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Hospice RN - After-Hours, On-Call

Integritus Healthcare
Greenfield, MA Full Time
POSTED ON 10/29/2026
AVAILABLE BEFORE 11/27/2026
Salary Range $38.00-47.97 per hour, with evening and Weekend shift differentials available

2 part-time on-call positions available (Mon-Fri, 4:30pm - 8pm) and (Mon-Fri, 8p-8a)

Come join this collaborative and innovative team. At Pioneer Valley Hospice, you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career.

Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals.

Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve.

Why Pioneer Valley Hospice & Palliative Care

  • Competitive Compensation
  • Employee Satisfaction
  • Growth and Career Advancement
  • Cookouts and Luncheon’s
  • Culture of Respect and Empowerment
  • Celebrating Individuality
  • Recognizing Excellence

Benefits Include But Not Limited To

  • Paid time off (vacation, sick, holiday)
  • Medical Insurance
  • FSA
  • Dental
  • Vision
  • Life Insurance
  • Long-term disability Insurance
  • HRA
  • 401(k)

The RN helps triage, coordinate, and administer hospice care for patients, families and caregivers through the utilization of hospice services and resources. The hospice RN is responsible for utilizing hospice and community resources to coordinate and drive services through a plan of care to meet the needs of patients and families.

Essential Job Functions

  • Demonstrates understanding of the hospice philosophy/principles and an ability to clearly articulate these with others.
  • Manages the plan of care from referral through discharge for assigned hospice patients and families per regulations and agency standards.
  • Completes initial nursing assessment of patient/family to determine hospice needs.
  • Provides complete physical assessment and history of current and previous illness(es).
  • Initiates and implements plan of care in collaboration with patient/family with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort.
  • Administers medications/treatments as prescribed by the physician. Observe/document responses to interventions and promptly communicate untoward reactions and modify the plan of care as indicated.
  • In collaboration with interdisciplinary team, provides teaching and guidance to patient/family regarding interventions for pain and symptom management.
  • Coordinates patient care with team, family, and physician for assigned patients.
  • Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care. Documents measurable outcomes related to symptom management.
  • Completes patient discharges, both pronouncement visits and live discharges, to include the appropriate communication and documentation per regulations and agency standards.
  • Appropriately documents at the point of service, synchronizes patient data and effectively communicates with the IDT.
  • Communicate with the medical director and attending physician regarding patient needs and changes. Obtains physicians’ orders as required.
  • Participatory member of Interdisciplinary team meetings.
  • Provides and maintains a safe environment for the patient.
  • Keeps supervisor informed of potentially problematic patient/family issues and significant changes in patient status.
  • Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service.
  • Manages multiple priorities and demonstrates effective problem-solving and decision-making.
  • Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-services.
  • Provides complete and timely nursing reports/handoffs to hospice staff, facility staff, and providers.
  • Participates in agency Quality Improvement Program.
  • Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor.
  • Other duties as assigned.

Qualifications

(Minimum qualifications will be considered required unless specifically stated otherwise)

Experience

  • Minimum of one (1) to two (2) years of experience in health care.
  • Experience in a hospice, or home health preferred.
  • Experience in acute care in an institutional setting preferred.
  • Understand hospice philosophy and issues of death/dying.

Education And Training

  • An associate’s degree in nursing is required.
  • A bachelor’s degree in nursing is preferred.

License, Certification & Registration

  • Possesses and maintains current CPR Certification.
  • Current Massachusetts licensure: Registered Nurse required
  • Valid driver’s license
  • Hospice and Palliative Care Nurse Certification preferred

Salary : $38 - $48

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