Hospice RN Jobs

Part-time

Bristol Hospice Springfield, OR

Per Diem Registered Nurse (RN)

Requirements: Must have at least one (1) year of acute care experience in an institutional setting One (1) year of experience in home care preferred Must have a current licensure in the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area We Got the Perks: *Some benefits apply to full-time employees only Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Admissions Director RN, Hospice

AccentCare, Inc. Clearwater, FL

$105,000 - $125,000 / year

Overview Director Admissions, Hospice Location: Clearwater, FL Position: Director Admissions, Hospice Job ID: 2026-91773 Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Clearwater/Pinellas, FL Find Your Passion and Purpose as a Hospice Director Admissions Salary: $105k - $125k /year Schedule: M-F / On call as needed Competitive Health Benefits Generous PTO, Matching 401k to 6% Mileage Reimbursement This is an onsite position located at our Tampa office location. current Florida RN License Required Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Director of Admissions You Can Be If you meet these qualifications, we want to meet you! Bachelor’s degree 4+ years previous hospice, home health or case management experience, or equivalent Demonstrated ability to effectively direct a variety of personnel and utilize mentoring and motivational skills Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation Must be a licensed driver who can travel to all business locations Responsibilities: Develops, coaches and serves as a resource and liaison to the Admissions Team and all staff who assist in the process from referral inquiry to admission Ensure all patient and family services offered by the Hospice, during the referral inquiry to admission process, comply with federal, state(s) and local regulatory requirements a. Assume responsibility for a patient and family including, assessing, planning, implementing and evaluating care, as assigned When necessary, communicate with attending physicians, other hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient and families Evaluate staff productivity, referral and admission data on a routine basis to adequate staffing exists to support excellence in response to referral inquiry and admissions and meet budgetary requirements Monitor Vital Signs Respiratory Rate report to track referrals and admission data to coordinate related follow up with the Executive Director (ED), Director-Business Development (DBD) and leadership, as required Mentor and model follow-up activities on active and pending referrals to meet defined conversion rate goals on a consistent basis Participate in site leadership team meetings: a. Collaborate to address operational issues b. Participate in short- and long-term strategic planning Meet with the Admissions Team weekly to review referral and admissions data, pending referral status, provide follow up from leadership meetings and provide ongoing support and education Participate in monthly Director-Clinical Operations (DCO) and Team Director (TD) meetings for operations feedback and ongoing education Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Advocate Aurora Health Monroe, NC

Clinical Services Coordinator (RN)- Hospice Admissions

$38.20 - $57.30 / hour

Department: 10010 Atrium Health Hospice Administration - Administration Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: • Monday through Friday, rotation weekend coverage, rotation holiday coverage (THIS IS A FIELD POSITION AND NOT AN OFFICE/REMOTE POSITION) • Coverage area: Monroe region Pay Range: $38.20 - $57.30 Essential Functions Provides clinical administrative support, clinical expertise to meet patient and staff needs and functions as the liaison with physician practices and hospital case management and other referral sources. Analyzes the data to prioritize multi-issue situations to support appropriate actions based on the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services. Identifies barriers to situation/complaint resolution and follows-up with the appropriate resources or leadership to address timely and effectively. Reviews and supports the development of patient specific clinical plans of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction. Supports clinical staff in the implementation of the identified plan, coordination of care delivery, and strategies to promote health and safe outcomes. Evaluates progress toward attainment of outcomes through documentation review, interdisciplinary team meetings and/or case conference. Supports billing compliance and timeliness by maintaining current knowledge of payer requirement and billing criteria, state and federal regulations, performing timely completion of CSC workflow and identifying opportunity for appropriate reimbursement. Delegates elements of care to appropriate healthcare workers in accordance with any applicable legal or policy parameters or principles. Collaborates with healthcare consumer, family, and others in the conduct of clinical practice. Utilizes appropriate resources to plan and provide clinical services that are safe, effective, and financially responsible. Participates in committees, shared governance, or other facility decision making activities. Physical Requirements Primary work is in the office environment. Requires long periods of sitting and computer work. Work may require walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies in the home/facility setting. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient conditions. Education, Experience and Certifications Graduate from an accredited School of Nursing. BSN preferred. BLS required per policy guidelines. One-year experience in a related field required. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring aNational License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Must maintain current state driver's license and auto insurance at all times. Additional education, training, certifications, or experience may be required within the department by the nurse leader. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Agape Care Group Fredericksburg, VA

Registered Nurse (RN) Hospice 7 On 7 Off

Overview Join Our Team as an After-Hours Hospice RN Where it's not just a job — it's a calling! We know work-life balance should be a top priority for all our nurses. We’re committed to caring for our patients as we would care for our own families. Do you value the time you spend with your patients? Is it important to you that every patient and family we serve feels that you are present and with them? We are looking for compassionate registered nurses who are committed to creating meaningful experiences for our patients and their families. As a registered nurse, you’ll be a voice for your patients, all while communicating with everyone involved in the plan of care-the patient, the patient’s family, and the hospice care team. You’ll serve as the patient advocate being able to ensure every patient receives the quality care they deserve. After-Hours Hospice RNs are salaried full-time positions to cover on call after hours from 5pm on Friday to 8am Monday morning. You will be fully supported by our 24/7 RN staffed Triage Department alongside your local hospice team. And just like all our valuable team members, our RNs have access to our supportive leadership team and professional development opportunities with plenty of room for advancement. We’re Offering Even More Great Benefits When You Join Our Team! Tuition Reimbursement Immediate Access to Paid Time Off Employee Referral Program Bonus Eligibility Matching 401K Annual Merit Increases Years of Service Award Bonuses Financial and Legal Assistance Program Mental Health and Counseling Programs Dental and Orthodontic Coverage Vision Insurance Health Care with Low Premiums $500 Matching Health Savings Account Short-term and Long-term Disability Access to Virtual Health & Wellness Fertility Assistance Program Our Company Mission Our mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren’t empty words. In every interaction, no matter how big or small, we’re dedicated to providing a superior experience for patients facing life-limiting illnesses and their families. About Agape Care Group As a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers — Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. The company’s employees are committed to serving with love those touched by an advanced illness, providing comfort and support through compassionate care and meaningful experiences. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others. Essential Functions #nsacg2 Qualifications A heart to serve patients and families and a passion for providing the best possible care Education: Graduate of an accredited school of nursing with a current state license as a registered nurse Experience: 2+ years of nursing experience in a clinical care setting (hospice experience preferred) Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 80-100 lbs and bear the weight of an average adult effectively. We’ve worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we’d love for you to join our team. *Pay is determined by years of experience and location.

