Hospice After-Hours RN (7 On/7 Off) | $5,000 Sign-On Bonus at Optimal Care

Grand Rapids, MIFull-timeHospice After Hours Registered NursePosted 10 days ago

About the Role

<div class="content-intro"><h2>Optimal Care is where your dedication meets a rewarding career. </h2> 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: <ul> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Minimum of 3 Weeks Paid Time Off (PTO) </li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Company Vehicle Program for field roles</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Medical, Dental, and Vision Insurance</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">HSA and FSA options including Dependent Care</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Company paid Short Term Disability</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Company paid Life Insurance</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">401(k) with Employer Match</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Mileage Reimbursement </li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">Pet Insurance</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">ID and Fraud Protection</li> <li style="color: rgb(8, 78, 142); font-family: verdana, geneva, sans-serif; font-size: 12pt;">And more...</li> </ul></div><h3>About the Role</h3> 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. <h3 class="font-claude-response-body break-words whitespace-normal leading-[1.7]">Here's what makes this role exceptional:</h3> <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Predictable 7-on / 7-off rotation: Work Monday-Sunday nights (5pm-8am), then enjoy a full week completely off</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Half the year off with full-time pay: Work only 26 weeks per year while earning a full-time salary</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Start and finish at home: No commuting to an office - begin and end your on-call shifts from home</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">No additional on-call: Unlike many nursing roles, your schedule is set with no surprise call-ins or extended shifts</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Optimized territories: Manageable drive times between patients ensure you can provide quality care without excessive travel</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Work-life balance: Seven consecutive days off means genuine time to recharge, travel, pursue hobbies, or be fully present with family</li> </ul> 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. <h3 class="text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold">What You'll Do</h3> Provide Urgent Hospice Care <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Respond promptly to after-hours patient and family needs with clinical expertise and compassion</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Conduct admissions, routine visits, respite care, or continuous care as required</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Assess and manage urgent symptoms including pain, anxiety, respiratory distress, and other comfort needs</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Make critical clinical decisions independently while collaborating with on-call physicians and team members</li> </ul> Deliver Expert Clinical Nursing <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Perform comprehensive nursing assessments and continuously re-evaluate patient needs</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Use durable medical equipment and devices safely and effectively</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Provide skilled interventions requiring specialized nursing expertise</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Perform phlebotomy with proper implementation of universal precautions</li> </ul> Support Families Through Crisis <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Provide appropriate support and guidance at time of death</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Conduct bereavement assessments when requested</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Offer reassurance and education to anxious families during nighttime hours</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Help families navigate difficult decisions with empathy and clinical expertise</li> </ul> Coordinate After-Hours Care <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Verify and follow plans of care according to physician orders and IDG assessments</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Communicate significant findings and changes to physicians, supervisors, and facility staff</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Assist with hospital discharges to home or facility settings during evening/overnight hours</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Supervise home health aide and LPN care delivery per organizational policy</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Report unsafe conditions promptly to appropriate parties</li> </ul> Maintain Clinical Excellence <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Complete all documentation within 24 hours of visits</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Document medication regimens and update profiles according to procedures</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Ensure clinical notes reflect ongoing communication and care coordination</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Demonstrate knowledge of Conditions of Participation and payor requirements</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Maintain compliance with hospice regulatory standards</li> </ul> <h3 class="text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold">What We're Looking For</h3> Required Qualifications <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Current Registered Nurse (RN) license in state of practice</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Minimum 1 year of nursing experience in a clinical care setting</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Reliable transportation with valid driver's license and automobile insurance</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Ability to work evenings, nights, weekends, and holidays</li> </ul> Preferred Qualifications <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Bachelor of Science in Nursing (BSN)</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Experience in hospice or home health environment</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Previous after-hours or on-call experience</li> </ul> Essential Skills and Competencies <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Strong clinical assessment and critical thinking abilities</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Excellent autonomous decision-making skills with good judgment</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Emotional resilience and ability to support families facing end-of-life issues</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Outstanding communication and crisis management skills</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Comfort working independently during non-business hours</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Ability to remain calm and focused in urgent or emotionally intense situations</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Strong time management with ability to prioritize multiple urgent needs</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Cultural sensitivity and respect for diverse beliefs about death and dying</li> </ul> <h3 class="text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold">What Makes You Successful</h3> You're a confident, experienced RN who thrives working independently and making sound clinical decisions without immediate supervision. You understand that after-hours nursing requires a special combination of clinical expertise, emotional intelligence, and the ability to think on your feet.  You're comfortable being the primary clinical resource for families during nights and weekends, providing not just skilled interventions but also reassurance and guidance. You can manage the emotional intensity of hospice work - including being present at time of death - while maintaining your own emotional wellbeing and professional boundaries.  You're adaptable and unflappable, able to respond to urgent situations with calm competence. You understand that families remember the nurse who came in the middle of the night to help their loved one—your presence during these critical hours provides immeasurable comfort and peace of mind. <h3 class="text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold">Why Join Us?</h3> Exceptional Compensation and Benefits <ul class="[li_&]:mb-0 [li_&]:mt-1 [li_&]:gap-1 [&:not(:last-child)_ul]:pb-1 [&:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3"> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Competitive base salary up to $90K (based on experience)</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Full-time pay for 26 weeks of work - only work half the year</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Comprehensive health benefits package</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">401(k) retirement plan to secure your future</li> <li class="whitespace-normal break-words pl-2" style="color: rgb(8, 78, 142); font-size: 12pt; font-family: verdana, geneva, sans-serif;">Predictable schedule with no surprise on-call requirements</li> </ul> Work-Life Balance 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. <h3 class="text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold">Work Environment and Schedule</h3> 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. <h3 class="text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold">Ready to Provide Critical After-Hours Care?</h3> 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  <ul> <li style="font-family: verdana, geneva, sans-serif; color: rgb(8, 78, 142); font-size: 12pt;" data-leveltext="" data-font="Symbol" data-listid="31" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Office Location: 770 Kenmoor Ave, Suite 100, Grand Rapids, MI 49546</li> <li style="font-family: verdana, geneva, sans-serif; color: rgb(8, 78, 142); font-size: 12pt;" data-leveltext="" data-font="Symbol" data-listid="31" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Main Service Area:  Grand Rapids and surrounding communities</li> </ul> Hours  <ul> <li style="font-family: verdana, geneva, sans-serif; color: rgb(8, 78, 142); font-size: 12pt;" data-leveltext="" data-font="Symbol" data-listid="32" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">On call for 7 days, then off for the next 7 days </li> <li style="font-family: verdana, geneva, sans-serif; color: rgb(8, 78, 142); font-size: 12pt;" data-leveltext="" data-font="Symbol" data-listid="32" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">5:00 pm - 8:00 am Monday through Sunday</li> <li style="font-family: verdana, geneva, sans-serif; color: rgb(8, 78, 142); font-size: 12pt;" data-leveltext="" data-font="Symbol" data-listid="32" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Training takes place 8:00 am - 5:00 pm Monday through Friday for the first 2-4 weeks</li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range">$72,000—$84,000 USD</div></div></div><div class="content-conclusion"><div>Background Screening</div> <div>Optimal 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.</div> <div> </div> <div>Reasonable Accommodations</div> <div>We 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.</div> <div> </div> <div>Equal Opportunity Employer</div> <div>Optimal Care is an equal-opportunity employer.</div> <div> </div> <div><img src="https://i.imgur.com/u9RA6nv_d.png?maxwidth=520&shape=thumb&fidelity=high" alt="" width="435" style="max-width: 100%;"></div></div>

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