Hospice After-Hours RN (7 On/7 Off) | $5,000 Sign-On Bonus

Optimal Care•Grand Rapids, MI

2d•$72,000 - $84,000•Hybrid

About The Position

Optimal Care is seeking a Hospice After-Hours Registered Nurse to provide critical skilled nursing care and emotional support to terminally ill patients during their most vulnerable hours. This specialized role offers a unique 7-on/7-off schedule, allowing for half the year off while earning a full-time salary. The position is ideal for an experienced RN who thrives in autonomous settings, can think critically under pressure, and values an exceptional work-life balance. The nurse will respond to after-hours patient and family needs, conduct admissions and visits, manage urgent symptoms, and make critical clinical decisions independently. The role also involves supporting families through crisis, coordinating after-hours care, and maintaining clinical excellence through thorough documentation and adherence to regulatory standards.

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

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
Perform comprehensive nursing assessments and continuously re-evaluate patient needs
Demonstrate proficiency in medication administration across all routes
Use durable medical equipment and devices safely and effectively
Provide skilled interventions requiring specialized nursing expertise
Perform phlebotomy with proper implementation of universal precautions
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
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
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