Hospice After Hours Registered Nurse

Confirmed live in the last 24 hours

Optimal Care (Home Health)

Compensation

up to $90K

Jackson, MI

On-site

Posted April 30, 2026

Job Description

Optimal Care is growing and proactively building our talent pipeline for future opportunities. While this role may not be immediately available, we invite you to submit your resume to this posting. A member of our Recruiting team will reach out as opportunities arise.

Optimal Care is where your dedication meets a rewarding career.

As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care.

We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.

What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work.

Exceptional Benefits:

Minimum of 3 Weeks Paid Time Off (PTO)
Company Vehicle Program
Flexible Work Schedule
Mentorship Culture
Medical, Dental, and Vision Insurance
401(k) with Employer Match
Mileage Reimbursement
Cutting Edge Technology

About the Role

Imagine working only 26 weeks per year while earning a full-time salary. As a Hospice After Hours Registered Nurse, you'll work 7 consecutive nights (5pm-8am, Monday-Sunday), then enjoy 7 full days off - giving you half the year to spend with family, pursue passions, or simply recharge. No additional on-call requirements, no schedule surprises - just a predictable rotation that lets you plan your life with confidence. During your working weeks, you'll be the compassionate presence that patients and families need during their most vulnerable hours, providing critical skilled nursing care and emotional support to terminally ill patients. This specialized role is perfect for an experienced RN who thrives in autonomous settings, thinks critically under pressure, and finds deep fulfillment in hospice care while valuing an exceptional work-life balance.

Here's what makes this role exceptional:

Predictable 7-on / 7-off rotation: Work Monday-Sunday nights (5pm-8am), then enjoy a full week completely off
Half the year off with full-time pay: Work only 26 weeks per year while earning a full-time salary
Start and finish at home: No commuting to an office - begin and end your on-call shifts from home
No additional on-call: Unlike many nursing roles, your schedule is set with no surprise call-ins or extended shifts
Optimized territories: Manageable drive times between patients ensure you can provide quality care without excessive travel
Work-life balance: Seven consecutive days off means genuine time to recharge, travel, pursue hobbies, or be fully present with family

This schedule is designed for nurses who want to make a meaningful impact in hospice care while having dedicated, uninterrupted time for their personal lives.

What You'll Do

Provide Urgent Hospice Care

Respond promptly to after-hours patient and family needs with clinical expertise and compassion
Conduct admissions, routine visits, respite care, or continuous care as required
Assess and manage urgent symptoms including pain, anxiety, respiratory distress, and other comfort needs
Make critical clinical decisions independently while collaborating with on-call physicians and team members

Deliver Expert Clinical Nursing

Perform comprehensive nursing assessments and continuously re-evaluate patient needs
Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)
Use durable medical equipment and devices safely and effectively
Provide skilled interventions requiring specialized nursing expertise
Perform phlebotomy with proper implementation of universal precautions

Support Families Through Crisis

Provide appropriate support and guidance at time of death
Conduct bereavement assessments when requested
Offer reassurance and education to anxious families during nighttime hours
Help families navigate difficult decisions with empathy and clinical expertise

Coordinate After-Hours Care

Verify and follow plans of care according to physician orders and IDG assessments
Communicate significant findings and changes to physicians, supervisors, and facility staff
Assist with hospital discharges to home or facility settings during evening/overnight hours
Supervise home health aide and LPN care delivery per organizational policy
Report unsafe conditions promptly to appropriate parties

Maintain Clinical Excellence

Complete all documentation within 24 hours of visits
Document medication regimens and update profiles according to procedures
Ensure clinical notes reflect ongoing communication and care coordination
Demonstrate knowledge of Conditions of Participation and payor requirements
Maintain compliance with hospice regulatory standards

What We're Looking For

Required Qualifications

Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing
Current Registered Nurse (RN) license in state of practice
Minimum 1 year of nursing experience in a clinical care setting
Reliable transportation with valid driver's license and automobile insurance
Ability to work evenings, nights, weekends, and holidays

Preferred Qualifications