Nursing Jobs in Kirbyville, TX

Overview Lead with Heart. Be the Difference. Transform End-of-Life Care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. What You'll Do as a Hospice RN / RN Case Manager: Be the primary point of contact for patients and families, guiding them through every step of their hospice journey. Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home. Perform initial and ongoing assessments to monitor patient condition and adjust care as needed. Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans. Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance. Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance. Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions. Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient. Help patients and families understand and navigate topics such as: Medication administration Hospice philosophy and services Symptom and pain management End-of-life processes and expectations Essential Functions Job Responsibilities Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate. Deliver skilled nursing interventions and symptom management aligned with goals of care. Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification. Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners. Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs. Communicate change in condition, or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician). Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care. Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans. Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome. Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner. Core Competencies Clinical excellence and sound judgment Patient-centered communication and empathy Interdisciplinary collaboration Accountability and regulatory compliance Adaptability and critical thinking Timeliness of patient visits and documentation Accuracy and completeness of clinical records Patient and caregiver satisfaction Compliance with regulatory and policy standards Participation in team collaboration and IDG activities About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education: Registered Nurse Experience: A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases. Hospice or palliative care experience preferred Licenses, Certifications and/or Registration: Current license to practice nursing in the state of requested employment CPR Certification Current automobile insurance and valid driver’s license Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. We Offer Benefits for All Hospice Associates (Full-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-141205 Category: Registered Nurses Position Type: Flex/Per Diem Company: Gentiva Hospice 
Overview Building Better Together. Bringing passion and purpose to all we do! We have a bold vision to reimagine care. And that's possible because of every individual team member. AccentCare believes investing in people and their opportunities produce more satisfying careers, personal growth, and better patient outcomes. In addition, we emphasize training and hiring a diverse workforce with the lived experience and skills to deliver culturally competent, inclusive care. What You Need to Know Find Your Passion and Purpose as a Caregiver Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your clients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our client’s health journey and create incredible memories while providing world-class client care. As a Caregiver with AccentCare, you will provide non-medical support, including personal home care and homemaking services. enabling clients to remain in the comfort of their own homes. Responsibilities include: Personal care assistance Meal preparation Light housekeeping Medication reminders Companionship Making a positive difference in the lives of our seniors Our Investment in You We are committed to offering comprehensive benefits and rewards, including: Competitive Pay Life Insurance Medical, dental, and vision insurance for eligible employees Optional 401(k) Training and career development Flexible schedules Be the Best Caregiver You Can Be If you meet these qualifications, we want to meet you! Experience as a caregiver is a plus Sufficient endurance to perform tasks during long work hours Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Why AccentCare? Must have reliable transportation Current valid Texas Driver’s License & current automobile insurance preferred Experience as a Caregiver is a plus! (even if it’s experience caring for a family member!) Must want to have FUN while being the BEST!! 
Overview Find Your Passion and Purpose as a Caregiver Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your clients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our client’s health journey and create incredible memories while providing world-class client care. What You Need to Know As a Caregiver with AccentCare, you will provide non-medical support, including personal home care and homemaking services. enabling clients to remain in the comfort of their own homes. Responsibilities include: Personal care assistance Meal preparation Light housekeeping Medication reminders Companionship Making a positive difference in the lives of our seniors Our Investment in You We are committed to offering comprehensive benefits and rewards, including: Competitive Pay - $13-$15 hourly $15 hourly for active CNAs! Life Insurance Medical, dental, and vision insurance for eligible employees Optional 401(k) Training and career development Flexible schedules Be the Best Caregiver You Can Be If you meet these qualifications, we want to meet you! CNA or 6 months of experience as a Caregiver required Must have reliable daily transportation Current valid Texas Driver’s License & current automobile insurance preferred Sufficient endurance to perform required tasks Must want to have FUN while being the BEST!! Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Why AccentCare? Must have reliable daily transportation CNA or 6 months of experience as a Caregiver preferred Current valid Texas Driver’s License & current automobile insurance preferred Must want to have FUN while being the BEST!! 
