Key Responsibilities 

The Hospice Nurse Preceptor is a trained professional nurse who administers skilled nursing care to patients and families who are terminally ill and meet hospice admission criteria in the home or facility setting. May be required to perform admission, routine, respite, or continuous care visits and assess patients within regulatory requirements for hospice. Responsible for overall coordination of the care delivered to assigned patient caseload. This is accomplished by making regular visits to patients wherever they reside, communicating regularly with the Interdisciplinary Team, Medical Director, identifying patient, family, caregiver needs and providing for those needs in accordance with the Attending Physician’s orders and the IDG plan of care. This position is also responsible for the training of clinicians, including during the new hire orientation process and remedial training when required. May also perform facility education when requested.  

 In this role you will be responsible for: 

• Makes follow up visits according to patient, family & facility needs
• Assumes primary responsibility for caseload, including assessing, planning, coordinating, implementing and evaluating the plan of treatment
• Possesses basic assessment skills specific to the provision of Hospice care, including but not limited to identification of home safety risks, appropriateness of home environment to the delivery of care, availability and capacity of support systems and community resources
• Initiate, supervise and document observance of the Home Health Aide and LPN delivery of care per organization policy
• Assumes responsibility for the clinical training of students as well as remedial training of tenured staff when warranted
• Maintains regular communication with Education Departments and student’s supervisor
• Assures students meet Optimal Care expectations for productivity, time to synch, timely documentation completion, length of visits and other metrics as defined by role.  

Required Qualifications 

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing 
• Current State License as a Registered Nurse 
• Minimum one (2) year experience as a nurse in a hospice or home health environment 
• Nursing skills as defined by accepted nursing standards 
• Demonstrates skill in nursing practice, ability to cope with family emotional stress and tolerance of individual lifestyles 
• Possess excellent observation, analytical, verbal, and written communication skills
• Demonstrates the ability to assess and respond to the needs of the organization
• Strong leadership skills to be able to train clinicians
• Must be able to communicate professionally with all levels of the organization
• Reliable transportation and valid automobile insurance coverage

Desired Qualifications 

• BSN preferred 

Location 

• Office Location:  801 Rosehill Road, Jackson, MI 49202 
• Main Service Area:  Jackson and surrounding

Hours 

• Monday - Friday, 8:00 am - 5:00 pm  
• No weekends or holidays

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Make a profound difference in the lives of patients and families during life's most meaningful moments. As a Hospice Aide/Homemaker, you'll provide compassionate, hands-on care that enhances comfort, dignity, and quality of life for terminally ill patients in their homes and care facilities.  This rewarding position is perfect for a caring professional who finds purpose in providing personal care with empathy and respect. You'll be a valued member of our interdisciplinary team, working under the guidance of registered nurses to deliver individualized care that truly matters.

What You'll Do

Provide Compassionate Personal Care

• Assist patients with activities of daily living including bathing, dressing, grooming, and oral hygiene
• Help with safe transfers, ambulation, and positioning to ensure patient comfort and safety
• Support patients with toileting and elimination needs while maintaining dignity
• Monitor and record vital signs including temperature, pulse, respiration, and blood pressure

Support Nutrition and Comfort

• Assist with meal preparation and help patients with eating and fluid intake
• Ensure patients receive adequate nutrition according to their care plan
• Provide skin care and comfort measures
• Perform hair care and nail care as needed

Ensure Safety and Quality Care

• Use proper body mechanics and safe transfer techniques with assistive devices
• Operate equipment safely including Hoyer lifts, wheelchairs, and gait belts
• Follow fall precautions and respond appropriately to emergency situations
• Maintain a safe, clean environment in accordance with care standards

Communicate and Document Effectively

• Observe and report changes in patient condition to the supervising RN within 24 hours
• Document services provided and pertinent findings during each visit
• Verify assignments, review care plans, and confirm visit times with patients and facilities
• Communicate clearly and professionally with patients, families, and team members

Work as Part of a Team

• Follow the individualized Hospice Aide Care Plan for each patient
• Collaborate with RNs, social workers, chaplains, and other team members
• Attend meetings and participate in ongoing training
• Adapt flexibly to assignment changes and varying care environments

