Overnight RN Hospice Triage $10,000 Signing Bonus

Kline Galland•Seattle, WA
•$78,000 - $93,600•Onsite

About The Position

Kline Galland Hospice is seeking an experienced Registered Nurse to provide primary overnight clinical triage for hospice patients, caregivers, and facilities. The RN independently evaluates urgent symptoms, coordinates interventions and field visits, maintains continuity of care overnight, and prepares the daytime team for priority follow-up. Assigned clinical audits and hospice plans of care are also completed or updated, while patient calls, urgent follow-up, orders, visits, and required documentation remain the first priority. The role is based at the organization’s South Seattle (Georgetown) office and is scheduled at 0.75 FTE. The overnight shift is 12:30 AM to 8:30 AM on a 7-days-on, 7-days-off rotation, with overlap and handoff periods with evening and day-shift nurses. Weekends and holidays are worked as scheduled. The position includes structured handoffs with the 2nd Shift RN between 12:30 AM and 1:00 AM and with the 1st Shift RN between 8:00 AM and 8:30 AM. Incomplete audits or plan-of-care assignments, documentation risks, and required follow-up are communicated to the Nursing Manager.

Requirements

  • Current, unrestricted Registered Nurse (RN) license.
  • Strong clinical assessment and critical thinking skills.
  • Ability to independently manage multiple priorities in a fast-paced environment.
  • Experience with electronic medical records (EMR).
  • Excellent verbal and written communication skills.
  • CPR certification.
  • Ability to remain available and attentive throughout the assigned shift, including extended periods using a telephone, headset, and computer.
  • Ability to review detailed clinical information, identify inconsistencies, enter documentation, and manage multiple time-sensitive tasks.
  • Ability to work scheduled nights, weekends, and holidays as assigned.
  • Ability to respond effectively to frequent interruptions, urgent symptoms, deaths, caregiver distress, and changing priorities.
  • If MSL, complete Suicide Prevention Training in advance of hire per state regulations.
  • If MSL, complete the Washington State Board of Nursing (WABON) MSL demographic survey.

Nice To Haves

  • Hospice and/or palliative care experience.
  • Telephone triage experience.
  • Experience in home health, oncology, geriatrics, emergency nursing, critical care, or telephone triage.
  • Experience with clinical documentation review, quality assurance, or care plan development.
  • Knowledge of end-of-life symptom management, comfort medications, caregiver education, and interdisciplinary hospice practice.

Responsibilities

  • Provide overnight telephone triage for hospice patients, caregivers, and facilities.
  • Assess urgent symptoms, changes in condition, medication concerns, falls, and end-of-life needs.
  • Provide clinical guidance and coordinate appropriate interventions.
  • Escalate concerns to providers or field clinicians as needed.
  • Coordinate urgent patient visits with visit nurses.
  • Document patient assessments, interventions, communications, and outcomes in the EMR.
  • Complete assigned clinical documentation audits and identify areas requiring follow-up.
  • Create and update individualized hospice plans of care.
  • Prepare detailed handoff reports for the daytime clinical team.
  • Collaborate with physicians, nurses, pharmacies, care facilities, and interdisciplinary team members.
  • Communicate incomplete audit or plan-of-care assignments, identified documentation risks, and required follow-up to the Nursing Manager.

Benefits

  • Competitive pay.
  • $10,000 sign-on bonus.
  • Medical, dental, vision, critical illness, accident, and hospital indemnity insurance.
  • Flexible Spending Account.
  • Public Service Loan Forgiveness (PSLF)-eligible employer.
  • 403(b) with employer contribution.
  • Paid Time Off (PTO) and Extended Illness Leave.
  • Mileage reimbursement.
  • Continuing education and CEU support.
  • Supportive and mission-driven team environment.
  • Opportunities for professional growth and advancement.
  • Company-provided technology for documentation and care coordination.
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