Hospice After Hours Registered Nurse
10 days ago
Lansing
Job DescriptionOptimal 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, • 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, • 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, • 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, • Provide appropriate support and guidance at time of death, • Conduct bereavement assessments when requested, • Offer reassurance and education to anxious families during nighttime hours, • 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, • 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, • 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, • Bachelor of Science in Nursing (BSN), • Experience in hospice or home health environment, • Strong clinical assessment and critical thinking abilities, • Excellent autonomous decision-making skills with good judgment, • Emotional resilience and ability to support families facing end-of-life issues, • Outstanding communication and crisis management skills, • Comfort working independently during non-business hours, • Ability to remain calm and focused in urgent or emotionally intense situations, • Strong time management with ability to prioritize multiple urgent needs, • Competitive base salary up to $90K (based on experience), • Full-time pay for 26 weeks of work - only work half the year, • Comprehensive health benefits package, • 401(k) retirement plan to secure your future After-hours hospice nursing with our 7-on / 7-off schedule offers something rare in healthcare: work-life balance. You'll have seven full days off in a row every other week - enough time to truly disconnect, travel, manage personal commitments, or simply be present with loved ones without work interruptions. We provide comprehensive orientation including shadowing experienced after-hours nurses, 24/7 clinical support through our on-call system, and optimized territories that respect your time. You'll be part of a team that values your expertise and recognizes the critical nature of after-hours coverage. Professional Growth You'll practice nursing with autonomy, using the full scope of your clinical skills while making decisions that immediately impact patient comfort and family peace of mind. We support your continued development with ongoing education and clinical resources. Work Environment and Schedule The 7-on / 7-off Rotation You'll work seven consecutive nights (5pm-8am, Monday-Sunday), starting and finishing each shift from your home. During your on-call week, you'll travel to patient homes, assisted living facilities, and nursing homes within your optimized service area as needs arise. Our territories are designed with manageable drive times to ensure you can respond effectively without excessive travel burden. Then you'll enjoy seven full days completely off—no on-call, no interruptions, just dedicated personal time. The role requires flexibility during your working week to respond to emergent situations and changing patient needs. Physical demands include standing, walking, bending, and lifting up to 50 lbs with assistance. You may work independently for extended periods with 24/7 clinical support available via phone. Ready to Provide Critical After-Hours Care? If you're an experienced RN who excels at autonomous practice and wants to make a profound difference during patients' most vulnerable hours, we'd love to hear from you. Location • Office Location: Jackson, MI, • On call for 7 days, then off for the next 7 days, • 5:00 pm - 8:00 am Monday through Sunday, • Training takes place 8:00 am - 5:00 pm Monday through Friday for the first 2-4 weeksPay Range$78,000—$82,000 USDBackground ScreeningOptimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.Reasonable AccommodationsWe will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.Equal Opportunity EmployerOptimal Care is an equal-opportunity employer.