What We're Looking For

Required Qualifications

• Completion of minimum 75 hours of classroom and supervised practical training (including at least 16 hours of classroom instruction before practical training)
• Must hold current certification as a nurse aide and be in good standing on the state nurse aide registry
• Minimum 1 year of experience as a hospice aide, home health aide, or certified nursing assistant
• Ability to read, write, and follow written and verbal instructions in English
• Reliable transportation with valid automobile insurance
• Willingness to travel frequently within the assigned service area

Essential Skills and Qualities

• Understanding of and commitment to the hospice philosophy of care
• Comfort providing specialized care to terminally ill patients
• Empathy and compassion for individuals who are ill, frail, or impaired
• Self-directed with ability to work independently with minimal supervision
• Calm, empathetic demeanor in emotionally sensitive situations
• Flexibility and adaptability to handle schedule changes and varying patient needs
• Strong communication and listening skills
• Respectful approach to patient dignity and privacy

What Makes You Successful

You're a compassionate caregiver who finds deep fulfillment in providing comfort during life's most challenging times. You understand that small acts of kindness - helping someone bathe, sharing a meal, or simply being present - can make an enormous difference.  You're comfortable with the physical demands of caregiving and confident using proper techniques to ensure safety. You're observant, noticing changes in your patients and communicating them promptly to your nursing team.  You respect the sacred nature of end-of-life care and approach each patient and family with dignity, cultural sensitivity, and genuine warmth. You're reliable, punctual, and professional, understanding that families depend on you during their most vulnerable moments.

Why Join Us?

This role offers the opportunity to do work that truly matters. You'll be part of a supportive interdisciplinary team committed to providing the highest quality end-of-life care. We provide comprehensive training, ongoing education, and the resources you need to deliver excellent care.  You'll work in varied settings - from private homes to care facilities - experiencing the reward of building meaningful relationships with patients and families during a significant time in their lives.

Work Environment and Physical Requirements

This position requires frequent travel to patient homes and facilities within your service area. You'll need to be comfortable working in different environments and adapting to varying schedules. Physical demands include standing, walking, bending, lifting (up to 50 lbs with assistance), and using proper body mechanics for patient transfers and care activities.  Some flexibility with scheduling is needed, as patient care needs and assignments may change. You may occasionally be exposed to infectious materials following proper safety protocols.

Ready to Make a Difference?

If you're a certified aide with a compassionate heart who wants to provide meaningful care during life's most important moments, we'd love to hear from you.

Location 

• Office Location:  Carmel, IN
• Main Service Area:  Marion, Hamilton, Madison, Hancock, Shelby, Johnson, Morgan, Henricks, Boone, and Clinton Counties

Hours 

• 8:00 am – 5:00 pm, Monday through Friday 
• Weekend rotation 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Imagine working only 26 weeks per year while earning a full-time salary. As a Hospice After Hours Registered Nurse, you'll work 7 consecutive nights (5pm-8am, Monday-Sunday), then enjoy 7 full days off - giving you half the year to spend with family, pursue passions, or simply recharge. No additional on-call requirements, no schedule surprises - just a predictable rotation that lets you plan your life with confidence.  During your working weeks, you'll be the compassionate presence that patients and families need during their most vulnerable hours, providing critical skilled nursing care and emotional support to terminally ill patients. This specialized role is perfect for an experienced RN who thrives in autonomous settings, thinks critically under pressure, and finds deep fulfillment in hospice care while valuing an exceptional work-life balance.

Here's what makes this role exceptional:

• Predictable 7-on / 7-off rotation: Work Monday-Sunday nights (5pm-8am), then enjoy a full week completely off
• Half the year off with full-time pay: Work only 26 weeks per year while earning a full-time salary
• Start and finish at home: No commuting to an office - begin and end your on-call shifts from home
• No additional on-call: Unlike many nursing roles, your schedule is set with no surprise call-ins or extended shifts
• Optimized territories: Manageable drive times between patients ensure you can provide quality care without excessive travel
• Work-life balance: Seven consecutive days off means genuine time to recharge, travel, pursue hobbies, or be fully present with family

This schedule is designed for nurses who want to make a meaningful impact in hospice care while having dedicated, uninterrupted time for their personal lives.

