Hospice After-Hours RN | 7 On / 7 Off Schedule

Optimal Care, Inc

$81K — $84K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Graduate of an accredited nursing program (Diploma, Associate, or Baccalaureate)
  • Current State License as a Registered Nurse
  • Minimum 1 year experience in clinical care
  • Reliable transportation with a valid driver's license and insurance
  • Ability to work evenings, nights, weekends, and holidays

Responsibilities

  • Provide compassionate skilled nursing care during overnight hours
  • Assess and manage patients' urgent symptoms effectively
  • Deliver emotional support to patients and families in crisis
  • Coordinate with physicians and hospice team for continuity of care
  • Work independently while ensuring patient comfort and dignity

Benefits

  • Minimum of 3 Weeks Paid Time Off (PTO)
  • Medical, Dental, and Vision Insurance
  • HSA and FSA options including Dependent Care
  • Company paid Short Term Disability
  • Company paid Life Insurance
  • 401(k) with Employer Match
  • Mileage Reimbursement
  • Company Vehicle Program for field roles
  • Pet Insurance
  • ID and Fraud Protection
Full Job Description
About the Role

Provide compassionate, skilled hospice care while enjoying a truly predictable schedule that supports your life outside of work. As a Hospice After Hours Registered Nurse, you'll deliver skilled nursing care and emotional support to patients and families during the overnight hours, responding to urgent needs in the moments they need it most while helping ensure comfort, dignity, and peace at end of life.

This role is ideal for an experienced RN who thrives in autonomous practice and is confident making critical clinical decisions in real time. You'll work a consistent 7-on / 7-off night rotation (5pm-8am), giving you half the year off while still earning a full-time salary. With no additional on-call requirements and all shifts beginning and ending from home, you'll have a highly structured schedule that allows you to fully disconnect during your time off and plan your life with confidence.

During your working nights, you'll assess and manage urgent symptoms, provide skilled nursing interventions, and support families through crisis moments with clinical expertise and compassion. Working independently while coordinating closely with physicians and the hospice team, you'll ensure continuity of care throughout the night and serve as a steady, reassuring presence during some of life's most vulnerable hours.

Location
  • Office Location: Saginaw
  • Main Service Area: Saginaw, Bay City, Shiawasee
    • This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes

Hours
  • Only 26 weeks per year, on call for 7 nights, then off for the next 7 nights
  • Every other Monday to Sunday, 5 p.m. to 8 a.m.
  • Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2-4 weeks

Required Qualification
  • Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
  • Current State License as a Registered Nurse
  • Minimum 1 year experience as a nurse in a clinical care setting
  • Reliable transportation, valid driver's license, and valid automobile insurance coverage
  • Ability to work evenings, nights, weekends, and holidays

Preferred Qualifications
  • Bachelor of Science in Nursing (BSN)
  • Hospice or home health experience
  • Previous after-hours or on-call experience

Essential Skills and Competencies
  • Demonstrates clinical nursing competencies in accordance with accepted standards of practice
  • Able to assess and respond appropriately to the physical, emotional, and psychosocial needs of patients, families, and caregivers in a variety of care settings, including homes and facilities
  • Exhibits strong interpersonal communication skills, emotional resilience, and the ability to support patients and families facing end-of-life issues
  • Capable of managing multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently


Pay Range

$81,000-$84,000 USD

How We Care for You
  • Minimum of 3 Weeks Paid Time Off (PTO)
  • Medical, Dental, and Vision Insurance
  • HSA and FSA options including Dependent Care
  • Company paid Short Term Disability
  • Company paid Life Insurance
  • 401(k) with Employer Match
  • Mileage Reimbursement
  • Company Vehicle Program for field roles
  • Pet Insurance
  • ID and Fraud Protection
  • And more...

Background Screening

Employment is contingent upon the successful completion of a background check. 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 Accommodations

We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation.

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