Per Diem

Kaiser Permanente Northeast Portland, OR

RN, Home Hospice (Per Diem, Days)

Job Summary: The self-directed Hospice and Palliative Care Public Health Nurse (HPCPHN) provides skilled nursing assessment, planning and coordination/care management across settings to patients in a private home, adult foster home, residential/assisted living care, intermediate care, skilled nursing facility, inpatient hospice facilities and hospital settings in order to maximize the comfort and health of patients and families consistent with hospice philosophy and CCS policies and procedures. Essential Responsibilities: Assume initial responsibility for assessing patient/family needs and consulting with attending physician, Hospice and Palliative Care Physician (HPCP) , other IDT staff members or other appropriate community or facility contacts as indicated by patient location and needs at the time of the assessment and care provision. Obtain data on physical, psycho/social, emotional and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care. Facilitate advanced illness and/or end of life discussion with patient and family members to assist with choice of hospice or palliative care. Determine patient appropriateness for palliative care or hospice services (including hospice level of care and care site) in consultation with the HPCP. Case Management: assume primary responsibility for a patient/family caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process; including scheduling visits to reflect patient care needs in order to maintain continuity of the plan of care; and advocate for patient and family. Participate as an active member of the IDT to coordinate information and services to update the plan of care. Maintain up to date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur in accordance with CCS policies and procedures. Instruct primary caregivers, family members, employed caregivers and facility staff to provide hospice specific care as indicated. Attend weekly case conferences and actively participate in discussion of patient needs and care planning. Coordinate hospice care across settings to achieve smooth transitions of care and assure compliance with the hospice plan of care through communication and documentation for family members, caregivers, facility staff as appropriate. Supervise and document Hospice Aide care delivery every two weeks. Provide adequate emotional and clinical support at the time of death. Provide input into the bereavement assessment and plan of care. Provide phone triage and support to patients/families as needed and requested. Partner with agency management in the development and review of programs within Continuing Care Services Department. Facilitate the initiation of cost effective and safe hospice and palliative care and provide consultation to clinicians regarding appropriate care setting alternatives. Assure professional competency through maintaining state-of-the-art skills and knowledge consistent with state and Medicare regulations, Joint Commission accreditation standards, applicable nurse practice acts and agency policies. Participate in CCS and KP orientation and in service training for professional staff as well as agency and community programs as requested to promote professional growth and understanding of hospice and palliative care. Demonstrate familiarity with policies of the agency and rules and regulations of state and federal bodies which aid in determining policies. Participates in department quality management/improvement activities; including but not limited to clinical record review, occurrence reporting, focused studies, process and outcome measurement, peer review, continuous quality improvement projects. Partner in defining and achieving agency productivity standards. Participates in hospice and palliative care 24 hour call duty consistent with agency policy. Performs other duties as requested.

Part-time

Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CST

IntellaTriage

$25 - $28 / hour

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients’ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients’ care team, and they trust us to support them and their patients during their non-core hours. Learn more at www.intellatriage.com. Why Join Us Base pay at $25 an hour with multiple opportunities to increase the hourly rate with a potential to earn up to $28 an hour within your first 6 months of hire 3 weeks of paid remote training Supportive clinical team Work from home allows you to create a comfortable and personalized workspace Shorter shifts that provide a better work-life balance and reduce potential for burnout Working remotely gives you more time to spend with those you love! What do our nurses say? When asked what inspires her, 2024 IntellaTriage Nurse of the Year shared: “Helping people. That’s it. And knowing this team has your back—that makes all the difference. People say it takes a special kind of person to do hospice, and I think that’s true. You’re walking with people and their families through one of the most sacred times in life. It’s an honor to support them and guide them through that journey. I’m so grateful to have been chosen for this award.” At IntellaTriage we recognize nurses who go above and beyond to make a meaningful impact on patients’ lives. This years' honoree exemplifies what it means to lead with compassion, skill, and dedication. Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/ Active multistate Registered Nurse (RN) license Hospice, palliative, or end-of-life care is strongly preferred Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls Ability and comfort with typing documentation and notes in a fast-paced environment Must be able to handle stress and multitask when receiving calls Strong communication and critical thinking skills Ability to work independently in a remote environment This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination Key responsibilities Provide telephone triage for hospice patients and families Assess patient conditions and determine appropriate next steps Collaborate with on-call teams to coordinate care and resources Accurately document all communications and interventions Maintain a calm and professional demeanor while handling urgent calls. All Remote Hospice Triage RNs, once trained to their originally assigned team are paid $25 per hour. There are multiple opportunities to increase the hourly rate with the potential to earn up to $28 an hour within your fist 6 months of hire. All nurses are eligible for a $2 shift differential for overnights and a $2 shift differential for weekends (Friday evening, Saturday & Sunday). All part-time and full-time nurses accumulate PTO, based on the number of hours worked (per year). All part-time and full-time nurses are eligible to participate in our 401(k) plan. Full-time nurses may also participate in medical, dental, vision, and/or supplemental insurances.

