Hospice Registered Nurse

• Comprehensive health benefits package

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.

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.

• 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

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.

• 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

• 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

• 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

• 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

• 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

• 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