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Provide comprehensive professional nursing care and case management for hospice patients in home and facility settings. Coordinate interdisciplinary care, manage symptoms, and provide education and support to patients, families, and facility staff.
Must be a Registered Nurse licensed in Texas with a valid driver's license and CPR certification. Graduation from an approved professional nursing school is required, with previous hospice or home health experience preferred.
Job DetailsJob Location: Spicewood - Austin, TX 78759Position Type: 40 HRS - 1 FTEJob Shift: M-F 8A-5PDEPARTMENT: Clinical Services
The hospice RN provides comprehensive, professional nursing care to patients in both homecare and assigned facility settings, including conducting admissions visits for new patients and delivering ongoing education to facility staff. The role includes performing thorough initial and ongoing assessments, developing and updating individualized plans of care, managing symptoms, and offering psychosocial and end‑of‑life support to patients and families. The nurse consults with and educates caregivers and facility partners on disease processes, comfort measures, and hospice philosophy, ensuring consistent, high‑quality care across settings.
Using a case‑management approach, the RN coordinates all aspects of patient care such as bath aide services, DME, medications, and interdisciplinary referrals while maintaining timely, accurate documentation in both agency and facility records. The nurse collaborates closely with physicians, interdisciplinary team (IDT) members, hospital and facility staff, and other care partners to communicate changes in condition, support discharge planning, and facilitate smooth transitions of care. The role includes supervising CNAs, LVNs, and homemakers, maintaining professional boundaries, and practicing effective self‑care to sustain high‑quality clinical performance.
Provides professional nursing care for hospice patients in the homecare and assigned facility settings.
Performs initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychosocial, and environmental needs and activities of daily living, including any risk for pathological grief, cultural and spiritual implications, and verbal and non-verbal communication patterns.
Performs comprehensive nursing assessments, including vital signs, pain assessment, breath sounds, and other clinically indicated evaluations.
Triages patient care concerns and determines appropriate interventions.
Initiates preventive, comfort-focused, and rehabilitative nursing procedures as needed and facilitates transition to another level of hospice care when appropriate.
Develops, maintains, and updates individualized plans of care, performing specialized nursing skills related to palliative and end-of-life care, symptom management, and comfort measures.
Consults with and educates patients and caregivers, including hospital, alternate living facility, or home health staff, regarding disease process, self-care techniques, end-of-life care, comfort measures, medication use and side effects, and ethical considerations. Provides specialized training to staff and/or caregivers to ensure adequate and safe care.
Performs ongoing evaluation of patient and family response to care and adjusts interventions accordingly.
Provides psychosocial support to patients and families throughout the course of care.
Provides preparation and support for the patient’s death; pronounces death in accordance with state regulations, provides postmortem care, and handles the body and death event with respect, dignity, and in accordance with patient/family/caregiver wishes.
As needed and depending on current caseloads, may be asked to provide nursing care to pediatric patients.
Utilizes proper infection control and bag technique during all in‑person visits.
Reports adverse events (complaints, infections, falls) to the Team Leader or Quality Department as soon as possible but no later than 24 hours of obtaining information.
Performs point of service documentation and completes/signs all documentation according to agency protocol.
Complies with minimum weekly visit requirements per company protocol.
Conducts admissions visits for new patients in assigned facilities, completing initial comprehensive assessments, initiating the plan of care, and ensuring a smooth transition onto hospice services.
Provides ongoing education in assigned facilities, including training for facility staff on hospice philosophy, symptom management, communication expectations, and care coordination processes.
Coordinates nursing, personal, and homemaker care for hospice patients in the homecare and assigned facility settings
Attends IDT meetings; coordinates patient and family care and services, prioritizing needs in collaboration with the interdisciplinary team.
Informs the physician and other team members of changes in the patient’s condition, needs, and response to interventions.
Determines the scope, frequency, and type of services needed based on patient acuity and patient/family goals of care.
Coordinates personal care services, durable medical equipment, medications, and medical supplies to ensure timely and appropriate delivery.
Uses a case management approach, referring to other disciplines as needed (e.g., Nutritionist, PT, OT, SLP) to support comprehensive care.
Provides supervision of care delivered by CNAs, LVNs, and homemakers in accordance with regulatory guidelines and agency standards.
Documents patient assessments, contacts, physician orders, and clinical/progress notes in a timely manner, demonstrating progress toward established goals.
Ensures hospital and facility charts (hospitals, long‑term care facilities, assisted living facilities) include documentation after each patient visit, as applicable.
Acts as a liaison between patients, physicians, hospital staff, long‑term care facility staff, and other care team members to facilitate ongoing clinical care and effective communication.
Collaborates with Hospice Austin and hospital/facility staff regarding discharge planning, ordering DME, medications, and coordinating safe transitions of care.
Evaluates personal needs for support and self‑care, using identified systems and resources to maintain professional well‑being.
Recognizes and maintains professional boundaries in relationships with patients, families, and caregivers.
Assists in developing and implementing discharge plans, providing advance notice to the patient and family according to regulatory standards.
Conducts admissions visits for new patients in assigned facilities, coordinating with facility staff to ensure a smooth onboarding process and accurate initiation of the plan of care.
Provides ongoing hospice education in assigned facilities, including training on symptom management, communication expectations, hospice philosophy, and care coordination workflows to support high‑quality, consistent care.
Conducts other duties as assigned.
Qualifications
Graduation from an approved school of professional nursing as determined by the Board of Nurse Examiners.
Unrestricted license as a Registered Nurse by the Texas Board of Nurse Examiners.
Valid Texas driver’s license, auto liability insurance and safe driving record.
CPR certification.
One-year previous nursing experience
Previous hospice or home health experience
Your Comfort. Our Calling.
As the first hospice in Central Texas, Hospice Austin was established more than 40 years ago by a group of doctors and concerned citizens for the sole purpose of serving families. Since then, we have provided end-of-life care to any person who needs us, regardless of the complexity of the illness, cost of care or a patient’s ability to pay. Hospice Austin is a nonprofit hospice. That means our resources are not used to benefit shareholders but instead go back into services that benefit patients and their families. It allows us to fulfill our mission of providing our patients with the very highest standards of care. We believe every person deserves peace and comfort, with care that emphasizes independence and respect and is tailored to his or her individual preferences.
Offices: 4107 Spicewood Springs Rd, Austin, TX 78759, US
There are currently 922 open social services positions in Austin, TX listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Texas Health and Human Services, Goodwill Central Texas, Foundation Communities, Aiken Regional Medical Centers, Greater Austin YMCA, among others. Browse the listings above to see every active employer.
Yes — 214 of the 922 open social services positions offer remote or hybrid work (32 remote, 182 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
