Hospice RN – After Hours

Arc Hospice & Palliative Care; Corsicana (TX); On-site; USD 70,000 - 86,000; Full time

Job summary

Arc Hospice & Palliative Care is hiring a Hospice RN – After Hours to provide compassionate clinical care evenings, overnights, weekends and holidays. You will respond to urgent needs, manage symptoms, support families and facilitate safe transitions of care in patient homes, facilities, hospitals, and emergency departments.

The role emphasizes independent decision-making, regulatory knowledge, and timely documentation in the EMR, with on-call coverage for a defined service area.

Qualifications

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

Responsibilities

• Respond to calls and conduct in-home or facility visits as needed.
• Assess symptoms and provide interventions to promote comfort and safety.
• Coordinate with on-call providers for orders and care planning.
• Handle after-hours admissions and support families during transitions.
• Collaborate with ED and facility staff for hospice-appropriate discharges.
• Conduct admission visits to initiate hospice services after hours.
• Ensure accurate handoffs and real-time EMR documentation.
• Maintain on-call availability and regulatory/compliance documentation.

Skills

Clinical judgment

Triage

Documentation

Independence

Communication

Education

Associate's degree or higher

RN program graduate

Job description

At Arc Hospice & Palliative Care, we are united by a mission to bring comfort, dignity, and compassionate support to every patient and family we serve. Join a team where your work has purpose, and your growth is supported.

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

The starting compensation for this position is shown below. Arc Hospice & Palliative Care is committed to transparency and equity in all compensation practices. The rate displayed reflects the starting hourly or salaried pay for the role and does not represent a range.

Final pay is determined based on factors such as experience, qualifications, location, and business needs at the time of hire. Some roles may be eligible for additional compensation components consistent with Arc Hospice & Palliative Care practices.

Compensation

$78,000 - $78,000 USD

Arc Hospice & Palliative Care is an Equal Opportunity Employer and welcomes applicants from all backgrounds to join us in delivering compassionate, inclusive care. Explore the impact you can make with Arc Hospice today.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Arc Hospice & Palliative Care’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.