What You'll Do

Provide Urgent Hospice Care

• Respond promptly to after-hours patient and family needs with clinical expertise and compassion
• Conduct admissions, routine visits, respite care, or continuous care as required
• Assess and manage urgent symptoms including pain, anxiety, respiratory distress, and other comfort needs
• Make critical clinical decisions independently while collaborating with on-call physicians and team members

Deliver Expert Clinical Nursing

• Perform comprehensive nursing assessments and continuously re-evaluate patient needs
• Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)
• Use durable medical equipment and devices safely and effectively
• Provide skilled interventions requiring specialized nursing expertise
• Perform phlebotomy with proper implementation of universal precautions

Support Families Through Crisis

• Provide appropriate support and guidance at time of death
• Conduct bereavement assessments when requested
• Offer reassurance and education to anxious families during nighttime hours
• Help families navigate difficult decisions with empathy and clinical expertise

Coordinate After-Hours Care

• Verify and follow plans of care according to physician orders and IDG assessments
• Communicate significant findings and changes to physicians, supervisors, and facility staff
• Assist with hospital discharges to home or facility settings during evening/overnight hours
• Supervise home health aide and LPN care delivery per organizational policy
• Report unsafe conditions promptly to appropriate parties

Maintain Clinical Excellence

• Complete all documentation within 24 hours of visits
• Document medication regimens and update profiles according to procedures
• Ensure clinical notes reflect ongoing communication and care coordination
• Demonstrate knowledge of Conditions of Participation and payor requirements
• Maintain compliance with hospice regulatory standards

What We're Looking For

Required Qualifications

• Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing
• Current Registered Nurse (RN) license in state of practice
• Minimum 1 year of nursing experience in a clinical care setting
• Reliable transportation with valid driver's license and automobile insurance
• Ability to work evenings, nights, weekends, and holidays

Preferred Qualifications

• Bachelor of Science in Nursing (BSN)
• Experience in hospice or home health environment
• Previous after-hours or on-call experience

Essential Skills and Competencies

• Strong clinical assessment and critical thinking abilities
• Excellent autonomous decision-making skills with good judgment
• Emotional resilience and ability to support families facing end-of-life issues
• Outstanding communication and crisis management skills
• Comfort working independently during non-business hours
• Ability to remain calm and focused in urgent or emotionally intense situations
• Strong time management with ability to prioritize multiple urgent needs
• Cultural sensitivity and respect for diverse beliefs about death and dying

What Makes You Successful

You're a confident, experienced RN who thrives working independently and making sound clinical decisions without immediate supervision. You understand that after-hours nursing requires a special combination of clinical expertise, emotional intelligence, and the ability to think on your feet.  You're comfortable being the primary clinical resource for families during nights and weekends, providing not just skilled interventions but also reassurance and guidance. You can manage the emotional intensity of hospice work - including being present at time of death - while maintaining your own emotional wellbeing and professional boundaries.  You're adaptable and unflappable, able to respond to urgent situations with calm competence. You understand that families remember the nurse who came in the middle of the night to help their loved one—your presence during these critical hours provides immeasurable comfort and peace of mind.

Why Join Us?

Exceptional Compensation and Benefits

• Competitive base salary of up to $90k (based on experience)
• Full-time pay for 26 weeks of work - only work half the year
• Comprehensive health benefits package
• 401(k) retirement plan to secure your future
• Predictable schedule with no surprise on-call requirements

Work-Life Balance

After-hours hospice nursing with our 7-on / 7-off schedule offers something rare in healthcare: work-life balance. You'll have seven full days off in a row every other week - enough time to truly disconnect, travel, manage personal commitments, or simply be present with loved ones without work interruptions.  We provide comprehensive orientation including shadowing experienced after-hours nurses, 24/7 clinical support through our on-call system, and optimized territories that respect your time. You'll be part of a team that values your expertise and recognizes the critical nature of after-hours coverage.

Professional Growth

You'll practice nursing with autonomy, using the full scope of your clinical skills while making decisions that immediately impact patient comfort and family peace of mind. We support your continued development with ongoing education and clinical resources.

