive, compassionate clinical care to hospice patients and families during evenings, overnights, weekends, and holidays. This role ensures continuity of care when primary teams are unavailable, responding to urgent needs, managing symptoms, supporting families, and facilitating safe transitions of care.

Overview

The Hospice RN – After Hours delivers skilled nursing assessment, intervention, and coordination for hospice patients outside traditional business hours. This role manages urgent nursing visits, symptom escalation, after-hours admissions when indicated, and emotional support for patients and families, in alignment with hospice regulations, Medicare Conditions of Participation, and organizational standards.

Key Responsibilities

• Respond to patient and family calls and perform in-home or facility visits based on clinical necessity
• Assess symptoms and provide nursing interventions to promote comfort, stability, and safety
• Communicate with on-call providers to obtain medication orders and coordinate appropriate care
• Respond to patient death and complete nursing responsibilities including death pronouncement and post-mortem support within scope
• Collaborate with emergency department providers and facility staff to support hospice-appropriate discharge plans aligned with patient and family goals of care
• Conduct evaluation, consent, and admission visits when clinically indicated to ensure timely initiation of hospice services after hours
• Ensure thorough clinical handoff and communication with the primary team following after-hours interventions
• Document assessments, interventions, and communications accurately and in real time in the electronic medical record
• Maintain availability during assigned shifts in alignment with the on-call structure
• Ensure documentation supports regulatory, quality, and billing compliance requirements
• Escalate care needs to the medical director or covering provider as clinically indicated
• Perform other duties as assigned

Qualifications

• Graduate of an accredited nursing program; Associate’s degree or higher preferred
• Current RN license in the state of practice or valid multistate compact license
• Minimum of one (1) year of hospice, palliative care, or home health nursing experience preferred
• Strong clinical judgment, triage, and documentation skills
• Ability to work independently and make sound clinical decisions in urgent situations
• Knowledge of hospice regulations and Medicare Conditions of Participation
• CPR certification and valid driver’s license required
• Commitment to delivering high-quality, person-centered care aligned with Arc Hospice & Palliative Care’s mission and values