Registered Nurse - Hospice - FT On Call (Thurs-Sunday)

VitalCaring Houston, TX

VitalCaring – Deliver Care That Brings Comfort and Dignity On Call Registered Nurse (RN) – Hospice/ Thursday–Sunday | After Hours & Weekend Coverage Field-Based | Patient & Family-Centered | End-of-Life Care At VitalCaring, we don’t just provide care - we walk alongside patients and families during life’s most meaningful moments. As a Hospice Registered Nurse (RN) , you play a vital role in delivering comfort, dignity, and compassionate support at the end of life. This is a role for a nurse who thrives in a field-based, one-on-one care environment and is called to make a lasting impact through presence, empathy, and clinical excellence. Why Join VitalCaring? • Meaningful, one-on-one patient care focused on comfort and quality of life • Autonomy with support – manage your caseload with a collaborative interdisciplinary team • Make a lasting impact on patients and families during life’s most important moments • Strong team partnership with physicians, social workers, chaplains, and aides • A purpose-driven culture grounded in compassion, respect, and excellence Role Overview As a Hospice RN at VitalCaring, you are more than a nurse - you are the clinical leader, advocate, and steady guide for your patients and their families. You’ll lead the plan of care, manage symptoms, and ensure every patient receives personalized, comfort-focused care aligned with their goals and wishes. Through each visit, you bring not only clinical expertise, but also reassurance, clarity, and compassion. What You’ll Do Lead Patient-Centered Hospice Care • Conduct comprehensive patient and family assessments • Develop and manage individualized, comfort-focused care plans • Deliver skilled nursing care with a focus on pain and symptom management Serve as the Care Coordinator • Act as case manager, coordinating care across the interdisciplinary team • Collaborate with physicians, social workers, chaplains, and aides • Monitor patient condition and adjust care plans to maintain comfort Support Patients & Families • Provide education, emotional support, and guidance throughout the journey • Help families navigate complex decisions with empathy and clarity • Build meaningful, trusting relationships in deeply personal moments Drive Quality & Compliance • Maintain accurate, timely documentation • Participate in IDT meetings and care planning • Support quality and compliance standards What You Bring • Active RN license (or compact eligibility) • Graduate of an accredited nursing program • Minimum 1 year of clinical nursing experience • Strong clinical judgment and compassionate care approach • Ability to manage a caseload independently • Excellent communication skills in sensitive situations • Basic EMR proficiency • Current CPR certification • Valid driver’s license and reliable transportation What Sets You Apart • Experience in hospice, palliative care, or home health • Strong pain and symptom management skills • Case management and interdisciplinary care experience • Ability to quickly build trust with patients and families • Experience with Homecare Homebase (HCHB) What to Expect • Field-based care in homes, facilities, and community settings • High autonomy with strong team support • A role centered on dignity, comfort, and quality of life • A fast-paced, emotionally meaningful environment Benefits That Support You Health & Wellness Medical, Dental, and Vision coverage Pharmacy benefits Virtual care and mental health support Flexible Spending Accounts (FSA) and Health Savings Account (HSA) Supplemental health and life insurance Financial & Protection 401(k) with company match Employee referral program Prepaid legal services Identity theft protection Work-Life Balance & Perks Generous paid time off Pet insurance Tuition and continuing education reimbursement All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs. #TalrooClinical #AppNursing

Care Initiatives Greenfield, IA

Hospice RN - Case Manager (Council Bluffs)

Are you a compassionate Registered Nurse (RN) seeking to make a profound impact in the lives of patients during their final stages? Join Care Initiatives Hospice as an RN Case Manager , where you'll provide comprehensive care that truly matters. Our RN Case Managers go above and beyond by meeting patients and families where they feel most comfortable, whether it's at home, a long-term care community, assisted living residence, or hospital. This personalized approach ensures tailored care that meets their unique needs. At Care Initiatives Hospice, we embrace a holistic approach, addressing the physical, emotional, and spiritual needs of those facing life-limiting illnesses. Working closely with family members and caregivers, we foster a collaborative environment to honor the needs and wishes of our patients and their loved ones. By joining our team, you'll have the opportunity to provide care with the utmost compassion, dignity, and respect during this significant phase of life. Together, we can make a difference in the lives of our patients and their families. Care Initiatives is looking for a RN Case Manager to cover patients in Council Bluffs, IA & surrounding areas. What will you do as a Hospice RN Case Manager? Here are just a few of the responsibilities: Use clinical nursing knowledge, physical assessment, and procedural skills to deliver high quality patient care in the patient’s place of residence. Develop and oversee plan of care under the direction of the physician and ensure appropriate interdisciplinary involvement to ensure the best outcome for each patient. Perform initial and comprehensive assessments on all patients in accordance with policies and procedures. Continuous visits and interdisciplinary assessment of the patient. Deliver quality care and completes clear, concise, and accurate clinical documentation. Provide patient, caregiver and family counseling and education as indicated in the plan of care. Develop and continually update plan of care that identifies the care and services required to meet patient-specific needs. What it takes to be an RN Case Manager with Care Initiatives Hospice: Active Iowa RN license. Active CPR certification. Hospice or palliative care experience. Two (2) years of verifiable experience working as a nurse (RN/LPN), preferred. Current driver's license, automobile liability insurance, and the ability to travel between multiple locations within your region. Home access to the internet. Ability to obtain Hospice and Palliative Registered Nurse Certification (CHPN) within 24 months of employment. Why Join Care Initiatives? Competitive Compensation: Earn a highly competitive wage. Comprehensive Benefits: Eligible employees enjoy robust benefit options including medical, dental, vision, 403(b), PTO, and more. Referral Bonus Program: Earn cash rewards for referring your friends. Tuition Reimbursement: Develop your skills with company paid training and education to take your career to the next level. Digital Wallet Access: Get paid as you earn—no more waiting for payday! Apply now and embark on a rewarding career journey with Care Initiatives Hospice! Committed to attracting and retaining a diverse staff, Care Initiatives will honor your experiences, perspectives, and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. Care Initiatives is an Affirmative Action and Equal Opportunity Employer. Care Initiatives complies with applicable federal civil rights laws and does not discriminate based on race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, marital status, parental status, genetic information, protected veteran status, or any other characteristic protected by law.