Work Environment and Schedule

The 7-on / 7-off Rotation

You'll work seven consecutive nights (5pm-8am, Monday-Sunday), starting and finishing each shift from your home. During your on-call week, you'll travel to patient homes, assisted living facilities, and nursing homes within your optimized service area as needs arise. Our territories are designed with manageable drive times to ensure you can respond effectively without excessive travel burden.  Then you'll enjoy seven full days completely off—no on-call, no interruptions, just dedicated personal time.  The role requires flexibility during your working week to respond to emergent situations and changing patient needs. Physical demands include standing, walking, bending, and lifting up to 50 lbs with assistance. You may work independently for extended periods with 24/7 clinical support available via phone.

Ready to Provide Critical After-Hours Care?

If you're an experienced RN who excels at autonomous practice and wants to make a profound difference during patients' most vulnerable hours, we'd love to hear from you.

Location 

• Office Location: 3550 Briarfield Blvd, Suite 300, Maumee, OH 43537 
• Main Service Area:  Maumee, OH and surrounding 

Hours 

• On call for 7 days, then off for the next 7 days 
• 5:00 pm - 8:00 am Monday through Sunday
• Training takes place 8:00 am - 5:00 pm Monday through Friday for the first 2-4 weeks

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Optimal Care Hospice Registered Nurses (RNs) are skilled professionals who provide comprehensive nursing care, case management, and compassionate support to terminally ill patients and their families in home or facility settings. As a Hospice RN, you will assess, plan, coordinate, implement, and evaluate individualized patient care plans.

Working closely with the Hospice Medical Director, you will lead an Interdisciplinary Team—which may include Hospice Aides, Medical Social Workers, Chaplains, LPNs, Music or Massage Therapists, and Volunteers—to ensure patients receive holistic, high-quality care.

What You’ll Do

• Conduct initial patient evaluations and ongoing reassessments to meet nursing care needs.
• Manage your caseload, including assessment, planning, coordination, implementation, and evaluation of patient care plans.
• Perform hospice-specific assessments, including:
• Home safety evaluations
• Appropriateness of the home environment for care delivery
• Availability and capacity of support systems and community resources
• Provide compassionate support to patients and families, including at the time of death. Conduct bereavement assessments as requested.
• Maintain positive and professional communication with physicians, patients, families, facilities, visitors, and other team members.

Required Qualifications 

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing 
• Current State License as a Registered Nurse 
• Minimum one (1) year experience as a nurse in a clinical care setting 
• Nursing skills as defined by accepted nursing standards 
• Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment 
• Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 
• Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines. 
• Reliable transportation and valid automobile insurance coverage 
• Sit, stand, bend, lift, and move intermittently 
• Ability to lift at least 35lbs and bear the weight of an average adult effectively 

Desired Qualifications 

• BSN preferred 
• Experience as a nurse in a hospice or home health environment is preferred 
• Familiarity with Home Care Home Base (HCHB) 

Location 

• Office: 4341 S. Westnedge Ave, Suite 2210, Kalamazoo MI 49008

• Service Area:  Kalamazoo and Battle Creek

Schedule

• Regular Hours: 8:00 AM–5:00 PM, Monday through Friday 
• Weekend Rotation

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Optimal Care Hospice Registered Nurses (RNs) are skilled professionals who provide comprehensive nursing care, case management, and compassionate support to terminally ill patients and their families in home or facility settings. As a Hospice RN, you will assess, plan, coordinate, implement, and evaluate individualized patient care plans.

Working closely with the Hospice Medical Director, you will lead an Interdisciplinary Team—which may include Hospice Aides, Medical Social Workers, Chaplains, LPNs, Music or Massage Therapists, and Volunteers—to ensure patients receive holistic, high-quality care.

What You’ll Do

• Conduct initial patient evaluations and ongoing reassessments to meet nursing care needs.
• Manage your caseload, including assessment, planning, coordination, implementation, and evaluation of patient care plans.
• Perform hospice-specific assessments, including:
• Home safety evaluations
• Appropriateness of the home environment for care delivery
• Availability and capacity of support systems and community resources
• Provide compassionate support to patients and families, including at the time of death. Conduct bereavement assessments as requested.
• Maintain positive and professional communication with physicians, patients, families, facilities, visitors, and other team members.

