After-Hours Hospice Registered Nurse (RN)

About the Role

We are seeking a compassionate, reliable, and experienced Registered Nurse to provide after-hours hospice care and support. This position is ideal for a nurse who understands that hospice care extends beyond normal business hours and is committed to being available when patients and families need guidance, comfort, and clinical expertise most.

Hospice is a 24-hour care model, and our responsibility to patients continues regardless of the time of day or where they call home. Families, caregivers, facility staff, and patients rely on us for support during some of their most challenging moments. We believe every call represents a need for assistance, education, reassurance, or clinical intervention, and we strive to respond with urgency, compassion, and professionalism.

The After-Hours RN plays a critical role in ensuring continuity of care by providing telephone triage, symptom management, patient visits, clinical assessments, and support during evenings and weekends. This nurse works closely with physicians and the interdisciplinary team to address changes in condition, urgent concerns, and end-of-life needs as they arise.

We are looking for someone who shares our patient-centered approach to hospice care. The ideal candidate is clinically confident, compassionate, and responsive, with a commitment to supporting patients and families wherever they are in their journey.

Compensation

$95,000 - $105,000 annually
Full-time, salaried position

Responsibilities

• Provide after-hours telephone triage during evenings, overnight hours, weekends, and holidays as scheduled.
• Respond to patient, family, caregiver, and facility concerns by assessing needs and determining appropriate interventions.
• Travel to provide both scheduled and urgent visits when clinically indicated.
• Perform hospice admissions, recertifications, discharge visits, revocations, symptom management visits, and RN pronouncements.
• Provide patient and caregiver education regarding symptom management, medications, comfort measures, and end-of-life care.
• Collaborate with physicians and hospice team members to coordinate care and address changes in patient condition.
• Complete accurate point-of-care documentation by the end of each shift.
• Maintain timely communication with the interdisciplinary team to ensure continuity of care.
• Participate in an on-call schedule that includes a combination of weeknight and weekend coverage.
• Perform other duties as assigned to support patient care and agency operations.

Schedule

Coverage consists of weeknight shifts from 5:00 PM to 8:00 AM and rotating weekend coverage shared between two after-hours nurses. 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Employee Assistance Program (EAP)
• Paid time off
• Mileage reimbursement

Required Qualifications

• Current Registered Nurse license in the Commonwealth of Massachusetts in good standing.
• Ability to reside within approximately one hour of the service area.
• Willingness to travel throughout the service area using a reliable personal vehicle (mileage reimbursed).
• Experience with point-of-care EMR documentation.
• Current CPR/BLS certification.
• Strong assessment, critical thinking, and communication skills.
• Ability to work independently and make sound clinical decisions in the field.

Preferred Qualifications

While not required, the following experience is highly valued. Training may be provided to the right candidate.

• Prior hospice nursing experience.
• Experience supervising Certified Nursing Assistants (CNAs) and Licensed Practical Nurses (LPNs).
• Hospice and Palliative Care Nurse (CHPN®) certification.
• Experience providing end-of-life symptom management in home, facility, or community settings.

Areas of Clinical Experience

Experience in one or more of the following areas is beneficial:

• Hospice and Palliative Care
• Geriatrics
• Home Health
• Wound Care

Join Our Team

We are seeking a nurse who combines strong clinical judgment with compassion and responsiveness. This role is more than an on-call position. It is an opportunity to provide meaningful support and comfort to patients and families during some of life's most important moments. If you are committed to delivering high-quality hospice care and making a difference when it matters most, we encourage you to apply.