Registered Nurse (RN) - Hospice Home Care

Advocate Aurora Health Kannapolis, NC

$35.50 - $53.25 / hour

Department: 39109 Atrium Health Hospice Cabarrus - Hospice Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: • This is a FT salaried position M-F 8:30am - 5:00pm with some call every 16-18 weeks. • Location: Cabarrus region • This position is Sign-On Bonus eligible, up to $3,000.00 for qualified applicants. Internal teammates are eligible for a $500.00 Referral Bonus. Pay Range: $35.50 - $53.25 Essential Functions Responsible for the daily management of an assigned patient caseload, ensuring timely care and documentation to meet the patent needs/services as prescribed in the established plan of care and per MD orders Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available. Analyzes the data to determine the issues and available resources to seek effective resolution. Identifies patients at high risk for re-hospitalization, falls and/or high utilization of resources that require additional intervention and case conferencing to ensure appropriate care and frequency of services mitigates risk and ensure high quality outcomes Prioritizes multi-issue, situations appropriate to the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services Identifies barriers to situation/complaint resolution (i.e. language, literacy, psychological, etc) and follows-up with the appropriate resources or leadership to address timely and effectively Develops and provides oversight of a plan of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction. Implements the identified plan, and directs the care coordination of a multidisciplinary clinical team approach, supervision of LPNs and/or HHAs involved in the care of the assigned patient caseload to promote health and safe outcomes. Performs ordered treatments, therapies, and/or procedures in accordance with State Nurse Practice Act and Home Health Conditions of Participation, JCAHO and agency policy and procedures. Evaluates progress towards attainment of patient centered goals. Physical Requirements Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient conditions. Physical Abilities Testing required. Education, Experience and Certifications Graduate from an accredited School of Nursing. BSN preferred. BLS required per policy guidelines. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Additional education, training, certifications, or experience may be required within the department by the nurse leader. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Swan Hospice Lakewood, NJ