Required Qualifications 

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing 
• Current State License as a Registered Nurse 
• Minimum one (1) year experience as a nurse in a clinical care setting 
• Nursing skills as defined by accepted nursing standards 
• Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment 
• Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 
• Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines. 
• Reliable transportation and valid automobile insurance coverage 
• Sit, stand, bend, lift, and move intermittently 
• Ability to lift at least 35lbs and bear the weight of an average adult effectively 

Desired Qualifications 

• BSN preferred 
• Experience as a nurse in a hospice or home health environment is preferred 
• Familiarity with Home Care Home Base (HCHB) 

Location 

• Office: 770 Kenmoor Ave, Suite 100, Grand Rapids, MI 49546

• Service Area:  Newaygo, Grant, Lakeview, and Greenville

Schedule

• Regular Hours: 8:00 AM–5:00 PM, Monday through Friday 
• Weekend Rotation: One weekend every fifth weekend, covering any PRN assignments in a different area
• Holiday Rotation: Two holidays per year-one in winter and one in summer-from 8:00 AM to 5:00 PM (Saturday-Sunday)

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Optimal Care Hospice Registered Nurses (RNs) are skilled professionals who provide comprehensive nursing care, case management, and compassionate support to terminally ill patients and their families in home or facility settings. As a Hospice RN, you will assess, plan, coordinate, implement, and evaluate individualized patient care plans.

Working closely with the Hospice Medical Director, you will lead an Interdisciplinary Team—which may include Hospice Aides, Medical Social Workers, Chaplains, LPNs, Music or Massage Therapists, and Volunteers—to ensure patients receive holistic, high-quality care.

What You’ll Do

• Conduct initial patient evaluations and ongoing reassessments to meet nursing care needs.
• Manage your caseload, including assessment, planning, coordination, implementation, and evaluation of patient care plans.
• Perform hospice-specific assessments, including:
• Home safety evaluations
• Appropriateness of the home environment for care delivery
• Availability and capacity of support systems and community resources
• Provide compassionate support to patients and families, including at the time of death. Conduct bereavement assessments as requested.
• Maintain positive and professional communication with physicians, patients, families, facilities, visitors, and other team members.

Required Qualifications 

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing 
• Current State License as a Registered Nurse 
• Minimum one (1) year experience as a nurse in a clinical care setting 
• Nursing skills as defined by accepted nursing standards 
• Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment 
• Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 
• Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines. 
• Reliable transportation and valid automobile insurance coverage 
• Sit, stand, bend, lift, and move intermittently 
• Ability to lift at least 35lbs and bear the weight of an average adult effectively 

Desired Qualifications 

• BSN preferred 
• Experience as a nurse in a hospice or home health environment is preferred 
• Familiarity with Home Care Home Base (HCHB) 

Location 

• Office: 4341 S. Westnedge Ave, Suite 2210, Kalamazoo MI 49008

• Service Area:  Kalamazoo to St. Joseph (mostly Kalamazoo area)

Schedule

• Regular Hours: 8:00 AM–5:00 PM, Monday through Friday 
• Weekend Rotation: Required on rotating basis 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Make a profound difference in the lives of patients and families during life's most meaningful moments. As a Hospice Aide/Homemaker, you'll provide compassionate, hands-on care that enhances comfort, dignity, and quality of life for terminally ill patients in their homes and care facilities.  This rewarding position is perfect for a caring professional who finds purpose in providing personal care with empathy and respect. You'll be a valued member of our interdisciplinary team, working under the guidance of registered nurses to deliver individualized care that truly matters.

What You'll Do

Provide Compassionate Personal Care

• Assist patients with activities of daily living including bathing, dressing, grooming, and oral hygiene
• Help with safe transfers, ambulation, and positioning to ensure patient comfort and safety
• Support patients with toileting and elimination needs while maintaining dignity
• Monitor and record vital signs including temperature, pulse, respiration, and blood pressure

Support Nutrition and Comfort

• Assist with meal preparation and help patients with eating and fluid intake
• Ensure patients receive adequate nutrition according to their care plan
• Provide skin care and comfort measures
• Perform hair care and nail care as needed

Ensure Safety and Quality Care

• Use proper body mechanics and safe transfer techniques with assistive devices
• Operate equipment safely including Hoyer lifts, wheelchairs, and gait belts
• Follow fall precautions and respond appropriately to emergency situations
• Maintain a safe, clean environment in accordance with care standards

