Registered Nurse (RN) - Hospice
Custom Care Hospice
Grapevine, TX

Full-time position

Salary Range: $88,000 to 94,000 annually

Benefits: Medical, Dental, Vision, 401K match

Job Summary

The Hospice Registered Nurse (RN) provides skilled nursing care to terminally ill patients, focusing on comfort, dignity, and quality of life. This role includes clinical care, symptom management, and emotional support for patients and their families during the end‑of‑life process.

Key Responsibilities

Clinical Care & Patient Management

• Assess patients’ physical condition and develop individualized care plans
• Monitor vital signs and evaluate symptom progression
• Administer medications and treatments as prescribed
• Provide pain and symptom management using palliative care techniques
• Assist with activities of daily living (bathing, dressing, mobility)

Care Coordination

• Collaborate with physicians, social workers, chaplains, and interdisciplinary team members
• Participate in care planning and case conferences
• Communicate patient condition changes promptly to the care team

Patient & Family Support

• Educate patients and families on disease progression and end‑of‑life expectations
• Provide emotional, psychological, and spiritual support
• Guide families on caregiving techniques and available resources
• Offer bereavement support and counseling as needed

Documentation & Compliance

• Maintain accurate and timely clinical documentation
• Update patient records and care plans as conditions change
• Ensure compliance with hospice regulations, policies, and privacy standards

Additional Duties

• Respond to urgent patient needs and after-hours calls (if applicable)
• Provide education on medication use, safety, and infection control
• Support a peaceful and comfortable end‑of‑life environment
• Notify appropriate parties at time of death and complete post‑mortem procedures

Qualifications

Education & Licensure

• Graduate of an accredited nursing program (ADN or BSN)
• Current Registered Nurse (RN) license in the state
• CPR certification required
• Hospice and Palliative Care certification (preferred)

Experience

• 1–2+ years nursing experience (hospice, home health, or acute care preferred)
• Experience with end‑of‑life care and symptom management strongly preferred

Skills & Competencies

• Strong clinical assessment and critical thinking skills
• Compassion and emotional resilience
• Excellent communication and interpersonal skills
• Ability to work independently in home or facility settings
• Knowledge of hospice philosophy and palliative care practices
• Documentation and EHR proficiency

Work Environment

• Patient homes, hospice facilities, or nursing homes
• May require travel within service area
• Flexible scheduling, including evenings, weekends, or on‑call shifts (depending on role)