Hospice Nurse Case Manager

$90,000 - $95,000 / year

Swan Hospice is actively seeking Registered Hospice Nurses (RN) Full/Part time to join our team in New Jersey. We provide quality hospice care to patients in skilled nursing facilities, assisted living facilities and in private homes. Job Description A. BASIC PURPOSE Oversees primary caseload of Hospice patients and provides skilled professional nursing care to them, their families and caregivers as prescribed by the physician and in compliance with the Hospice Medicare Conditions of Participation, New Jersey Hospice licensure laws, accrediting body standards and agency policies and procedures. Provides the initial assessment and comprehensive nursing assessment and identification of problems of each patient; reassessment of nursing needs and collaborates to develop the Hospice Interdisciplinary Team (IDT) plan of care. Implements the plan of care and reevaluates and revises the plan of care relative to the patient’s nursing needs to provide appropriate, comprehensive and responsive goals and interventions. Teaches, supervises, and counsels the patient, family members, and staff regarding nursing care and the patient's needs, including other related problems of the patient at home Works closely with other members of the IDT to ensure all patient and family care needs are being met. Provides supervision to Hospice Aides/Homemakers. In the temporary absence or vacancy of the Nursing Supervisor, the RN/Alternate Nursing Supervisor is authorized per the Managing Member to assume the role of the Nursing Supervisor and is responsible to perform the duties as outlined in the Nursing Supervisor’s Job Description (copy attached). B. PRIMARY RESPONSIBILITIES Nursing Process As a member of the IDT, the Registered Nurse (RN) utilizes the nursing process to contribute to each patient’s total plan of care. Assessing and Planning 1. Seek and obtain sufficient information necessary to function effectively in the Hospice setting where the patient/family/caregiver is receiving care. 2. Conduct initial assessment, including physical, emotional and psychosocial aspects, of patient/family/caregiver in a thorough, accurate, compassionate and timely fashion. 3. Utilize the nursing body of knowledge to provide leadership and guidance to the IDT in formulating and individualizing the interdisciplinary plan of care to include problem identification, interventions and goals to address palliative comfort measures for the terminally ill patient, family and caregiver. 4. Contribute to identifying both active and potential needs of the patient and his/her family, which may affect the plan of care. 5. Consistently collaborate with the physician to plan and implement the medical and nursing plan of care. 6. Review the nursing component of the comprehensive interdisciplinary plan of care with the IDT. Communicate in writing in the clinical record and verbally with the IDT to coordinate interventions and ensure continuity of care. 7. Facilitate and participate in the IDT care conference and contribute to patient care planning. Implementing and Evaluating Provide nursing interventions and appropriate preventative and therapeutic nursing procedures. Nursing staff shall administer medications in accordance with all Federal and State laws and rules. Collaborates with IDT members to provide continuous assessment of assigned patients, interprets findings, initiates appropriate therapeutic actions and evaluates the results of these actions. Accepts responsibility of assignment to perform a specialized procedure only when qualified with specialty training, proven competency, clinical background and expertise in the specialty area. Works in cooperation with family/caregiver and IDT members to meet the physical and emotional needs of the patient/family/caregiver. Provides appropriate information and explanation to the patient and patient’s family. Facilitates patient and family education to promote continuity of care and optimal patient/family outcomes for quality of life as defined by the patient/family/caregiver. Demonstrates expertise in the utilization of all IDT members including volunteers and community resources. Fulfills productivity requirements on an average daily census basis as determined by acuity level and Administrator. Documents accurate, complete and relevant clinical notes regarding patient’s condition and care given. Maintains documentation a on a timely basis. Assesses the dietary/nutritional needs of Hospice patient and provides appropriate interventions relative to nutritional intake as the patient’s condition progresses. Education The RN is a mentor who is able to provide educational experiences and communicate knowledge of patient care to members of the IDT including, but not limited to, volunteers, hospice aide/homemaker, patient and family/caregivers, health care professionals and the general community. Acts as a mentor to other personnel by participating in orientation and assisting with field training and in-service education to contractors and referral sources, as needed. Participates in formal and informal in-services, and patient care conferences to promote professional growth of all interdisciplinary team members. Teaches the patient, family and/or caregiver regarding the progression of the disease process and self-care techniques as appropriate, which includes providing medication, dietary/nutritional counseling support and other instructions as ordered by physician, recognizing and utilizing opportunities for health counseling. Supervises Hospice Aides/Homemakers every fourteen (14) days per Medicare Conditions of Participation. Evaluates effectiveness of educational experiences and teaching methods in order to promote ongoing professional development of Hospice staff and quality patient outcomes for patients, families and caregivers. Case Management The RN is responsible for managing all patients assigned to his/her primary caseload by utilizing the following methods: Efficiency 1. Manages daily visits and assignments for maximum efficiency. 2. Visit frequencies are according to individual patient needs and acuity. 3. Visit frequencies are reviewed at least weekly and altered to meet patient needs and acuity. 4. Patient care visits are coordinated with all IDT members in order to utilize manpower resources and provide optimal patient care. Operations 1. Ensures adequate and appropriate inventory of supplies and equipment for the provision of patient services and promotes the efficient use of equipment and supplies. 2. Maintains confidentiality in patient related matters. Leadership 1. Demonstrates behavior appropriate as a role model and leader including adhering to the agency code of conduct. 2. Demonstrates creativity and critical thinking ability when participating in IDT conferences, developing patient care plans or completing assigned projects. 3. Assumes leadership role to facilitate interdisciplinary care coordination and collaboration. 4. Functions without supervision, utilizing time constructively and organizing assignments for maximum productivity. Communication 1. Introduces self and clarifies role to patient/family/caregiver, physicians, nursing facility staff and other referral sources. 2. Recognizes and responds appropriately to verbal and non-verbal cues. 3. Communicates effectively with all members of the IDT by: i. Defending and supporting peer/team decisions and actions. ii. Asserting self with tact. iii. Supporting collaboration and team decisions/plans. iv. Maintaining open communication. v. Offering suggestions and criticisms constructively. vi. Asking questions and sharing information during IDT conferences and nursing facility care conferences. 4. Relates complete and pertinent information in verbal and written communication. Maintains clinical records, statistics, and reports as prescribed and in compliance with local, state and federal laws. 5. Initiates and maintains open and effective communication with supervisor as well as members of the IDT as evidenced by improved patient outcomes. Resource Utilization Coordinates travel time for visits and manages a caseload to deliver care in a cost-effective manner that demonstrates an understanding of Hospice reimbursement methodologies. Assures proper maintenance of records per agency guidelines. Participates in evening/weekend on-call as required, conducting on-call services in a clinically competent and responsive manner. Functions independently, but seeks and accepts guidance from other members of the IDT and members of the community, as deemed necessary and appropriate. Complies with local, state and federal laws, Medicare Hospice Conditions of Participation and agency policies and procedures. Conducts all business activities in a professional and ethical manner. Customer Service Demonstrates the highest degree of customer awareness by seeking out opportunities to identify and meet the needs of internal and external customers. Is receptive to questions and criticism, and willing to offer assistance. Maintains accountability for patient satisfaction throughout the episode of care. Quality Assessment/Performance Improvement (QAPI) Participates in the QAPI process by finding opportunities for continuous monitoring and identification of patient outcomes, intra/interdepartmental and environmental concerns. Displays a willingness to utilize problem solving techniques to insure appropriate interventions and resolutions. Participates in clinical record review. Assists and serves on committees and projects as requested. Secondary Duties 1. Participates in staff meetings, department meetings, Hospice IDT meetings, in-services, committees and other related activities as required. 2. Completes a minimum of twelve (12) hours of in-services per year. 3. Performs other duties as assigned. C. HUMAN RELATIONS 1. Must maintain a professional attitude and demeanor and is be able to communicate effectively and relate courteously and cooperatively with patients, caregivers, colleagues, supervisors, co-workers and all others. 2. Must be able to demonstrate optimism, enthusiasm and willingness to work constructively with other health care team members and reflect concern for the well being of patients and employees. 3. Interacts with all staff in a positive fashion supporting the mission and vision of the organization. D. PHYSICAL REQUIPMENTS (See Attached Physical Requirements Form.) 1. Visual/hearing ability must be sufficient to comprehend written/verbal communication. 2. Excellent verbal communication skills are needed. 3. Able to effectively manage stress. 4. Manual dexterity sufficient for writing, keyboarding and telephone operation. 5. Able to work in a variety of settings and conditions in patient’s homes and facilities. E. EDUCATION AND EXPERIENCE 1. Education a. Graduate of an accredited registered nursing program. b. Bachelor’s degree in Nursing preferred. c. Certified Hospice and Palliative Nurse (CHPN) certification preferred. 2. Experience a. Has minimum of one (1) year general nursing preferred with current hospice, home health, medical, surgical or critical care experience. b. Experience with pain and symptom management interventions preferred. c. Ability to work within an interdisciplinary setting. d. Understanding of Hospice philosophy, principles of death/dying. 3. Licensure, Registration, and/or Certification a. Registered Nurse licensed by the New Jersey State Board of Nursing in accordance with N.J.S.A. 45:11-23 et seq. and N.J.A.C 13:37. b. Valid driver’s license and reliable transportation that is insured in accordance with New Jersey state requirements. c. Satisfactory references from employers and/or professional peers. d. Satisfactory criminal background check.

Hospice Registered Nurse

Gentiva Alpharetta, GA

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 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) 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: 2026-143578 Category: Registered Nurses Position Type: Full-Time Company: Gentiva Hospice