Communicate and Document Effectively

• Observe and report changes in patient condition to the supervising RN within 24 hours
• Document services provided and pertinent findings during each visit
• Verify assignments, review care plans, and confirm visit times with patients and facilities
• Communicate clearly and professionally with patients, families, and team members

Work as Part of a Team

• Follow the individualized Hospice Aide Care Plan for each patient
• Collaborate with RNs, social workers, chaplains, and other team members
• Attend meetings and participate in ongoing training
• Adapt flexibly to assignment changes and varying care environments

What We're Looking For

Required Qualifications

• Completion of minimum 75 hours of classroom and supervised practical training (including at least 16 hours of classroom instruction before practical training)
• Must hold current certification as a nurse aide and be in good standing on the state nurse aide registry
• Minimum 1 year of experience as a hospice aide, home health aide, or certified nursing assistant
• Ability to read, write, and follow written and verbal instructions in English
• Reliable transportation with valid automobile insurance
• Willingness to travel frequently within the assigned service area

Essential Skills and Qualities

• Understanding of and commitment to the hospice philosophy of care
• Comfort providing specialized care to terminally ill patients
• Empathy and compassion for individuals who are ill, frail, or impaired
• Self-directed with ability to work independently with minimal supervision
• Calm, empathetic demeanor in emotionally sensitive situations
• Flexibility and adaptability to handle schedule changes and varying patient needs
• Strong communication and listening skills
• Respectful approach to patient dignity and privacy

What Makes You Successful

You're a compassionate caregiver who finds deep fulfillment in providing comfort during life's most challenging times. You understand that small acts of kindness - helping someone bathe, sharing a meal, or simply being present - can make an enormous difference.  You're comfortable with the physical demands of caregiving and confident using proper techniques to ensure safety. You're observant, noticing changes in your patients and communicating them promptly to your nursing team.  You respect the sacred nature of end-of-life care and approach each patient and family with dignity, cultural sensitivity, and genuine warmth. You're reliable, punctual, and professional, understanding that families depend on you during their most vulnerable moments.

Why Join Us?

This role offers the opportunity to do work that truly matters. You'll be part of a supportive interdisciplinary team committed to providing the highest quality end-of-life care. We provide comprehensive training, ongoing education, and the resources you need to deliver excellent care.  You'll work in varied settings - from private homes to care facilities - experiencing the reward of building meaningful relationships with patients and families during a significant time in their lives.

Work Environment and Physical Requirements

This position requires frequent travel to patient homes and facilities within your service area. You'll need to be comfortable working in different environments and adapting to varying schedules. Physical demands include standing, walking, bending, lifting (up to 50 lbs with assistance), and using proper body mechanics for patient transfers and care activities.  Some flexibility with scheduling is needed, as patient care needs and assignments may change. You may occasionally be exposed to infectious materials following proper safety protocols.

Ready to Make a Difference?

If you're a certified nurse aide with a compassionate heart who wants to provide meaningful care during life's most important moments, we'd love to hear from you.

Location 

• Office: 24255 W 13 Mile Rd, Suite 210, Bingham Farms, MI 48025
• Service Area: Livingston County/Brighton, Howell, South Lyon

Hours 

• 8:00 am – 5:00 pm, Monday through Friday 
• Weekend rotation 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

Key Responsibilities 

Optimal Care Hospice Registered Nurses are trained professional nurses who administer skilled nursing care, and case management and provide support to terminally ill patients and their families in a home or facility setting. Hospice Registered Nurses access, plan, coordinate, implement, and evaluate patient care plans. In collaboration with the Hospice Medical Director, the Hospice Registered Nurse leads an Interdisciplinary Team of hospice professionals which may include a Hospice Aide, Medical Social Worker, Chaplin, LPN, Music Therapist, Massage Therapist, and Volunteers in providing all appropriate care for the patient. 

In this role you will be responsible for: 

• Completing initial evaluation and re-evaluating the patient’s nursing needs during each visit. 

• Assuming primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the patient plan of care. 

