Registered Nurse (On Call)

Blue Ridge Care; Virginia; On-site; USD 62,000 - 83,000; Full time

Benefits offered by this job

Sign-On Bonus

Overnight shift differentials

Full-time overnight schedule

PTO and paid volunteer time

Health, dental, and vision benefits

Tuition reimbursement

Scholarship opportunities

Peer support, mentorship, and clinical

30% Thrift Shop discount

Career growth plan

Job summary

Blue Ridge Care is seeking a dedicated Registered Nurse (RN) for Overnight Hospice Care. This full-time overnight role focuses on compassionate, skilled nursing during night hours across the Blue Ridge Care service area, with 8-hour shifts and every-other-weekend work.

You will respond to emergent overnight calls, perform nursing assessments, administer medications, and collaborate with the interdisciplinary team to ensure comfort and quality end-of-life care for patients and families.

Qualifications

• Current Virginia RN license.
• Graduate of an accredited nursing program; BSN preferred.
• Two+ years hospice, home health, ICU, or critical care experience preferred.
• CPR certification current.
• Knowledge of Medicare/Medicaid hospice regulations.
• Able to travel throughout Blue Ridge Care territory.
• Ability to work independently overnight with a team.

Responsibilities

• Respond to emergent calls from patients and families during overnight hours.
• Provide overnight visits to address urgent concerns, symptom changes, or end-of-life needs.
• Deliver skilled nursing care in accordance with patient goals and physician orders.
• Assess and evaluate patient conditions and provide clinical oversight when LPN support is involved.
• Develop, update, and implement individualized plans of care.
• Administer medications and treatments as prescribed.
• Support symptom management and patient comfort throughout the night.
• Educate patients and families on disease progression, symptom management, and care techniques.
• Provide emotional support and reassurance during difficult situations.
• Communicate significant changes in condition to physicians and obtain necessary orders.
• Complete timely and accurate clinical documentation.
• Coordinate equipment, supplies, and services needed to support quality care in the home.
• Collaborate with the interdisciplinary team to ensure continuity of care.
• Assist with admissions, crisis visits, death visits, and other overnight hospice needs as appropriate.
• Participate in continuing education, quality improvement activities, and team meetings.

Skills

RN license

BSN preferred

Hospice/home health exp

CHPN

CPR certification

Travel required

EMR proficiency

Critical thinking

Medicare/Medicaid knowledge

Independent overnight work

Education

Nursing degree (RN)

Virginia RN licensure

Tools

Electronic Medical Records

Job description

Registered Nurse (RN) – Overnight Hospice Care

Full-Time Opportunity
$10,000 Sign-On Bonus – Join Blue Ridge Care Today!

Your neighbors need you. Your nursing skills can change lives.

Join Blue Ridge Care and become a Future Maker, where your compassion and expertise bring comfort and dignity to every moment.

Our mission is simple and meaningful: Delivering extraordinary care to improve life's journey. We provide high-quality, compassionate hospice care for those navigating life's most profound transitions, supporting patients, families, and the community with heart, hope, and respect.

About the Role

We are seeking a compassionate and dependable Registered Nurse (RN) – Overnight Hospice Care to join our hospice team full-time.

This position is dedicated exclusively to overnight care, providing clinical support and urgent hospice services during the night hours. The schedule consists of 8-hour overnight shifts and includes working every other weekend.

In this role, you will respond to patient and family needs overnight, complete nursing assessments, provide direct hospice care, and collaborate with the interdisciplinary team to ensure patients receive exceptional care and support when they need it most.

This position travels throughout the entire Blue Ridge Care service area.

Schedule

• Full-time, overnight shifts only

• 8-hour shifts

• Every other weekend required

• Eligible for applicable shift differentials

How You'll Make a Difference

• Respond to emergent calls from patients and families during overnight hours.

• Provide overnight visits to address urgent concerns, symptom changes, or end-of-life needs.

• Deliver skilled nursing care in accordance with patient goals and physician orders.

• Assess and evaluate patient conditions and provide clinical oversight when LPN support is involved.

• Develop, update, and implement individualized plans of care.

• Administer medications and treatments as prescribed.

• Support symptom management and patient comfort throughout the night.

• Educate patients and families on disease progression, symptom management, and care techniques.

• Provide emotional support and reassurance during difficult and often unexpected situations.

• Communicate significant changes in condition to physicians and obtain necessary orders.

• Complete timely and accurate clinical documentation.

• Coordinate equipment, supplies, and services needed to support quality care in the home.

• Collaborate with the interdisciplinary team to ensure continuity of care.

• Assist with admissions, crisis visits, death visits, and other overnight hospice needs as appropriate.

• Participate in continuing education, quality improvement activities, and team meetings.

What You'll Bring

• Current Virginia Registered Nurse (RN) license.

• Graduate of an accredited nursing program; BSN preferred.

• Two or more years of hospice, home health, ICU, critical care, or related nursing experience preferred.

• CHPN certification preferred.

• Current CPR certification.

• Strong assessment, critical thinking, and clinical decision-making skills.

• Knowledge of Medicare and Medicaid hospice regulations.

• Proficiency with electronic medical records.

• Ability to travel throughout the Blue Ridge Care territory.

• A calm, confident presence during urgent and emotionally challenging situations.

• Ability to work independently during overnight hours while collaborating effectively with the broader care team.

Why You'll Love Working Here

At Blue Ridge Care, caring for others begins with caring for you. We offer a supportive environment where your dedication is recognized, valued, and rewarded.

• $10,000 Sign-On Bonus*

• Competitive pay with overnight shift differentials

• Full-time overnight schedule

• PTO and paid volunteer time

• Comprehensive health, dental, and vision benefits

• Tuition reimbursement and scholarship opportunities

• Peer support, mentorship, and clinical development

• 30% Thrift Shop discount

• Career growth through the Blue Ridge Care 2030 Strategic Plan

Sign-on bonus paid in installments over two years.

Blue Ridge Care is a nonprofit, equal opportunity employer. We value diversity and are committed to fostering an inclusive environment for all team members and the patients and families we serve.