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RN

$20 per hour

Horizon Hospice of Colorado

After-Hours Registered Nurse (RN) - Hospice

Position Type: Part-Time to Full-Time (2-4 shifts per week)
Schedule: Overnight shifts, 10:00 PM - 8:00 AM (Monday-Friday)
Location: Denver Metro and surrounding areas

Position Summary

The After-Hours RN is responsible for providing overnight triage, support, and in-person care to hospice patients and families. This role focuses on managing urgent needs, providing symptom management, and supporting patients at end-of-life during overnight hours.

This position is designed to reduce the overnight burden on daytime clinical staff while ensuring timely, compassionate care for patients and families.

Schedule
  • 2-4 overnight shifts per week
  • 10:00 PM - 8:00 AM
  • Monday-Friday coverage
  • Flexible scheduling based on availability and organizational needs
Key Responsibilities
  • Respond to after-hours calls from patients, families, and facilities
  • Provide clinical triage and guidance over the phone
  • Make in-person visits as needed for:
    • Symptom management
    • Imminent death support
    • Urgent clinical needs
  • Perform death visits, including pronouncement and support for families
  • Communicate clearly with providers and interdisciplinary team as needed
  • Document all patient interactions in a timely and accurate manner
  • Ensure continuity of care by providing updates to the daytime team
  • Provide emotional support to patients and families during overnight hours
Qualifications
  • Active, unencumbered RN license in Colorado
  • Minimum 2 years of nursing experience required
  • Hospice or Home Health experience required
  • Comfortable working independently overnight
  • Strong assessment, triage, and critical thinking skills
  • Excellent communication and documentation skills
  • Ability to respond to calls and travel within service area as needed
Work Environment & Expectations
  • Primarily remote/on-call overnight with in-person visits as needed
  • Must be able to respond promptly to calls and travel when required
  • Overnight work requires ability to manage fatigue and maintain clinical judgment
  • Low visit volume expected, with variability
Compensation
  • Hourly base rate: $20/hour
  • Additional compensation per visit (based on visit type)

This role is structured to provide consistent overnight coverage with relatively low visit volume. The hourly rate compensates for availability during overnight hours, while additional visit-based pay ensures meaningful compensation when in-person care is required. This creates a balanced role with steady income and the opportunity for increased earnings based on activity level.

Why This Role
  • Flexible schedule (2-4 nights per week)
  • Consistent overnight hours (no rotating shifts)
  • Combination of steady hourly pay + additional visit compensation
  • Lower overall visit volume compared to daytime roles
  • Opportunity to provide meaningful support during critical moments
  • Helps support and sustain the daytime clinical team
Vacancy posted 2 days ago
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