Hospice After Hours Registered Nurse

Optimal Care - Evergreen•Carmel, IN

8d•$72,000 - $78,000

About The Position

Optimal Care is growing and proactively building our talent pipeline for future opportunities. While this role may not be immediately available, we invite you to submit your resume to this posting. A member of our Recruiting team will reach out as opportunities arise. Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Imagine working only 26 weeks per year while earning a full-time salary. As a Hospice After Hours Registered Nurse, you'll work 7 consecutive nights (5pm-8am, Monday-Sunday), then enjoy 7 full days off - giving you half the year to spend with family, pursue passions, or simply recharge. No additional on-call requirements, no schedule surprises - just a predictable rotation that lets you plan your life with confidence. During your working weeks, you'll be the compassionate presence that patients and families need during their most vulnerable hours, providing critical skilled nursing care and emotional support to terminally ill patients. This specialized role is perfect for an experienced RN who thrives in autonomous settings, thinks critically under pressure, and finds deep fulfillment in hospice care while valuing an exceptional work-life balance. Here's what makes this role exceptional: Predictable 7-on / 7-off rotation: Work Monday-Sunday nights (5pm-8am), then enjoy a full week completely off Half the year off with full-time pay: Work only 26 weeks per year while earning a full-time salary Start and finish at home: No commuting to an office - begin and end your on-call shifts from home No additional on-call: Unlike many nursing roles, your schedule is set with no surprise call-ins or extended shifts Optimized territories: Manageable drive times between patients ensure you can provide quality care without excessive travel Work-life balance: Seven consecutive days off means genuine time to recharge, travel, pursue hobbies, or be fully present with family This schedule is designed for nurses who want to make a meaningful impact in hospice care while having dedicated, uninterrupted time for their personal lives.

Requirements

Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing
Current Registered Nurse (RN) license in state of practice
Minimum 1 year of nursing experience in a clinical care setting
Reliable transportation with valid driver's license and automobile insurance
Ability to work evenings, nights, weekends, and holidays
Strong clinical assessment and critical thinking abilities
Excellent autonomous decision-making skills with good judgment
Emotional resilience and ability to support families facing end-of-life issues
Outstanding communication and crisis management skills
Comfort working independently during non-business hours
Ability to remain calm and focused in urgent or emotionally intense situations
Strong time management with ability to prioritize multiple urgent needs
Cultural sensitivity and respect for diverse beliefs about death and dying

Nice To Haves

Bachelor of Science in Nursing (BSN)
Experience in hospice or home health environment
Previous after-hours or on-call experience

Responsibilities

Provide Urgent Hospice Care
Respond promptly to after-hours patient and family needs with clinical expertise and compassion
Conduct admissions, routine visits, respite care, or continuous care as required
Assess and manage urgent symptoms including pain, anxiety, respiratory distress, and other comfort needs
Make critical clinical decisions independently while collaborating with on-call physicians and team members
Deliver Expert Clinical Nursing
Perform comprehensive nursing assessments and continuously re-evaluate patient needs
Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)
Use durable medical equipment and devices safely and effectively
Provide skilled interventions requiring specialized nursing expertise
Perform phlebotomy with proper implementation of universal precautions
Support Families Through Crisis
Provide appropriate support and guidance at time of death
Conduct bereavement assessments when requested
Offer reassurance and education to anxious families during nighttime hours
Help families navigate difficult decisions with empathy and clinical expertise
Coordinate After-Hours Care
Verify and follow plans of care according to physician orders and IDG assessments
Communicate significant findings and changes to physicians, supervisors, and facility staff
Assist with hospital discharges to home or facility settings during evening/overnight hours
Supervise home health aide and LPN care delivery per organizational policy
Report unsafe conditions promptly to appropriate parties
Maintain Clinical Excellence
Complete all documentation within 24 hours of visits
Document medication regimens and update profiles according to procedures
Ensure clinical notes reflect ongoing communication and care coordination
Demonstrate knowledge of Conditions of Participation and payor requirements
Maintain compliance with hospice regulatory standards

Benefits

Minimum of 3 Weeks Paid Time Off (PTO)
Company Vehicle Program
Flexible Work Schedule
Mentorship Culture
Medical, Dental, and Vision Insurance
401(k) with Employer Match
Mileage Reimbursement
Cutting Edge Technology
Competitive base salary up to $90K (based on experience)
Full-time pay for 26 weeks of work - only work half the year
Comprehensive health benefits package
401(k) retirement plan to secure your future
Predictable schedule with no surprise on-call requirements
After-hours hospice nursing with our 7-on / 7-off schedule offers something rare in healthcare: work-life balance.
You'll have seven full days off in a row every other week - enough time to truly disconnect, travel, manage personal commitments, or simply be present with loved ones without work interruptions.
We provide comprehensive orientation including shadowing experienced after-hours nurses, 24/7 clinical support through our on-call system, and optimized territories that respect your time.
You'll be part of a team that values your expertise and recognizes the critical nature of after-hours coverage.
You'll practice nursing with autonomy, using the full scope of your clinical skills while making decisions that immediately impact patient comfort and family peace of mind.
We support your continued development with ongoing education and clinical resources.