Hospice On-call Licensed Vocational Nurse; LVN

Schedule

Weekends + after-hours on-call

Starting compensation range $35.00 - $45.00 hourly. Exact compensation will be based on job-related factors including experience, education, licensure, certifications, and location, in accordance with applicable laws.

This position participates in the organization's on-call program. Employees scheduled for on-call coverage are eligible for on-call compensation and any applicable compensation for time worked while responding to patient care needs, in accordance with company policy and applicable law.

• Comprehensive medical, dental, and vision insurance package (full-time)
• 401(k) retirement plan
• Assistance with licensure renewal
• Generous PTO policy
• The opportunity to build from the ground up and put your stamp on a growth-stage organization!

The Licensed Vocational Nurse (LVN) is an essential member of the interdisciplinary care team, delivering skilled, compassionate nursing care to patients and families navigating life‑limiting illness. Working under the supervision of a Registered Nurse (RN) and in close collaboration with the full interdisciplinary team (IDT), the LVN provides direct patient care across care settings — including private homes, skilled nursing facilities (SNFs), assisted living facilities (ALFs), and residential care settings.

This role sits at the intersection of clinical excellence, patient and family experience, and mission‑driven care. The LVN is accountable for skilled nursing visits, timely and accurate documentation, effective symptom management, and meaningful family support — all while serving as a trusted representative of the organization’s values at every bedside.

This role requires strong clinical judgment, emotional intelligence, and the ability to work independently in a field‑based environment. LVNs are expected to operate with accountability, urgency, and a deep sense of ownership over the quality and consistency of care they deliver.

• Perform skilled nursing visits per the patient’s Plan of Care (POC), including wound care, catheter care, medication administration, and pain and symptom monitoring
• Conduct thorough patient assessments at each visit and report changes in condition to the supervising RN or attending physician in a timely manner
• Administer medications, treatments, and nursing interventions as ordered and within LVN scope of practice per California BRN guidelines
• Monitor and document vital signs, pain levels, comfort measures, and overall patient status with accuracy and consistency
• Ensure patients have access to comfort kit medications and that families are educated on their proper use
• Provide personal care instruction and hands‑on education to family members and caregivers, reducing burden and promoting confidence in the home

• Serve as a compassionate, clear, and culturally sensitive communicator during emotionally complex conversations at the bedside
• Educate patients and families on hospice philosophy, disease progression, comfort care goals, and what to expect through the end of life
• Address patient and family concerns and barriers to care with empathy and professionalism, escalating to the RN or social worker as appropriate
• Recognize signs of caregiver or family distress and ensure connection to the appropriate IDT support services
• Provide immediate emotional presence and bereavement support to families at the time of passing

• Participate actively in IDG/IDT meetings, contributing timely and relevant clinical observations on assigned patients
• Collaborate with RNs, social workers, chaplains, aides, and physicians to ensure holistic, coordinated care aligned with patient goals
• Communicate proactively with the supervising RN regarding changes in patient condition, urgent family concerns, or care plan adjustments
• Support care transitions between levels of care — RHC, CHC, GIP, and Respite — as directed by the clinical team

• Complete accurate and timely clinical documentation in the EMR per agency policy and CMS hospice…