Registered Nurse, RN - Hospice - FT

VitalCaring Houston, TX

VitalCaring – Deliver Care That Brings Comfort and Dignity Registered Nurse (RN) – Hospice Field-Based | Patient & Family-Centered | End-of-Life Care At VitalCaring, we don’t just provide care - we walk alongside patients and families during life’s most meaningful moments. As a Hospice Registered Nurse (RN) , you play a vital role in delivering comfort, dignity, and compassionate support at the end of life. This is a role for a nurse who thrives in a field-based, one-on-one care environment and is called to make a lasting impact through presence, empathy, and clinical excellence. Why Join VitalCaring? • Meaningful, one-on-one patient care focused on comfort and quality of life • Autonomy with support – manage your caseload with a collaborative interdisciplinary team • Make a lasting impact on patients and families during life’s most important moments • Strong team partnership with physicians, social workers, chaplains, and aides • A purpose-driven culture grounded in compassion, respect, and excellence Role Overview As a Hospice RN at VitalCaring, you are more than a nurse - you are the clinical leader, advocate, and steady guide for your patients and their families. You’ll lead the plan of care, manage symptoms, and ensure every patient receives personalized, comfort-focused care aligned with their goals and wishes. Through each visit, you bring not only clinical expertise, but also reassurance, clarity, and compassion. What You’ll Do Lead Patient-Centered Hospice Care • Conduct comprehensive patient and family assessments • Develop and manage individualized, comfort-focused care plans • Deliver skilled nursing care with a focus on pain and symptom management Serve as the Care Coordinator • Act as case manager, coordinating care across the interdisciplinary team • Collaborate with physicians, social workers, chaplains, and aides • Monitor patient condition and adjust care plans to maintain comfort Support Patients & Families • Provide education, emotional support, and guidance throughout the journey • Help families navigate complex decisions with empathy and clarity • Build meaningful, trusting relationships in deeply personal moments Drive Quality & Compliance • Maintain accurate, timely documentation • Participate in IDT meetings and care planning • Support quality and compliance standards What You Bring • Active RN license (or compact eligibility) • Graduate of an accredited nursing program • Minimum 1 year of clinical nursing experience • Strong clinical judgment and compassionate care approach • Ability to manage a caseload independently • Excellent communication skills in sensitive situations • Basic EMR proficiency • Current CPR certification • Valid driver’s license and reliable transportation What Sets You Apart • Experience in hospice, palliative care, or home health • Strong pain and symptom management skills • Case management and interdisciplinary care experience • Ability to quickly build trust with patients and families • Experience with Homecare Homebase (HCHB) What to Expect • Field-based care in homes, facilities, and community settings • High autonomy with strong team support • A role centered on dignity, comfort, and quality of life • A fast-paced, emotionally meaningful environment Benefits That Support You Health & Wellness Medical, Dental, and Vision coverage Pharmacy benefits Virtual care and mental health support Flexible Spending Accounts (FSA) and Health Savings Account (HSA) Supplemental health and life insurance Financial & Protection 401(k) with company match Employee referral program Prepaid legal services Identity theft protection Work-Life Balance & Perks Generous paid time off Pet insurance Tuition and continuing education reimbursement All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.

Affinity Hospice Management LLC Port St. Lucie, FL

Hospice Registered Nurse Case Manager RNCM

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

Enhabit Home Health & Hospice Austin, TX

Overview Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams. We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery of high-quality, compliant hospice services. This leadership role involves managing clinical operations, coordinating care, and developing staff to uphold the highest standards of patient care and regulatory compliance. As a Hospice Patient Care Manager, You Will: Oversee and direct patient care services to ensure the delivery of high-quality hospice care Manage visit scheduling, including reassigned, missed, declined, or rescheduled visits—making decisions based on clinical judgment and priority Triage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner Lead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating care plans, and documenting minutes Serve as a mentor, trainer, and clinical support to associates, supporting development, performance, and compliance Ensure all care delivery meets federal, state, and local regulatory standards, as well as company policies and procedures Support performance improvement initiatives, quality assessments, and operational efficiencies within your location About You Qualifications – What You’ll Bring: Current RN license in the state of employment Graduate of an accredited nursing program Minimum of 3 years of direct patient care experience, including 2 years in a hospice or home-based care setting Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid, JCAHO, ACHC) Knowledge and compassion for terminally ill patients and their families Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds Strong interpersonal, organizational, and leadership skills Competency in clinical documentation and technology systems Preferred Qualifications (Not Required): Bachelor of Science in Nursing (BSN) Previous leadership, team management, or supervisory experience in hospice or home health Familiarity with EMR systems and telehealth platforms Certification in Hospice and Palliative Nursing (CHPN) 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) Ready to Join a Team That Cares? Apply today and help us lead the way in delivering hospice care that truly matters. 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: 2026-143445 Category: Single Site Ops and Clinical Leadership Position Type: Full-Time Company: Gentiva Hospice

Hospice RN - Clinical Supervisor

Overview Looking for a career that makes a difference every day? Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development. With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. The Enhabit Advantage: Enhabit offers competitive benefits designed to support well-being and help employees thrive in every stage of their careers. Eligible employees receive: Generous paid time off for full-time employees 401(k) matching Medical, dental and vision coverage Supplemental insurance options Flexible spending accounts Incentive bonus opportunities Continuing education and scholarship opportunities Responsibilities Ensure the overall coordination of hospice services provided to the patient is delivered according to acceptable standards of practice and company procedures. Review and approve patient information submitted by the licensed professional during a start of care, recertification, resumption of care, or evaluation visit. Facilitate the relationship between physicians, referral sources, patients, caregivers, and employees. Ensure scheduling of patients to field clinicians and communication with field staff, patients, physicians, referral sources, caregivers, and other service providers in order to maintain proper care coordination and continuity of care. Qualifications Required graduate of an approved school of professional nursing. Required to have and maintain a valid clinical license, per state requirements, or in accordance with the board of nursing rules for a compact nurse license. Experience as a licensed professional may be deferred with a review and approval from the vice president operations or regional president Required to have previous experience practicing under the professional license for this position. Required to have minimum of two years of nursing experience. Required to have minimum of one year of experience with hospice or home health. Required to have demonstrated knowledge and understanding of federal, state and local laws and regulatory guidelines that govern the operation of a home care office. Required to have and maintain CPR certification, as required by position. Required to have and maintain a valid state driver license in the current state of residence Required to have and maintain automobile liability insurance, as required by law Required to have basic demonstrated technology skills, including operation of a mobile device. Preferred previous experience in a management position. Preferred previous experience using Homecare Homebase (HCHB). Preferred bilingual (English/Spanish) with the ability to facilitate clear communication with patients and caregivers, improve service delivery, and support positive patient outcomes. Must maintain dependable transportation in good working condition and be able to safely drive in all types of weather conditions. Oral communication, written communication, fluency in English, active listening. Demonstrated intermediate technology skills. Especially Microsoft office, including word and excel. Other than for designated full-time remote positions, in-office attendance is essential in order to achieve Enhabit objectives, including but not limited to, effective supervision, teamwork, task completion, and other position objectives. Enhabit does not waive this essential function by permitting duties to be performed remotely on occasion to accommodate temporary personal needs, such as appointments, or to operate in crises beyond its control, such as during a natural disaster or pandemic Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Part-time

