RN - Float Support

Hospice Care; North Carolina; On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Annual Performance Bonus

Zero-premium Medical Insurance

Well-Care Benefit $600/year

401(k) Employer Match

PTO 20+ days per year

Paid holidays up to 6 days

STD/LTD/Life Insurance

Teletherapy & Telemedicine Coverage

FSA Health & Dependent Care

Tuition reimbursement up to $3k/year

Job summary

Four Seasons Hospice is seeking a Float RN to provide direct nursing care across a 15-county service area in Western North Carolina. The role supports staffing needs, onboarding, high census periods, and after-hours coverage, with travel across assigned sites.

The position requires RN licensure, excellent communication, and ability to work in diverse clinical settings. The role offers a tiered schedule, travel accommodations, and competitive benefits.

Qualifications

• Accredited School of Nursing.
• RN graduate and licensed nursing credentials required.
• Two years of clinical experience preferred; hospice or home health experience preferred.

Responsibilities

• Provide direct nursing care and supervise LPNs and Hospice Aide staff.
• Assess patient health conditions and document nursing assessments.
• Coordinate with interdisciplinary teams to plan and deliver patient-centered hospice care.

Skills

Nursing knowledge

Patient assessment

Communication skills

HIPAA compliance

Infection control

Education

Accredited School of Nursing

RN graduate

Job description

Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:

• Competitive Salaries, Reviewed Annually
• Annual Operational Performance Bonus Opportunities
• $0 Employee Premiums on Medical Insurance
• Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care
• Medical & Dental Insurance Benefits First of the Month after Hire
• 403B Retirement Plan with Employer Match
• Generous Paid Time Off Package: 20+ Days of PTO Per Year
• Up to 6 Paid Holidays
• Employer Paid STD, LTD, & Life Insurance
• Employer Paid Teletherapy & Telemedicine Coverage
• Health & Dependent Care Flexible Spending Accounts
• Up to $3k in Tuition Reimbursement Each Year

Our Accolades.

Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina . Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also abeacon of excellence as an employer in Western North Carolina.

OurBenefits.

Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:

• Competitive Salaries, Reviewed Annually
• Annual Operational Performance Bonus Opportunities
• $0 Employee Premiums on Medical Insurance
• Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care
• Medical & Dental Insurance Benefits First of the Month after Hire
• 403B Retirement Plan with Employer Match
• Generous Paid Time Off Package: 20+ Days of PTO Per Year
• Up to 6 Paid Holidays
• Employer Paid STD, LTD, & Life Insurance
• Employer Paid Teletherapy & Telemedicine Coverage
• Health & Dependent Care Flexible Spending Accounts
• A Robust Employee Wellness Program
• Up to $3k in Tuition Reimbursement Each Year

RN – Float Support

Reports To

Director of Nursing Support

Status

Exempt

Shift

Varies

Location

Assignments Will Be Across Entire 15 County Service Area

Hourly Float Premium

$10/Hour

Schedule

40 Hour Work Week

Varies – Days, Nights, & Weekends

Service Area

Entire 15 County Service Area

Assignment Duration

2-12 Weeks

Mileage Reimbursement

At Organizational Rate

Eligible for High Mileage Driver Bonus Program

Bonus

Eligible for Annual Operational Performance Bonus

Overnight Travel

Hotel Accommodations Paid by Employer

$30-40 Per Diem for Overnight Travel Assignments

Summary

Provide direct nursing care and instruct/supervise the LPN and Hospice Aide staff in the delivery of nursing care to patients. The Float RN provides flexible clinical support throughout the organization based on operational need. This position is designed to provide coverage for staffing vacancies, leaves of absence, onboarding, high census, admissions, after hours, Elizabeth House, weekends, special projects, or other clinical priorities. The Float RN serves as a highly adaptable clinical resource capable of supporting multiple service lines, departments, and geographic regions. Assignments may vary in duration, location, schedule, and responsibilities based on organizational need while maintaining the highest standards of patient-centered hospice care. The Float RN is expected to work where the organizational need is greatest and may be assigned to any clinical program, department, shift, or geographic service area.

