Hospice/Home Health Support RN (full-time)

Support Families. Elevate After-Hours Care.

We are seeking a dedicated Afterhours Support RN to provide high-quality, compassionate hospice care outside standard business hours. This role ensures seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on-call hours. Full-time weekend Baylor schedule with benefits and PTO.

The Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. This includes routine visits, admissions, death visits, urgent after-hours calls, and any visit assigned per the patient’s plan of care. This role serves as an active member of the Interdisciplinary Group (IDG) to ensure coordination between physicians, families, and the hospice team. Clinical administrative responsibilities, workflow auditing, and survey readiness support are also part of this role.

Ensure appropriate delivery of hospice services to eligible patients and families.

Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.

Conduct initial and ongoing assessments of physical, emotional, psychosocial, and spiritual needs.

Support the IDG process through chart reviews, plan of care updates, and interdisciplinary communication.

Develop and revise the Hospice Plan of Care in collaboration with physicians and IDG members.

Educate patients and families on disease progression, symptom management, medications, and hospice philosophy.

Communicate significant changes in patient condition promptly to hospice and attending physicians.

Maintain accurate, timely clinical documentation including assessments, care plans, and notes.

Support administrative and compliance activities including workflow audits, survey readiness tasks, and documentation collection.

Assist with TPE reviews, QAPI efforts, and regulatory compliance.

Ensure infection control standards and universal precautions are consistently followed.

Provide leadership and guidance to field staff; Maintain proficiency in pain and symptom management for hospice and end-of-life care.

Current RN license in the state of employment

Graduate of an accredited nursing program

Minimum one year of RN experience in acute care, oncology, long-term care, hospice, or home health

Active RN license

Valid driver’s license, reliable transportation, and current auto insurance

Strong knowledge of hospice principles, Medicare/Medicaid regulations, and best practices

Ability to conduct thorough patient assessments and develop individualized care plans

Effective communication with patients, families, physicians, and interdisciplinary team members

Proficiency with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologies

Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes

Leadership skills to support and guide field staff

Ability to manage administrative, documentation, and compliance responsibilities accurately

Personal Traits

Flexibility to shift tasks and respond to urgent needs

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

National & Local Recognition Programs

Additional Full-Time Benefits:

Medical, Dental, Vision Insurance

Mileage Reimbursement or Fleet Vehicle Program

Generous Paid Time Off + 7 Paid Holidays

Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)

Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)

Free Continuing Education Units (CEUs)

Company-paid Life & Long-Term Disability Insurance