• Completes assessments specific to the provision of Hospice care, including but not limited to identification of home safety risks, appropriateness of home environment to the delivery of care, availability and capacity of support systems and community resources. 

• Provide appropriate support at the time of death and perform bereavement assessment if requested. 

• Provide positive, supportive communication to physicians, patients, families, facilities, visitors, and other organization personnel. 

Required Qualifications 

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing 

• Current State License as a Registered Nurse 

• Minimum one (1) year experience as a nurse in a clinical care setting 

• Nursing skills as defined by accepted nursing standards 

• Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment 

• Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 

• Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines. 

• Reliable transportation and valid automobile insurance coverage 

• Sit, stand, bend, lift, and move intermittently 

• Ability to lift at least 35lbs and bear the weight of an average adult effectively 

Desired Qualifications 

• BSN preferred 

• Experience as a nurse in a hospice or home health environment is preferred 

• Familiarity with Home Care Home Base (HCHB) 

Location 

• Office Location: 24255 W 13 Mile Rd STE 210, Bingham Farms, MI 48025

• Main Service Area:  Livingston County/Brighton/Howell/South Lyon, and surrounding areas

Hours 

• Office Hours: 8:00 am – 5:00 pm, Monday through Friday 

• Weekend Rotation 

• On-Call Rotation 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

Why Join Us as a Hospice Medical Social Worker?

As a trained Medical Social Worker at Optimal Care Hospice, you’ll provide compassionate support to patients and families living with terminal illnesses. You’ll play a critical role in enhancing patients’ quality of life by coordinating care, managing day-to-day needs, establishing and evaluating goals, and counseling patients and their caregivers throughout the end-of-life journey.

What You’ll Do:

• Complete initial social work evaluations within 5 days of hospice admission and re-evaluate needs during each visit.
• Assist patients and caregivers with funeral planning, financial, legal, and healthcare decisions.
• Educate and guide patients and families in preparing advanced directives.
• Connect patients and caregivers to community resources and referral services.
• Conduct comprehensive social assessments, including family dynamics, caregiver abilities, communication patterns, and identifying risks such as neglect, abuse, or suicidal ideation; develop interventions based on findings.
• Assess the psychosocial status of patients and caregivers in relation to the patient’s terminal illness.
• Provide counseling for stress, coping challenges, and other identified needs.
• Identify and educate staff on patient- and caregiver-specific cultural considerations, including communication preferences, family roles, space, and special traditions.
• Provide bereavement support to patients, caregivers, and hospice team members.

Required Qualifications 

• Master's degree in Social Work from an accredited college or university 

• Current state licensing in social work 

• Current and valid driver’s license 

• Reliable transportation and valid automobile insurance coverage 

• Minimum of one year experience in healthcare 

• Medical Social Work skills are as defined by accepted MSW standards 

• Understands the hospice philosophy, and issues of death/dying 

• Experience and or education in grief or loss counseling 

• Demonstrates ability to assess and respond to the needs of patient’s families and caregivers in varied settings and to function effectively in the home or nursing facility environment 

• Demonstrates skill in Social Work practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 

• Ability to handle multiple priorities, documentation requirements, and deadlines 

Desired Qualifications 

• Hospice experience is preferred 

• Familiarity with Home Care Home Base (HCHB) 

Location 

• Office: 770 Kenmoor Ave, Suite 100, Grand Rapids, MI 49546

• Service Area: Muskegon and Grand Haven areas, with occasional coverage in Grand Rapids

Hours 

• Regular Hours: 8:00 AM – 5:00 PM, Monday through Friday 

• Weekend Rotation: Required on rotating basis 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Bring your nursing expertise to one of healthcare's most meaningful specialties. As a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's final chapter, helping ensure comfort, dignity, and quality of life.  This role is perfect for a registered nurse who wants to practice the full scope of nursing while building deep, meaningful relationships with patients and families. You'll have the autonomy to coordinate comprehensive care for your caseload while working collaboratively with our interdisciplinary team to address the physical, emotional, and spiritual needs of those in your care.

