Posting Title Hospice RN - Nights (7 On / 7 Off Nights & Weekends)

Immanuel; Omaha (NE); On-site; USD 55,000 - 77,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401K with employer match

Paid Time Off (PTO)

Volunteer Time Off (VTO)

Wellness Program

Education Assistance up to $5,250/year

Job summary

Immanuel Hospice is seeking a compassionate Hospice RN to join our after-hours/on-call team. You will provide clinical support, symptom management, and end-of-life care across our service area, with a 7-on/7-off schedule and on-call starting at 4:30 PM during scheduled weeks.

Primary duties include triage, home visits as needed, medications administration, and coordination with physicians and the care team. Strong documentation and HIPAA compliance are essential.

Qualifications

• High School Diploma/GED required.
• Registered Nurse course of study completed; RN license required.
• Bachelor’s degree in Nursing preferred.
• Two years of acute/long-term care nursing experience in the last five years required.
• Experience in community health and/or hospice preferred.
• Emergency Room/Critical Care experience preferred.
• Reliable transportation required; travel between locations.
• BLS required or must obtain within 60 days of hire.
• License must be current and in good standing; valid driver’s license and auto insurance required.

Responsibilities

• Clinical triage, assessment, & symptom management after hours.
• Direct patient care in homes and facilities during evenings, weekends, holidays, and on-call periods.
• Administer medications and treatments; manage pain and symptoms.
• Coordinate with physicians and interdisciplinary team; educate patients and families.
• Complete accurate clinical documentation; maintain HIPAA compliance and quality standards.
• Participate in quality improvement initiatives and team meetings.
• Provide mentorship and team support; maintain clinical competency.

Skills

Compassionate care

Clinical assessment

Symptom management

Communication

Documentation

Education

RN license

BSN preferred

Tools

BLS certification

Driver's license

Job description

Overview

Are you a compassionate Registered Nurse who is passionate about providing comfort, dignity, and support to patients and families during life's most important moments?

Immanuel Hospice is seeking a Hospice RN to join our dedicated team. As our After-Hours/On-Call Hospice RN, you'll provide clinical support, symptom management, and compassionate end-of-life care for patients across our service area. This position follows a 7-on/7-off Nights & Weekends, with on‑call coverage beginning at 4:30 PM during scheduled work weeks, offering independence, flexibility, and the opportunity to make a meaningful difference in the lives of those we serve.

While primarily an after‑hours/on‑call position, this role may also include scheduled patient visits as needed to support patient care and service needs.

Pay is based on experience, education, certifications, and skills.

Best in Class Benefits can be found at Immanuel:

• HEALTH: Medical, dental, vision, Health Savings Account (HSA), and Flexible Spending Account (FSA)
• LIFE INSURANCE: Employer Paid Life Insurance
• TIME OFF: Paid Time Off - accruing from day one of employment, Floating Holidays, Paid Holidays, 8 hours of Volunteer Time Off per year
• RETIREMENT: 401K with employer match
• WELLNESS: Wellness Program and Employee Assistance Program
• GROWTH AND DEVELOPMENT: Advancement opportunities (as appropriate) – we look to grow from within our organization, Education Assistance Program – we invest up to $5,250 per year for education assistance paid up front
• Plus many more benefits!

Job Duties & Skills Required

What You Will Do

Key Areas

Key Responsibilities and Duties of the Job

Clinical Triage, Assessment, & Symptom Management

• Responds promptly to after-hours patient, family, facility, and caregiver calls to assess concerns, determine urgency, and provide appropriate nursing interventions.
• Perform clinical assessments in person or by telephone to evaluate changes in condition, manage symptoms, and identify patient and family needs.
• Utilizes nursing judgment to implement interventions, revise care approaches, and promote patient comfort in accordance with hospice philosophy and physician orders.

Direct Patient Care & Crisis Intervention

• Provides skilled nursing care in homes, assisted living facilities, skilled nursing facilities, and other community settings during evenings, weekends, holidays, and other assigned on‑call periods.
• Administers medications and treatments, manages pain and symptoms, addresses urgent clinical issues, and responds to emergencies as appropriate.
• Supports patients and families through end‑of‑life care, providing comfort‑focused interventions and compassionate clinical support.

Care Coordination & Communication

• Communicates significant changes in patient condition to physicians, hospice leadership, and interdisciplinary team members, obtaining and implementing physician orders as needed.
• Collaborates with caregivers, facilities, community providers, and hospice staff to ensure continuity of care and timely service delivery.
• Provides education and guidance to patients, families, and caregivers regarding symptom management, medications, disease progression, and available hospice resources.

Documentation, Compliance, & Quality Assurance

• Completes accurate, timely, and comprehensive clinical documentation, including assessments, interventions, physician communications, and patient outcomes.
• Maintains compliance with hospice regulations, accreditation standards, HIPAA requirements, infection control practices, and organizational policies.
• Participates in quality improvement and safety initiatives and reports compliance concerns as appropriate.

Professional Responsibilities & Team Support

• Serves as a clinical resource and supports other team members through effective communication, collaboration, and mentoring when appropriate.
• Participates in required meetings, education, training, and licensure activities to maintain clinical competency.
• Demonstrates professionalism, sound decision-making, effective prioritization, and flexibility in meeting changing patient and organizational needs.

Skills & Requirements

Education-

• High School Diploma/GED is required.
• Successful completion of a Registered Nurse course of study. Bachelor’s degree in Nursing preferred.

Experience-

• Two years of acute care/long‑term care nursing experience within the last five years required.
• Experience in community health and/or hospice preferred.
• Emergency Room/Critical Care experience is preferred.

Other Requirements –

• Reliable transportation is required as this position will require travel between locations.
• Basic Life Support (BLS) required, or required to obtain within 60 days of hire.
• License must be kept up to date at the expense of the employee and license must be in good standing as recorded on the registry.
• Valid driver’s license and auto insurance at or above statutory requirements.

Immanuel

At Immanuel, we believe that our success is built on the collective strength of our people. Here’s why you’ll thrive as part of our team:

• Meaningful work: You won’t just have a job; you will have a purpose. Our Mission impacts the lives of our residents/participants and their families, one another, and our community.
• Growth Opportunities: We invest in your development. Whether it’s mentorship, training, or advancement, we’re committed to your growth.
• Inclusive Culture: We celebrate uniqueness and foster an environment where everyone feels valued.
• Work-Life Harmony: We believe in allowing you to thrive by leveraging your passion. Achieve your best work while maintaining a healthy work-life harmony.
• Total Rewards: A focus on feedback and recognition, competitive compensation, a robust benefits package, and perks beyond the basics.
• Intentional Experience: We are very intentional about your employee experience, from Day One Orientation to how we onboard new managers and invest in quarterly and annual leadership training.

Join us at Immanuel and be a part of something extraordinary. Your journey starts here.

• Immanuel is an Equal Opportunity Employer and participates in E-Verify.
• A background check and drug screen will be required prior to hire.
• Applicants must be currently authorized to work in the United States on a full‑time basis.