Bristol Hospice Brookhaven, MS

RN - Registered Nurse - Per Diem

Are you a compassionate Registered Nurse (RN) who has incredible assessment skills and enjoy meeting the needs of patients and families? Join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an An Average Day you Will: (Includes, but not limited to) Complete an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs Provide a complete physical assessment and history of current and previous illness(es) Provide professional nursing care by utilizing all elements of the nursing process Assess and evaluate patient’s status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care, as necessary Initiate the plan of care and make necessary revisions as patient status and needs change Use health assessment data to determine nursing diagnosis Develop a care plan that establishes goals, based on nursing diagnosis Include the patient and the family in the planning process Record pain/symptom management and changes/outcomes as appropriate Communicate with the physician regarding the patient’s needs and report changes in the patient’s condition; obtain/receive physicians’ orders, as required Teach the patient and family/caregiver self-care techniques, as appropriate Work in concert with the interdisciplinary group All other duties as assigned Requirements: Must have at least one (1) year of acute care experience in an institutional setting One (1) year of experience in home care preferred Must have a current licensure in the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Magnolia Health Systems Martinsville, IN

Registered Nurse

We believe that every person deserves dignity and compassion when faced with an end-of-life journey. Are you committed to providing compassionate care, clinical excellence, and outstanding customer service to your patients and their families at the end of life? Do you seek full control of your healthcare career so you can create the travel lifestyle you love? Does working in a variety of environments that include Hospice Care, Home Care, AND skilled Nursing sound rewarding for you? We can offer you this and so much more! We give our RNs the education and tools they need to guide and care for our patients at one of the most critical times in their lives. ESSENTIAL FUNCTIONS: Registered Nurse Provides professional nursing care as defined in the nurse practice act and under the direction of the Director of Clinical Services, Patient Care Coordinator, or Medical Director. Communicates appropriate status/condition changes to the DCS, PCC or MD, per agency guidelines. Performs job in compliance with Agency policies and procedures and professional and community standards. Participates in coordination of patient care services (hospice and LTC), attends meetings as required, and follows reporting guidelines. Demonstrates proficiency in use of agency chosen software, EMR, iPad documentation and other systems and technology as required. Documentation is complete, legible and clearly reflects care given and is completed by the end of the assigned shift or visit. Demonstrates ability to effectively communicate verbally and in writing/data entry in English. Works in diverse social and economic situations without imposing own values on patient and family. Maintains appropriate boundaries. Receives and processes referral information from Intake. Explains hospice care and Keystone Hospice services and/or facility services and programs to prospective patients/families, physicians, and other appropriate individuals. Consults with the Medical Director, attending physician, and/or mid-level provider (if any) on patient’s eligibility for hospice care. Completes all required admission paperwork (e.g. admission packet) and consents for care with patients/families timely and accurately. Conducts and documents completion of initial assessments accurately and within required time frames. Provides or collaborates with IDT to provide care needed to address patient/family immediate needs, as identified in the initial assessment. Conducts and documents start of/completion of comprehensive assessments accurately and within required time frames for all assigned patients. Coordinates/communicates necessary information with other members of the IDT, consulting physician(s), facility staff, and others as appropriate. Participates in development of the Plan of Care, as appropriate, for each assigned patient. Serves as a resource for all Hospice and/or facility staff to facilitate continuity of patient care and enhance the quality of patient care. Obtains and documents physician orders, as necessary. QUALIFICATIONS/REQUIREMENTS: Hospice & Long-Term Care Registered Nurse EDUCATION & LICENSURE BACKGROUND Registered Nurse with current license to practice in Indiana. Bachelor’s degree in nursing preferred, but not required. Minimum of one (1) year clinical nursing experience; hospice experience preferred, but not required. Demonstrated knowledge of the regulatory requirements for hospice. DEGREE OF TRAVEL Travel between long-term care facilities and/or place of primary residence. Attend bi-weekly IDT meetings, if requested. *Candidates must be fully Vaccinated against Covid 19, or obtain a religious or medical exemption upon hire.

AccentCare, Inc. Clearwater, FL

Hospice Registered Nurse Admissions

Overview Position Type: Full-Time Coverage Area: Pinellas County Pay: Based on experience Schedule: Training: M-F 8a-5p / After Training 3 12s 10a-10p / rotate weekends What You Need to Know Reimagining Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Hospice Admissions RN You Can Be If you meet these qualifications, we would love to meet you: Licensed as a Registered Nurse in the state(s) of practice, with an associate degree preferred and CPR certification recommended (required for direct patient care in Georgia). Must meet state-specific regulatory requirements. Previous nursing experience in hospice, home health, general medical-surgical, or population-specific care (e.g., pediatrics, geriatrics) is required, along with willingness to serve on-call. Must have a reliable vehicle, valid driver’s license, and the minimum required liability auto insurance. Strong communication and organizational skills, with working knowledge of Microsoft Office Suite and EMR systems. Must be able to work effectively as part of an interdisciplinary team. Physically able to lift patients over 200 pounds (with assistance), stand, walk, sit, stoop, and perform other physical movements frequently. Regular exposure to indoor environments, vibration, and moderate noise expected. Responsibilities: Assess patient and family for physical, psychological, social and spiritual needs and collaborates with patients and families, physician, and Interdisciplinary Group (IDG) to establish the plan of care, implement interventions and/or evaluate care Initiate and maintain communication with attending physician, Medical Director, IDG, Team Director (TD), and IDG and other agencies to coordinate optimal care and use of resources for the patient and family Especially, in the event of unusual or potentially problematic patient and family issues Document according to protocol and maintain up-to-date patient records. Ensure plan of care problems, interventions, actions and goals reflect baseline, current, and ongoing status, and changes as they occur Participate in On-Call or Admissions assignment/rotation, as directed Provide education to patient and caregiver(s) as needed, based on knowledge needs and learning assessment, patient and family condition, in keeping with plan of care Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Agape Care Group Greenwood, SC

