CNA / Hospice After Hours

Transitions Care; Marshall (AK); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Competitive pay

Medical / Dental / Vision Insurance

Long & Short-Term Disability

401(k) with company match

Auto Allowance & Gas Card

Company provided equipment

Paid Time Off

Job summary

Transitions Hospice seeks a compassionate Night Shift Companion Aide CNA to provide bedside care, safety monitoring, and family support during overnight hours.

You will perform personal care, monitor vitals as directed, document observations, and report changes to the RN on call. This role emphasizes dignity, comfort, and presence through the night for terminally ill patients and their families.

Qualifications

• Current CNA certification meeting state training requirements.
• Current CPR certification.
• 1+ year of hospice, home health, or related healthcare experience preferred.
• Prior experience in overnight or night shift patient care preferred.
• Ability to work independently and remain alert and attentive throughout overnight hours.
• Strong observational skills with the ability to recognize and report changes in patient condition.
• Genuine compassion for patients and families navigating end‑of‑life care.

Responsibilities

• Provide continuous bedside presence and patient supervision overnight.
• Monitor patient condition, behavior, and environment and report changes to the on‑call nurse.
• Prevent falls, elopement, or self‑harm through CNA scope of practice.
• Respond promptly to patient requests ensuring a calm, restful overnight environment.
• Assist with personal care and repositioning as assigned.
• Skin care and observation to prevent tissue breakdown during rest.
• Support ROM and comfort.
• Observe and document patient condition, sleep patterns, and notable changes.
• Record vital signs when ordered and within competency.
• Report significant changes to RN or on‑call supervisor promptly.
• Adhere to documentation standards and professional conduct.
• Provide families with reassurance and overnight respite support.
• Maintain confidentiality and Ethical communication with patients and families.
• Demonstrate compassion in providing care to terminally ill patients and their families.
• Use patient equipment safely (foot stools, side rails, oxygen).
• Assist with ambulation, exercise, and ROM as directed by nurse or therapist.
• Participate in quality assessment and performance improvement activities.

Skills

CNA certification

Night shift

Observation skills

Communication with families

CPR certification

Job description

Description

Coverage Territory: Effingham, Mattoon and surrounding areas

Schedule: Mon-Fri (8 hour shifts)

Be There When It Matters Most

At Transitions Hospice, we don't just manage care — we protect dignity, comfort, and the moments that matter most. We've reimagined hospice to be something different: compassionate, unhurried, and built around the whole person. That means someone is always present — through the quiet hours of the night — so patients feel safe, families can rest, and no one faces the darkness alone.

If you're a CNA who understands that nighttime presence is its own kind of care, this is your role.

What You'll Do

As a Companion Aide CNA on the night shift, you'll be a steady, compassionate presence at the bedside — monitoring patient safety, providing personal care, and giving families the peace of mind that someone is watching over their loved one through the night. Your shift includes:

Overnight Patient Care & Safety

• Providing continuous bedside presence and patient supervision throughout the overnight shift to ensure safety and comfort
• Monitoring patient condition, behavior, and environment — and promptly reporting any significant changes to the on‑call nurse
• Preventing falls, elopement, or self‑harm through attentive observation and appropriate intervention within CNA scope of practice
• Responding promptly to patient requests and ensuring a calm, restful overnight environment
• Assisting with personal care including repositioning, toileting, bathing, hygiene, and dressing as assigned
• Providing proper skin care and observation to prevent tissue breakdown during prolonged periods of rest
• Supporting normal range of motion and repositioning to maintain patient comfort and skin integrity

Observation & Documentation

• Observing and documenting patient condition, sleep patterns, behaviors, and notable changes throughout the shift
• Taking and recording vital signs — temperature, pulse, respirations, blood pressure, and weights — when ordered and within demonstrated competency
• Reporting significant changes in patient condition to the RN or on‑call supervisor promptly and without delay
• Adhering to the organization's documentation standards and professional conduct expectations

Family Support & Communication

• Providing families and caregivers with reassurance and overnight respite support
• Maintaining respectful, ethical communication with patients and families, including strict confidentiality
• Demonstrating comfort and compassion in providing specialized care to terminally ill patients and their families

Safety & Equipment

• Using patient equipment safely and appropriately — including foot stools, side rails, and oxygen
• Assisting with ambulation, exercise, and range of motion as directed by the hospice nurse or therapist
• Participating in quality assessment and performance improvement activities

Benefits We Offer

• Competitive pay
• Medical / Dental / Vision Insurance plans
• Long & Short-Term Disability
• 401(k) with company match
• Auto Allowance & Gas Card
• Company provided equipment
• Paid Time Off

Why Choose Transitions Hospice?

CNAs at Transitions aren't just sitters — they're a vital part of the care team. The overnight hours can be the most vulnerable for patients and families, and our Companion Aides show up with skill, calm, and compassion when it matters most. We give you the support, training, and team to do your best work — even in the quiet of the night.

Requirements

What You Bring

• Current CNA certification meeting state training requirements
• Current CPR certification
• 1+ year of hospice, home health, or related healthcare experience preferred
• Prior experience in overnight or night shift patient care preferred
• Ability to work independently and remain alert and attentive throughout overnight hours
• Strong observational skills with the ability to recognize and report changes in patient condition
• Genuine compassion for patients and families navigating end‑of‑life care