RN

Hillcrest Health & Living

Council Bluffs (IA)

On-site

USD 70,000 - 90,000

Full time

5 days ago
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Benefits offered by this job

Competitive compensation
Interdisciplinary care team
Health insurance options
Vision, dental, life insurance
Professional development support
Pay on demand (Dayforce Wallet)

Job summary

Hillcrest Home Care Hospice in Iowa seeks a compassionate Hospice Nurse (RN) to provide direct patient care in home settings, focusing on symptom management, comfort, and family support. You will collaborate with an interdisciplinary team to coordinate care and educate patients and families throughout the end-of-life journey.

The role emphasizes independent caseload management, strong clinical judgment, and the ability to adapt to changing patient conditions while ensuring dignity and quality of

Qualifications

  • Graduate of an accredited nursing program required.
  • Bachelor’s degree in Nursing preferred.
  • At least three years of nursing experience required.
  • At least two years of Hospice or Home Care nursing experience preferred.
  • Active RN license in Iowa or a compact state required.
  • Basic Life Support (BLS) certification required.
  • Valid driver’s license and reliable transportation required.

Responsibilities

  • Coordinate and provide skilled nursing care to hospice patients in homes or care settings.
  • Develop and manage individualized plans of care based on patient needs and goals.
  • Provide visits focused on comfort, symptom management, and quality of life.
  • Educate patients and families about disease process, self-care, and end-of-life care.
  • Communicate changes in patient condition to physicians and hospice team promptly.
  • Coordinate services across disciplines and participate in team conferences.
  • Participate in on-call and backup call rotations as needed.

Skills

Nursing assessment
Clinical decision-making
Hospice/home care
Communication
Interdisciplinary collaboration
Independent caseload management

Education

Accredited nursing program
Bachelor’s degree in Nursing preferred
At least three years of nursing experience
Two years of Hospice/Home Care experience preferred
Active RN license in Iowa or compact state
BLS certification
Driver’s license and reliable transportation

Job description

Hospice Nurse (RN) – Hillcrest Home Care

Service Line: Hillcrest Home Care – Hospice - Iowa

Hillcrest Home Care is looking for a compassionate, experienced, and patient-focused Hospice Nurse (RN) to join our hospice care team.

Hillcrest Home Care provides personalized hospice services to patients wherever they call home, including private residences and senior living or care communities. Our hospice team focuses on comfort, dignity, quality of life, and supporting both the patient and their family throughout the end-of-life journey.

Our mission is simple: Inspiring people to live their best lives. As a Hospice Nurse (RN), you will provide direct patient care while managing an individualized caseload with a strong focus on symptom management, bedside care, crisis intervention, and family support. You will build meaningful relationships with patients and families while collaborating closely with an interdisciplinary hospice team to provide coordinated, compassionate end-of-life care.

What You’ll Do

As a Hospice Nurse (RN), you will coordinate and provide skilled nursing care to hospice patients wherever they call home, helping manage symptoms, promote comfort, and support patients and families throughout the end-of-life journey.

You will:

  • Complete comprehensive nursing assessments of each patient’s physical, functional, psychosocial, spiritual, cultural, environmental, and nutritional needs.

  • Develop and manage individualized plans of care based on patient needs, goals, and preferences.

  • Provide skilled nursing visits focused on comfort, symptom management, and quality of life.

  • Continually evaluate patient needs and adjust the plan of care as conditions change.

  • Educate patients and families about the disease process, self-care techniques, symptom management, and end-of-life care.

  • Provide support and education to help patients and families navigate difficult decisions and changes in condition.

  • Communicate professionally with physicians, patients, families, caregivers, facility teams, and other members of the interdisciplinary team.

  • Coordinate services being provided by all disciplines involved in the patient’s care.

  • Communicate changes in patient condition promptly to the appropriate physician and hospice team members.

  • Keep patients and caregivers informed of visit schedules and changes.

  • Help patients and families understand their rights, responsibilities, and options related to care.

  • Provide nursing services according to the established plan of care and nursing process.

  • Complete clinical assessments, progress notes, and other required documentation at the point of care.

  • Develop, document, and revise Hospice Assistant care plans based on changes in the patient’s condition.

  • Prepare clinical information for interdisciplinary team meetings.

  • Communicate patient-status changes and recommended interventions to physicians and interdisciplinary team members.

  • Participate in team conferences to ensure patient and family needs are coordinated and prioritized.

  • Participate in quality improvement activities and programs.