Registered Nurse (RN)

Overview Join Our Team as a Registered Nurse Do you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them? We are looking for registered nurses who are committed to creating meaningful patient experiences. As a registered nurse on our team, you’ll evaluate patients and create care plans, all while communicating with everyone involved — the patient, the patient’s family, and the care team. You’ll serve as the driver of our care team to ensure every patient receives quality care. And just like all of our team members, our RNs have access to our supportive leadership team and professional development opportunities with plenty of room for advancement. We’re Offering Even More Great Benefits When You Join Our Team! Tuition Reimbursement Immediate Access to Paid Time Off Employee Referral Program Bonus Eligibility Matching 401K Annual Merit Increases Years of Service Award Bonuses Financial and Legal Assistance Program Mental Health and Counseling Programs Dental and Orthodontic Coverage Vision Insurance Health Care with Low Premiums $500 Matching Health Savings Account Short-term and Long-term Disability Access to Virtual Health & Wellness Fertility Assistance Program About Agape Care Group As a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers — Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. The company’s employees are committed to serving with love those touched by an advanced illness, providing comfort and support through compassionate care and meaningful experiences. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others. Our Company Mission Our mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren’t empty words. In every interaction, no matter how big or small, we’re dedicated to providing a superior experience for patients facing life-limiting illnesses and their families. Essential Functions #nsacg Qualifications A heart to serve patients and families and a passion for providing the best possible care Education: Graduate of an accredited school of nursing with a current state license as a registered nurse (compact/multi-state license required) Experience: 2+ years of nursing experience in a clinical care setting (hospice experience required) Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 80-100 lbs and bear the weight of an average adult effectively We’ve worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we’d love for you to join our team. *Pay is determined by years of experience and location.

Director of Patient Care Services (RN)

Silverado Temecula, CA

$125,000 - $140,000 / year

Join Silverado Hospice Temecula and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine’s Best Workplaces in Aging Services . Since 1997, Silverado has been delivering exceptional care to individuals with neurodegenerative conditions and those facing life-limiting illnesses through our Hospice services. We’re a certified Great Place to Work® and proud to offer competitive pay, benefits, and growth opportunities. We’re hiring a Director of Patient Care Services – a compassionate and experienced clinical leader who oversees hospice care delivery, supports interdisciplinary teams, and ensures regulatory compliance. This role blends leadership, clinical expertise, and empathy to provide dignified, meaningful care to patients and families. Be a difference-maker with a hospice care leader! You lead with compassion, resilience, and clinical precision. You’re dependable, emotionally intelligent, and thrive in a team-focused environment. You’re passionate about supporting patients and families with grace and dignity and empowering your team to deliver exceptional care. What You’ll Be Doing: Serve as a role model and resource for nursing staff and interdisciplinary team members Support staff in problem-solving and determining appropriate clinical interventions Collaborate with the Administrator on hiring, orientation, retention, and performance management Adhere to budget requirements for labor, pharmacy, DME, and medical supplies Coordinate patient care with RN Case Managers and attending physicians Review and manage patients receiving higher levels of care (respite, inpatient, continuous care) Oversee clinical and management responsibilities for assigned teams Serve as liaison between Administrator, clinical staff, patients, families, and community partners Qualifications: Graduate of an accredited school of nursing with a bachelor’s degree or higher in nursing or a related health field. Current, unencumbered Registered Nurse (RN) license in the state of employment. Active CPR certification required; certification in Hospice and Palliative Nursing preferred. Must meet one of the following: Bachelor’s degree or higher in nursing or a related health field and at least 2 years of full-time supervisory or managerial experience in a hospice or home health agency within the last 5 years At least 4 years of full-time supervisory or managerial experience in a hospice or home health agency within the last 5 years Experience with Electronic Medical Records (EMR) preferred; familiarity with WellSky is highly desirable. Valid driver’s license with a clean driving record. Reliable transportation and willingness to travel as needed. Ability to lead bereavement support groups and make sound clinical decisions. Flexibility to work outside regular hours based on patient needs. Why Choose Silverado? Fortune Magazine Best Workplace in Aging Services™ Certified Great Place to Work® Paid training and strong internal mobility Anticipated pay range: $125,000 USD - $140,000 USD Silverado offers the following benefits to eligible employees: 401(k) matching Health, Dental and Vision Insurance Flexible Spending Account (FSA) Paid time off Tuition reimbursement and professional development assistance Referral program Other amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs! * Silverado does not accept candidates from outside recruiters or agencies for this role. * California Employees: For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law. To view California Consumer Privacy Act (CCPA) information, please visit this page: https://www.silverado.com/legal-disclaimers/#Consumer-Privacy-Act-Disclosure Employment offers are contingent on background check, drug screening, physical, and TB testing (if applicable). Silverado uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security EOE/M/F/D/V

Director of Intake (RN)

Suncrest Hospice Virginia Beach, VA

$90,000 - $100,000 / year

Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Pay Scale: $90,000-$100,000 annual salary plus bonus opportunities Actual Work/Life Balance Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Director of Intake works closely with the business development team and referral sources. The Director of Intake is responsible for directing the day to day operations of the Intake Coordination team. Qualifications Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice with at least 1 year of hospice experience and two years of nursing experience Must be willing to drive with reliable transportation, valid driver’s license, and auto insurance Patience, motivation, and a positive attitude Hospice or home health experience (Preferred) Great leadership skills with the ability to inspire the trust of others Balance team and individual responsibilities Give and welcome feedback Exhibit objectivity and openness to others' views, contribute to holding each other accountable and building a positive team spirit Put the success of team above own interests Demonstrate accuracy and thoroughness Monitor and self-correct own work processes and outcomes; apply feedback from others to improve performance