Hospice On-call Registered Nurse (RN)

Job Description

Job Description

Description:

Schedule: Weekends, on-call

Compensation: Starting compensation range of $50.00 - $60.00 hourly. Exact compensation will be based on job-related factors including experience, education, licensure, certifications, and location, in accordance with applicable laws.

On-call This position participates in the organization's on-call program. Employees scheduled for on-call coverage are eligible for on-call compensation and any applicable compensation for time worked while responding to patient care needs, in accordance with company policy and applicable law.

Benefits:

• Comprehensive medical, dental, and vision insurance package (full-time)
• 401(k) retirement plan
• Assistance with licensure renewal
• Generous PTO policy
• The opportunity to build from the ground up and put your stamp on a growth-stage organization!

Position Overview

The Hospice Registered Nurse (RN) is responsible for the overall management of a defined patient caseload, overseeing all clinical, regulatory, and coordination aspects of the patient's plan of care. This role sits at the intersection of clinical excellence, autonomy, and continuous service delivery. The RN is accountable for high-quality clinical outcomes, timely and compliant documentation, and seamless coordination within the interdisciplinary team (IDT). This role requires strong clinical judgment, emotional intelligence, urgency, and professionalism. RNs are expected to operate with autonomy, accountability, and a deep sense of ownership over patient outcomes.

Key Responsibilities

Patient Care & Caseload Management

• Manage a defined caseload of mixed-acuity hospice patients.
• Conduct comprehensive initial and ongoing clinical assessments to determine hospice eligibility in accordance with Medicare hospice regulations and organizational standards.
• Develop, implement, and monitor an individualized, evidence-based care plan in collaboration with the patient, family, and IDT members.
• Provide expert symptom management, pain control, and crisis intervention as necessary.
• Deliver compassionate, high-quality end-of-life care that aligns with patient goals.
• Support hospital-based care coordination for GIP patients when assigned

Coordination, Compliance & Quality

• Ensure all documentation meets Medicare, state, and organizational compliance standards, maintaining an audit compliance rate of = 99%.
• Complete all required consents, physician orders, and documentation accurately and in a timely manner.
• Coordinate the delivery of services, equipment, and supplies with intake, operations, and on-call teams.1Participate in the Interdisciplinary Team (IDT) meetings to confirm prognosis, review care plans, and ensure appropriate resource utilization.
• Adhere to all hospice Conditions of Participation (CoPs), organizational policies, and SOPs.

Team & Partner Collaboration

• Act as a trusted clinical partner and primary liaison for the patient, family, and other healthcare providers.
• Collaborate effectively with the hospice medical director, social workers, spiritual counselors, and aides.
• Represent the organization professionally within community and facility settings.
• Strengthen referral relationships through responsiveness, credibility, and consistent follow-through.

Perform other job-related duties as assigned.

Performance Outcomes & Key Metrics

Clinical Quality & Compliance (40%)

• Accurate hospice eligibility determinations and proper level-of-care assignments.
• Audit and chart review compliance = 99%.
• Zero material documentation deficiencies.
• Demonstrable mastery of complex pain and symptom management.

Patient & Family Experience (40%)

• High patient and family satisfaction with clinical care and responsiveness.
• Consistent demonstration of professionalism, empathy, and clear communication.
• Positive feedback from hospital and referral partners regarding care delivery.

Team & Operational Contribution (20%)

• Efficient management of assigned caseload and timely completion of visits.
• Effective collaboration with intake, operations, and clinical teams.
• Active participation in training and continuous improvement initiatives.

Requirements:

• Active, unrestricted Registered Nurse (RN) license in the applicable state.
• Minimum of 2 years of hospice, palliative care, home health, or acute care experience.
• Strong knowledge of hospice eligibility criteria and Medicare hospice regulations.
• Exceptional communication, interpersonal, and clinical judgment skills.
• Proficiency with EMRs and clinical documentation systems.
• Valid driver’s license and reliable transportation.
• Must be available to respond to patient, family, and staff needs during assigned on-call shifts, including evenings, weekends, and holidays.

Preferred Qualifications

• Prior experience in hospice or home health
• CHPN (Certified Hospice & Palliative Nurse) or willingness to obtain.
• Experience working in hospital-based or joint venture hospice models.
• Bilingual skills (market-dependent).

Work Environment & Physical Requirements

• Ability to perform job duties across a variety of settings, including patient homes, assisted living communities, skilled nursing facilities, and inpatient environments.
• Ability to respond promptly to calls, messages, and urgent operational or patient care needs.
• Must remain accessible by phone and, when applicable, be able to report to designated locations within required response times.
• Regular standing, walking, and driving between patient visits or work locations.
• Frequent bending, stooping, kneeling, and reaching while providing care or completing assessments.
• Ability to lift or assist with moving patients and equipment up to 50 pounds, with or without reasonable accommodation; additional support or equipment may be used for heavier transfers.
• Sufficient hand dexterity to complete clinical tasks such as administering medications, documenting in electronic systems, and using medical equipment.
• Visual and hearing ability to safely assess patients and communicate clearly with patients, families, and team members.
• Ability to respond appropriately in urgent or emergency situations, including performing CPR if required.
• Comfort working in a range of home environments, including exposure to pets, smoke, and varying indoor/outdoor conditions.
• Regular use of computers, tablets, and mobile devices for documentation, communication, and virtual meetings; ability to sit for extended periods while completing electronic charting and administrative tasks.
• Reliable transportation and ability to travel within the service area.
• Ability to manage the physical and emotional aspects of working in end-of-life care.

Cultural Expectations

RNs are expected to:

• Take full ownership of outcomes, not just tasks.
• Operate with urgency while maintaining compassion and professionalism.
• Communicate clearly, directly, and respectfully with all stakeholders.
• Uphold the highest standards of integrity, accountability, and emotional intelligence.
• Serve as a trusted representative of the organization’s mission and values at all times.

About Loma Linda University Hospice

Loma Linda University Hospice is dedicated to a patient-first mission, ensuring compassionate, high-quality care that supports patients and families through every stage of need. Loma Linda University Hospice’s culture is defined by data-driven excellence, operational transparency, and a steadfast commitment to its core values of Dignity, Integrity, Compassion, Excellence and Partnership. Loma Linda University Hospice was created in 2026 through a joint venture between Loma Linda University Health and Kara Health.

Loma Linda University Hospice is an equal opportunity employer and is committed to a policy of equal employment opportunity for all employees and applicants. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status in accordance with applicable federal, state, and local laws. All employment decisions are based on job requirements, individual merit, and business needs.