Overnight RN Hospice Triage $10,000 Signing Bonus

Kline Galland•Seattle, WA

4d•Onsite

About The Position

Kline Galland Hospice is hiring an experienced Registered Nurse to serve as its primary overnight clinical triage resource for hospice patients, caregivers, and facilities. Based at the South Seattle (Georgetown) office, the nurse independently evaluates urgent symptoms, coordinates interventions and field visits, maintains continuity overnight, and prepares the daytime team for priority follow-up. Patient calls, urgent follow-up, orders, visits, and required clinical documentation take priority over assigned clinical audits and hospice plan-of-care work. The position is scheduled at 0.75 FTE for overnight shifts from 12:30 AM to 8:30 AM, on a seven-days-on/seven-days-off rotation. The shift includes overlap and handoffs with evening and day-shift nurses; weekends and holidays are worked as scheduled. The nurse receives a structured handoff from the 2nd Shift RN between 12:30 AM and 1:00 AM and provides one to the 1st Shift RN between 8:00 AM and 8:30 AM. Incomplete audit or plan-of-care assignments, documentation risks, and required follow-up are communicated to the Nursing Manager. Kline Galland Hospice is part of a nonprofit healthcare organization with more than a century of service to the Seattle community. Its team provides end-of-life care with compassion, dignity, and clinical excellence.

Requirements

Current, unrestricted Registered Nurse (RN) license.
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.
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.

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.
Deliver 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.
Receive a structured handoff from the 2nd Shift RN between 12:30 AM and 1:00 AM and provide a structured handoff to the 1st Shift RN between 8:00 AM and 8:30 AM.
Communicate incomplete audit or plan-of-care assignments, identified documentation risks, and required follow-up to the Nursing Manager.
Collaborate with physicians, nurses, pharmacies, care facilities, and interdisciplinary team members.
Remain available and attentive throughout the assigned shift and respond effectively to interruptions, urgent symptoms, deaths, caregiver distress, and changing priorities.