Hospice After-Hours RN

Texas and New Mexico Hospice Organization; Garland, Northern (TX, KY); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee assistance program

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Sterling Hospice in Garland, TX is seeking an experienced Hospice After-Hours RN to provide critical in-home support during evenings, nights, weekends, and holidays on a 7-on/7-off schedule.

You will assess patients, manage symptoms, coordinate care with interdisciplinary teams, and educate families while adhering to HIPAA and NCQA standards. State RN licensure and hospice experience required.

Qualifications

• Valid RN license with current state licensure; hospice experience required.
• Strong critical thinking for after-hours home care.
• Knowledge of hospice goals of care and IV infusion techniques.
• Experience with long-term care environments preferred.
• Ability to work independently during after-hours shifts.
• Excellent patient assessment skills and HIPAA familiarity.

Responsibilities

• Respond to after-hours calls with triage and clinical guidance.
• Perform in-home assessments when necessary.
• Manage symptom control including pain and dyspnea.
• Coordinate care plans with interdisciplinary teams.
• Document interactions in WellSky Consolo per NCQA.
• Educate patients and families on meds and end-of-life options.
• Maintain readiness for emergencies using aseptic technique.
• Conduct after-hours admissions as needed.

Skills

Hospice experience

Critical care

In-home nursing

HIPAA compliance

Education

RN license (Texas)

Tools

WellSky Consolo

Job description

Hospice After-Hours RN (On-Call 7 on / 7 off)

Job Overview

Sterling Hospice is looking for you to join our compassionate team as a Hospice After-Hours Registered Nurse (RN), providing critical after-hours clinical support to patients and families during evenings, nights, weekends, and holidays on a 7-day on / 7-day off schedule. This energetic and dedicated role offers an opportunity to deliver high-quality, patient-centered care in a dynamic environment. As an integral part of our hospice team, you will assess patient needs, manage symptoms, and coordinate care to ensure comfort and dignity at the end of life. Your expertise will make a meaningful difference for those facing life-limiting illnesses during their most vulnerable moments.

Location: Based in the Garland area (serving 50-mile radius)

Responsibilities

• Respond promptly to after-hours patient calls, providing expert triage and clinical guidance to address urgent symptoms or concerns.
• Conduct comprehensive patient assessments in-home visits when necessary, utilizing your knowledge of physiology and medical terminology.
• Manage symptom control including pain management, shortness of breath, nausea, and other comfort measures aligned with hospice care standards.
• Collaborate with interdisciplinary teams to coordinate care plans, medication adjustments, and necessary interventions while adhering to HIPAA regulations.
• Document all patient interactions accurately within electronic health record (EHR) system WellSky Consolo, ensuring compliance with NCQA standards.
• Educate patients and families on medication administration, advanced directives, and end-of-life care options with sensitivity and clarity.
• Maintain readiness for emergency situations by utilizing aseptic technique and airway management skills when needed.
• Conduct after-hours admissions when needed.

Requirements

• Valid RN license with current state licensure; experience in hospice required.
• Demonstrated critical care experience utilizing your critical thinking skills to resolve complex patient issues after-hours in their home.
• Knowledge of Hospice goals of care, medication administration, IV infusion techniques, and catheter care.
• Experience working with individuals with disabilities, memory care needs, or in long-term care environments like nursing homes or assisted living facilities.
• Ability to handle complex cases involving acute pain management and infectious disease care with professionalism and compassion.
• Excellent patient assessment skills combined with the ability to work independently during after-hours shifts.
• Strong understanding of HIPAA compliance and infection control practices; capable of managing stressful situations calmly.

Join us in delivering exceptional hospice care that honors each patient’s dignity while supporting their loved ones through challenging times. Your dedication will foster comfort, peace, and quality of life for our patients when they need it most!

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

• Paramount Palliative and Hospice of Texas LLC
• Houston TX
• Posted on August 3, 2026