Overview Find Your Passion and Purpose as a Caregiver Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your clients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our client’s health journey and create incredible memories while providing world-class client care. What You Need to Know As a Caregiver with AccentCare, you will provide non-medical support, including personal home care and homemaking services. enabling clients to remain in the comfort of their own homes. Responsibilities include: Personal care assistance Meal preparation Light housekeeping Medication reminders Companionship Making a positive difference in the lives of our seniors Our Investment in You We are committed to offering comprehensive benefits and rewards, including: Competitive Pay - $13-$15 hourly $15 hourly for active CNAs! Life Insurance Medical, dental, and vision insurance for eligible employees Optional 401(k) Training and career development Flexible schedules Be the Best Caregiver You Can Be If you meet these qualifications, we want to meet you! CNA or 6 months of experience as a Caregiver required Must have reliable daily transportation Current valid Texas Driver’s License & current automobile insurance preferred Sufficient endurance to perform required tasks Must want to have FUN while being the BEST!! Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Why AccentCare? Must have reliable daily transportation CNA or 6 months of experience as a Caregiver preferred Current valid Texas Driver’s License & current automobile insurance preferred Must want to have FUN while being the BEST!! 
Overview Expand Access. Build Partnerships. Transform Hospice Care. We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice eligibility certification and recertification. In this role, you will gather comprehensive clinical information, perform detailed assessments, and collaborate closely with hospice physicians and interdisciplinary teams to ensure quality patient care and regulatory compliance. Key Responsibilities: Perform and complete physical assessments for hospice F2F encounters within CMS-established regulatory timeframes. Document clinical findings accurately and attest F2F encounters in patient medical records. Utilize Local Coverage Determination (LCD) criteria per hospice policy and regulatory requirements. Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying physicians. Collaborate effectively with physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. Provide clinical recommendations to the IDG based on F2F assessment findings. Conduct assessments in the patient’s place of residence, including home, skilled nursing, or other settings. Notify the hospice agency promptly if unable to complete F2F visits as scheduled. May provide F2F coverage for multiple provider numbers with approval. About You Qualifications – What You’ll Bring: Master’s or higher degree in Nursing Completion of an accredited graduate-level nurse practitioner education program Current registered nurse license in state of practice Current advanced practice nurse license or certification National Nurse Practitioner certification (ANCC or AANP) Collaborative agreement in place as required Current CPR certification Valid driver’s license and automobile insurance Strong understanding of hospice care principles and terminally ill patient support systems Excellent patient assessment and clinical evaluation skills Familiarity with LCD criteria and hospice documentation requirements Knowledge of Medicare, Medicaid, ACHC, and other regulatory guidelines Strong oral and written communication skills Compassionate and sensitive to end-of-life issues impacting patients and families Ability to provide emotional support during times of crisis Flexible and adaptable with ability to manage diverse tasks efficiently Effective communicator across diverse socioeconomic and cultural backgrounds Cooperative and tactful team member adhering to OSHA, state, and federal hospice regulations Preferred (Not Required): Experience in acute care, hospital, oncology, home health, skilled nursing, or hospice settings We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-137894 Category: Nurse Practitioners Position Type: Flex/Per Diem Company: Gentiva Hospice 
Caregiver SYNERGY HomeCare of Southeast Texas Pay: $11.00 – $15.00 per hour Job Type: Full-Time & Part-Time Available Experience Required: Minimum 6 months (personal or professional) Education: High School Diploma or GED Job Description SYNERGY HomeCare of Southeast Texas is seeking compassionate and dependable caregivers to provide non-medical, in-home care to clients throughout Southeast Texas. Whether your experience comes from caring for a loved one or working professionally, we welcome individuals who are passionate about helping others live safely and independently at home. Responsibilities Provide non-medical assistance and support in the client’s home Offer companionship through conversation, reading, and activities Support mental alertness with engaging, client-centered activities Provide emotional support and encouragement Maintain a clean, safe, and healthy home environment Perform light housekeeping (laundry, linens, basic cleaning) Prepare and serve meals and clean the kitchen afterward Assist with grooming and dressing Accompany clients to appointments, errands, and walks Provide medication reminders for self-administered medications Observe and report changes in client condition to a supervisor Build positive relationships with clients, families, and team members Complete accurate documentation of care provided Participate in training, staff meetings, and care discussions Follow all safety, confidentiality, and company policies Qualifications At least 6 months of personal or professional caregiving experience Reliable transportation Valid Texas Driver’s License and current auto insurance Strong communication skills and a caring attitude Ability to work independently and as part of a team Dependable, patient, and detail-oriented Ability to pass a background check Benefits Competitive pay with opportunities to earn up to $15/hour Medical, Vision, and Dental Insurance Paid computer-based training and skills lab training Employee recognition and incentive programs Flexible scheduling Apply Today If you’re an experienced caregiver looking to make a meaningful difference, we’d love to hear from you! SYNERGY HomeCare of Southeast Texas Equal Opportunity Employer