Registered Nurse (RN) - Night Shift

YoloCares•Davis, CA

15h•$114,000 - $118,000

About The Position

The Registered Nurse (RN) – Night Shift provides after-hours nursing assessments, telephone triage, clinical guidance, and in-person care to hospice patients and their families. Reporting to the Clinical Manager or designee, the RN uses independent clinical judgment to assess patient needs, respond to changes in condition, manage symptoms within the established plan of care, and determine when further clinical intervention or an in-person visit is needed. The role supports patient comfort and continuity of care outside regular business hours, including caregiver support and communication of important updates to the day team. The RN works collaboratively with an interdisciplinary hospice team that includes registered nurses, hospice aides, social workers, spiritual care counselors, nurse practitioners, and physicians. The position covers Yolo, Sacramento, Solano, Colusa, and Sutter counties based on organizational needs, and includes home visits as clinically necessary. The schedule is seven days on and seven days off, from 5:00 p.m. to 8:30 a.m.

Requirements

Current California Registered Nurse (RN) license.
Current CPR certification.
Working knowledge of Medicare Hospice Conditions of Participation and California hospice licensing standards.
Excellent verbal and written communication skills.
Ability to work effectively with physicians and interdisciplinary healthcare providers to achieve patient-centered goals.
Ability to work independently, establish priorities, organize assignments, take initiative, and make sound clinical decisions within the scope of practice and organizational protocols.
Experience with electronic medical record systems.
Computer proficiency, including Microsoft Word.
Ability to manage frequent interruptions, competing priorities, and time-sensitive responsibilities.
Ability to perform essential functions, with or without reasonable accommodation, including lifting up to 60 pounds.
Ability and willingness to maintain and drive a personal vehicle when required for patient visits.
Valid California driver’s license and state-required automobile insurance.
Ability to travel throughout the assigned service area as patient care needs require.

Nice To Haves

At least one year of hospice experience is desired.
Two years of skilled nursing facility (SNF) or home care experience is preferred.
Allscripts and FireNote experience is preferred.
PowerPoint experience is preferred.
Additional language proficiency is a plus.

Responsibilities

Respond to calls from hospice patients, family members, caregivers, and other care providers during assigned shifts.
Assess reported symptoms, changes in condition, medication concerns, and caregiver needs using sound nursing judgment.
Provide telephone guidance, education, reassurance, and symptom-management support consistent with the patient’s plan of care and organizational protocols.
Determine when an in-person nursing visit is indicated and conduct home visits as clinically necessary.
Assess patient status during visits, implement appropriate nursing interventions, and communicate significant changes to appropriate clinical personnel.
Support patient comfort, safety, dignity, and established goals of care.
Recognize urgent or emergent situations and initiate appropriate escalation in accordance with organizational policy and applicable requirements.
Communicate significant patient changes, interventions, unresolved concerns, and follow-up needs to the appropriate clinical leader and day-shift nurses.
Collaborate with physicians, nurse practitioners, nursing staff, hospice aides, social workers, spiritual care counselors, and other healthcare providers as needed.
Coordinate care and share relevant information with patients, families, caregivers, and the care team in accordance with privacy requirements.
Follow established procedures for clinical escalation, after-hours coverage, and coordination of services.
Complete timely and accurate EMR documentation of telephone encounters, assessments, visits, interventions, communications, and follow-up plans.
Document patient status and changes in condition in accordance with organizational policies and applicable hospice requirements.
Follow the established plan of care, physician orders, nursing standards, and applicable federal and California hospice regulations.
Protect patient confidentiality and comply with YoloCares policies and professional standards.
Work independently, prioritize competing demands, and use sound problem-solving and conflict-resolution skills while recognizing when consultation or escalation is needed.
Identify professional development needs, participate in educational activities and performance evaluations, and pursue opportunities to strengthen clinical practice.
Maintain a collaborative, respectful, and solution-oriented approach with patients, families, colleagues, and community healthcare providers.
Perform other job-related duties as assigned.

Benefits

Comprehensive health insurance for employees, up to 100% employer-paid depending on plan, with additional support toward covering dependents.
Dental insurance.
Vision insurance.
Life insurance.
Flexible spending account (FSA).
Employee assistance program (EAP).
Retirement plan with company matching.
Generous paid time off (PTO).
Paid holidays and paid sick leave.
Training and professional development opportunities.
Mileage reimbursement.
Company-issued tablet and cell phone.
Company vehicle and gas card, if available.