RN PRN/On Call

Four Pillars Hospice; Breckenridge (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Four Pillars Hospice is seeking a Registered Nurse (RN) to provide compassionate hospice care in patients' homes across Texas. You will assess patients, implement care plans, educate families, and collaborate with a multidisciplinary team to ensure high-quality end-of-life care.

The role requires an active RN license in the state or a compact license, hospice experience, and strong clinical and communication skills. Travel to patient homes is expected, with on-call responsibilities as needed.

Qualifications

• Graduate of an accredited Diploma, Associate, or Bachelor’s School of Nursing.
• Current RN license in the state of practice and/or compact license eligibility.
• Hospice experience preferred.
• Understanding of hospice regulatory requirements and documentation standards.
• Strong clinical, communication, and interpersonal skills.
• Proficiency in English communication.

Responsibilities

• Perform initial and ongoing patient assessments.
• Develop, implement, and update individualized plans of care.
• Coordinate care with the IDT, physicians, patients, and families.
• Provide patient and caregiver education regarding disease process, medications, end-of-life care, and safety.
• Determine visit frequency based on patient needs and acuity.
• Supervise Hospice Aides and LVN/LPN staff.
• Document clinical findings, interventions, and patient progress accurately.
• Report changes in patient condition to physicians and team members.
• Practice infection control and standard precautions.
• Participate in QAPI and hospice in-service education programs.
• Provide on-call services as assigned.
• Promote hospice philosophy and quality patient care.

Skills

Nursing skills

Home health

Interdisciplinary teamwork

Communication

Clinical judgment

English proficiency

Education

Nursing degree (Diploma/ADN/BSN)

Job description

Registered Nurse (RN) – Hospice

Position Summary

The Registered Nurse (RN) provides nursing care to hospice patients in their place of residence and coordinates care with the Interdisciplinary Team (IDT), physicians, patients, families, and referral sources. The RN is responsible for assessing patient needs, implementing the plan of care, and ensuring quality end-of-life care.

Responsibilities

• Perform initial and ongoing patient assessments

• Develop, implement, and update individualized plans of care

• Coordinate care with the IDT, physicians, patients, and families

• Provide patient and caregiver education regarding disease process, medications, end-of-life care, and safety

• Determine visit frequency based on patient needs and acuity

• Supervise Hospice Aides and LVN/LPN staff

• Document clinical findings, interventions, and patient progress accurately

• Report changes in patient condition to physicians and team members

• Practice infection control and standard precautions

• Participate in QAPI and hospice in-service education programs

• Provide on-call services as assigned

• Promote hospice philosophy and quality patient care

Qualifications

• Graduate of an accredited Diploma, Associate, or Bachelor’s School of Nursing

• Current RN license in the state of practice and/or compact license eligibility

• Must have hospice experience

• Understanding of hospice regulatory requirements, documentation standards, and compliance guidelines

• Strong clinical, communication, and interpersonal skills

• Knowledge of end-of-life and palliative care

• Ability to read, write, and communicate effectively in English

Requirements

• Current driver’s license

• Reliable transportation

• Valid auto liability insurance

Working Conditions

• Travel to patient homes required

• Possible exposure to blood, bodily fluids, and infectious diseases

• Flexible schedule, local travel, and on-call responsibilities required

• Ability to stand, walk, lift up to 50 pounds, and assist with patient transfers