Registered Nurse - On Call-Hospice

CareM; San Antonio (TX); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

PTO

401(k)

Mileage reimbursement

Job summary

Touchstone Health in San Antonio, TX, seeks an experienced registered nurse to join our hospice team. This highly autonomous role offers a 7-on/7-off schedule (Friday to Friday, 5:00 PM–8:00 AM with every other weekend days/nights), allowing focused patient care and meaningful time off.

You will assess patients, develop and revise care plans, and coordinate with the care team. RN license in Texas and strong clinical skills are required; travel to patient homes is expected.

Qualifications

• Graduate of an approved professional nursing school with a current RN license in the state of practice.
• 2 years nursing experience preferred.
• Ability to exercise initiative and independent judgment in patient care.

Responsibilities

• Deliver nursing services according to the established plan of care.
• Conduct initial evaluation visits and regularly reassess patient needs.
• Initiate the plan of care and revise it based on patient condition.
• Provide specialized nursing services requiring substantial nursing skills.
• Implement preventive and rehabilitative nursing procedures as appropriate.
• Prepare clinical and progress notes for each patient visit and care conferences.
• Coordinate services and communicate changes in patient condition with the team.
• Counsel patients and families in meeting nursing and healthcare needs.
• Take on-call duties for nights, weekends, and holidays as assigned.
• Complete and submit OASIS assessments and related documentation in timeframes.

Skills

RN license

Home health care

Patient assessment

Plan of care

Education

Approved nursing program

Tools

OASIS

ICD-10 coding

Job description

Description

About the Role:

Touchstone Health is seeking an experienced, compassionate Registered Nurse to join our hospice team in San Antonio, TX. This is a highly autonomous position with a 7-on / 7-off schedule (Friday to Friday, 5:00 PM to 8:00 AM & every other weekend days/nights), offering a unique rhythm of deep focus and meaningful time off.

RESPONSIBILITIES

• Deliver nursing services according to the established plan of care.
  
• Conduct initial evaluation visits and regularly reassess the patient’s nursing needs.
  
• Initiate the plan of care and make necessary revisions based on patient condition.
  
• Provide specialized nursing services that require substantial nursing skills.
  
• Implement preventive and rehabilitative nursing procedures as appropriate.
  
• Prepare clinical and progress notes for each patient visit and complete summaries for care conferences per agency policy.
  
• Coordinate services and communicate with personnel about changes in patient condition and needs.
  
• Counsel patients and their families in meeting nursing and related healthcare needs.
  
• Participate in and present in-service programs as needed.
  
• Adhere to agency policies and procedures.
  
• Process orders, notify the physician of patient needs, and handle changes in patient condition, including completing certifications/recertifications and discharge summaries.
  
• Determine the necessary amount and type of nursing for each individual patient.
  
• Refer patients to specialized services (e.g., Physical Therapy, Speech Language Pathology) as needed.
  
• Supervise and provide teaching to other nursing personnel.
  
• Conduct patient care conferences on patients under their care.
  
• Engage in peer review and participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
  
• Provide total patient care as needed.
  
• Take on-call duties for nights, weekends, and holidays as assigned.
  
• Complete and submit OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant condition changes within agency-defined timeframes.
  
• Utilize ICD-10 codes appropriately for accurate documentation.
  

Requirements

QUALIFICATIONS

• Graduate of an approved professional nursing school, with a current RN license in the state of practice.
  
• Two (2) years of nursing experience preferred.
  
• Acceptance of the agency’s philosophy and goals.
  
• Ability to exercise initiative and independent judgment in patient care.
  

WORKING ENVIRONMENT

Primarily works indoors in agency offices and patient homes, with required travel to and from patient locations.

JOB RELATIONSHIPS

Reports to: Director of Clinical Services or Clinical Manager

Supervises: Licensed Practical Nurse and Home Health Aide

LIFTING REQUIREMENTS

The role requires the ability to engage in physical activities essential for patient care, including extended periods of standing, heavy lifting, frequent bending, and other physical activities on a regular basis.

Why Join Us:

At Touchstone Health, care is more than a service — it’s a relationship. We’re deeply rooted in the San Antonio community and committed to delivering comfort, connection, and courage during life’s most sacred transitions. As part of the CareM family, our mission is to bring out the courage in others — in our patients, their families, and in each other.

If you're someone who brings calm and skilled care to life's hardest moments, we'd be honored to have you on our team.

This position offers:

• 7-on / 7-off schedule for optimal work-life balance
  
• A highly autonomous environment where your expertise is trusted
  
• Connection to a supportive, mission-driven team
  
• Medical, dental, and vision coverage, PTO, a 401(k), and mileage reimbursement