  • Provide specialized hospice education to team members, patients, families, and informal caregivers.

  • Communicate professionally with referral sources and community partners regarding patient-care needs and expectations.

  • Participate in on-call and backup call rotations as needed to support patient care.

  • Assist with additional hospice nursing responsibilities as assigned.

The role combines skilled nursing care, hospice case management, symptom management, patient and family education, clinical documentation, interdisciplinary collaboration, and end-of-life support.

What We’re Looking For

We are looking for an RN who understands that excellent hospice nursing requires both strong clinical judgment and genuine compassion.

The right candidate will be comfortable managing complex patient needs while maintaining a calm, reassuring presence for patients and families. You should be someone who listens well, communicates clearly, notices subtle changes in condition, and understands that the goals of hospice care are centered on comfort, dignity, and quality of life.

Ideal candidates will have:

  • Strong nursing assessment and clinical decision-making skills.

  • Previous hospice or home care nursing experience preferred.

  • Experience with symptom management and end-of-life care.

  • A compassionate, patient, and respectful approach to hospice nursing.

  • Ability to build trusting relationships with patients and families.

  • Comfort supporting patients and families during emotional, difficult, or rapidly changing situations.

  • Strong patient and family education skills.

  • Ability to recognize changes in condition and respond appropriately.

  • Strong communication skills with physicians, caregivers, facility teams, and interdisciplinary team members.

  • Experience coordinating care across multiple disciplines.

  • Strong documentation, organization, and time-management skills.

  • Ability to independently manage a patient caseload and schedule.

  • Strong problem-solving and critical-thinking skills.

  • Comfort traveling between patient homes and facility settings.

  • Ability to work independently while remaining closely connected to the interdisciplinary hospice team.

  • A commitment to providing care that respects each patient’s individual goals, choices, and wishes.

Education & Credentials
  • Graduate of an accredited nursing program required.

  • Bachelor’s degree in Nursing preferred.

  • At least three years of nursing experience required.

  • At least two years of Hospice or Home Care nursing experience preferred.

  • Active Registered Nurse license in Iowa or a compact state required.

  • Basic Life Support (BLS) certification through the American Heart Association required.

  • Valid driver’s license required.

  • Reliable transportation required.

  • Current automobile insurance required.

Why Hillcrest Home Care Hospice?

Hospice nursing is about caring for the whole person—not just managing a diagnosis.

As a Hospice Nurse with Hillcrest Home Care, you will have the opportunity to build meaningful relationships with patients and families while helping them navigate one of life’s most personal journeys.

Your clinical expertise will help manage symptoms and promote comfort, but your impact goes beyond the clinical side of care. You may be educating a family about what to expect, helping a patient remain comfortable at home, coordinating with a physician when symptoms change, or simply providing reassurance during an uncertain moment.

You will also work closely with an interdisciplinary team that brings together nursing, social services, Hospice Assistants, and other professionals to support the needs of both patients and families.

For an RN who values autonomy, relationships, and care focused on the individual rather than simply the diagnosis, hospice nursing offers the opportunity to make a meaningful difference every day.

What Hillcrest Home Care Offers
  • Competitive compensation.

  • Supportive hospice leadership and an experienced interdisciplinary care team.

  • Multiple health insurance plan options for eligible team members.

  • Vision, dental, and life insurance.

  • Professional development support, including continuing education, certifications, and career-growth opportunities.

  • Dayforce Wallet, allowing you to choose when you get paid.

  • Gym membership reimbursement and partner discounts.

  • Meaningful one-on-one work with hospice patients and families.

  • Opportunities to grow within Hillcrest Home Care.

Physical & Other Requirements
  • Must be able to speak, read, and write English.

  • Must be able to independently lift up to 35 pounds.

  • Must be able to perform repetitive sitting, bending, standing, walking, reaching, lifting, and movement as needed.

  • Must be flexible and calm when supporting patients and families during emotional, stressful, or changing situations.

  • Must be comfortable providing hospice nursing care in private homes and facility environments.

  • Must be able to travel to multiple patient locations.

  • Must maintain a valid driver’s license and current automobile insurance within established requirements.

  • Must be able to work independently while remaining connected to the interdisciplinary hospice team.

  • Must be able to utilize clinical technology and available resources efficiently and effectively.

  • Must participate in on-call and backup call responsibilities as required.

  • Possible exposure to communicable diseases and bodily fluids.

  • Other duties as assigned.

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