Essential Duties & Responsibilities

• Practice within the scope of license, certification or registration, where applicable, and as required by law and regulation.
• Assess the patient's physical and mental health including the patient's reaction to illnesses and treatment regimens.
• Record and report the results of the nursing assessment.
• Plan, initiate, deliver, and evaluate appropriate nursing acts.
• Teach, assign, or supervise other personnel in implementing the treatment regimen.
• Collaborate with other healthcare providers in determining the appropriate patient and family-centered plan of care.
• Implement the treatment and pharmaceutical regimen prescribed by any person authorized by State law to prescribe the regimen.
• Provide teaching and counseling about the patient's health.
• Report and record the plan of care, nursing care given, and the patient's response to that care. Supervise, teach, and evaluate those who perform nursing functions and administer nursing programs and nursing services.
• Provide for the maintenance of safe and effective nursing care, whether rendered directly or indirectly.
• Accept assignments of varying lengths based on staffing needs and operational priorities. Function as a clinical resource to maintain continuity of patient care during vacancies, leaves of absence, onboarding, increased census, staffing shortages, or other operational challenges. Provide clinical support in any assigned department, region, service line, or program based on organizational need.
• Demonstrate flexibility by adapting quickly to different teams, workflows, patient populations, leaders, schedules, and care settings while maintaining high-quality patient care.
• Maintain productivity and documentation standards appropriate to each assignment.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

• Must be willing and able to care for patients with infectious disease processes unless approved accommodations.
• Knowledge of Federal, State and Local regulations and Medicare Conditions of Participation.
• Knowledge of HIPAA privacy rules and regulations.
• Knowledge of electronic medical records systems.
• Demonstrate basic data entry skills.
• Demonstrate excellent organizational skills.
• Demonstrate excellent interpersonal skills.
• Demonstrate excellent written and oral communication skills.
• Ability to work under pressure to meet deadlines.
• Ability to take initiative and utilize innovative techniques and ingenuity.
• Ability to interact with various departments throughout the organization.
• Ability to participate as a team player to coordinate projects.
• Ability to plan, prioritize and coordinate multiple projects.
• Demonstrate adaptability and resilience in changing clinical environments.
• Ability to quickly establish effective working relationships with multiple interdisciplinary teams.
• Ability to function independently with minimal orientation.
• Comfortable working in multiple clinical settings, departments, service lines, and patient populations.
• Ability to work flexible hours, including days, evenings, nights, weekends, holidays, and after hours, based on organizational need.
• Ability to travel throughout the organization's service area based on assignment.
• Demonstrate skill/expertise in pain and symptom management.
• Demonstrate ability to effectively collaborate and facilitate the work of a group.
• Demonstrate understanding of reimbursement, regulatory requirements, and Medicare Conditions of Participation.

Minimum Qualifications

Education :

• Accredited School of Nursing

Registered Nurse Graduate

Experience :

• Two years of clinical experience preferred.
• Hospice or home health experience preferred.

Licensures & Certifications :

• Valid North Carolina Registered Nurse license.
• Valid Driver's License and proof of automobile insurance.

Summary of Physical Requirements

• Walking, standing, sitting, bending, reaching, twisting, crouching/squatting, kneeling.
• Flexion/Extension of arms/wrists.
• Hand dexterity to include gripping, pushing/pulling and writing.
• Lifting/carrying of 50 lbs. frequently.
• Fine finger movements to include writing and typing, frequently.
• Near and far visual acuity.
• Ability to hear, understand, and distinguish speech and other sounds.
• Ability to drive and/or transport self to and from work locations.
• Ascending or descending stairs and ramps.
• Ability to lift, carry, push and pull up to 100 pounds with the help of another person or equipment, occasionally.

Intent and Function

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimum standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.

This position is intended to function as a flexible organizational nursing resource. Assignment locations, schedules, departments, responsibilities, and duration of assignment may vary based on patient care needs, staffing requirements, and operational priorities.

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals .

Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer.

Other Duties:

• Work to achieve performance goals, pursue progress toward the Individual Development Plan (IDP), and demonstrate Four Seasons values and competencies.
• Participate in ongoing education and training offered by the agency and/or required by nursing leadership.
• Comply with company policies, procedures, guidelines, and Mission Statement.
• Practice safety and infection control methods.
• Assist in providing 24-hour on-call services, including emergency, weekend, holiday, or other coverage assignments based on organizational need.
• Assess for the need of other disciplines.
• Perform other related duties as assigned.