What You'll Do

Provide Expert Hospice Nursing Care

• Conduct initial evaluations and ongoing assessments of patients' nursing needs
• Deliver skilled nursing services requiring specialized expertise
• Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)
• Manage complex symptoms and provide comfort-focused interventions
• Safely and effectively use durable medical equipment and medical devices

Coordinate Comprehensive Care

• Assume primary responsibility for your caseload, including assessment, planning, implementation, and evaluation
• Develop and maintain individualized plans of care in collaboration with physicians and the interdisciplinary team
• Coordinate services required for hospital discharges to home or facility settings
• Supervise and document home health aide and LPN care delivery
• Facilitate smooth transitions and ensure continuity of care across all settings

Collaborate with the Interdisciplinary Team

• Participate actively in IDG meetings, offering clinical insights and recommendations
• Attend and contribute to nursing facility care conferences
• Communicate regularly with physicians, facilities, team members, and the Hospice Medical Director
• Coordinate with social workers, chaplains, aides, and other team members to address holistic patient needs

Support Patients and Families

• Build rapport and communicate effectively with patients, families, and caregivers
• Assess home safety, environment appropriateness, and support system capacity
• Provide education about symptom management, medications, and end-of-life care
• Offer appropriate support at time of death and conduct bereavement assessments when requested
• Respond with sensitivity to family emotional stress and respect diverse lifestyles

Maintain Excellence in Documentation and Compliance

• Complete all documentation within 24 hours of visits
• Document medication regimens and update profiles according to procedures
• Ensure clinical notes reflect ongoing communication and care coordination
• Maintain compliance with Conditions of Participation and third-party payor requirements
• Identify and report potential payment or coverage issues promptly

What We're Looking For

Required Qualifications

• Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing
• Current State License as a Registered Nurse
• Minimum 1 year of nursing experience in a clinical care setting
• Reliable transportation with valid automobile insurance
• Willingness to travel extensively within service area daily

Preferred Qualifications

• Bachelor of Science in Nursing (BSN)
• Experience in hospice or home health environment

Essential Skills and Competencies

• Advanced nursing assessment and clinical judgment skills
• Proficiency in phlebotomy with proper implementation of universal precautions
• Ability to assess patients in varied home and facility environments
• Strong time management skills with ability to handle multiple priorities and deadlines
• Excellent communication and rapport-building abilities
• Cultural sensitivity and respect for diverse lifestyles and belief systems
• Ability to cope with family emotional stress and end-of-life situations
• Self-directed with strong organizational skills
• Knowledge of hospice philosophy and palliative care principles

What Makes You Successful

You're a skilled nurse who sees hospice care as a calling, not just a job. You understand that end-of-life care is about more than managing symptoms—it's about honoring each patient's wishes, supporting families through grief, and ensuring dignity during life's most vulnerable moments.  You're comfortable with the autonomy of managing your own caseload while knowing when to collaborate with your interdisciplinary team. You can handle the emotional intensity of hospice work while maintaining professional boundaries and your own emotional wellbeing.  You're adaptable and resilient, able to work effectively in diverse home and facility environments. You bring calm, compassion, and clinical expertise to every patient interaction, recognizing that your presence can provide immeasurable comfort to patients and families during their most difficult times.

Why Join Us?

Hospice nursing offers unparalleled professional fulfillment. You'll have time to truly know your patients and families, practicing nursing the way you always envisioned - with autonomy, comprehensive care coordination, and meaningful relationships.  We provide comprehensive orientation, ongoing clinical support, and opportunities for professional development in palliative care. You'll work with a collaborative interdisciplinary team that values your expertise and supports you in providing the highest quality end-of-life care.

Work Environment and Schedule

This position requires extensive daily travel to patient homes, assisted living facilities, and nursing homes within your service area. You'll work independently in varied environments and must be comfortable adapting to different settings and situations.  The role has a high degree of schedule variability due to patient needs, admissions, and end-of-life situations. Flexibility and availability (including potential on-call duties) are essential. Physical demands include standing, walking, bending, and lifting up to 50 lbs with assistance.

Ready to Make a Profound Impact?

If you're a registered nurse ready to provide compassionate, expert care during life's most meaningful moments, we'd love to hear from you.

Location 

• Office Location: 770 Kenmoor Ave, Suite 100, Grand Rapids, MI 49546
• Main Service Area:  Kentwood/Southeast Grand Rapids

Hours 

• 8:00 am – 5:00 pm, Monday through Friday 
• Weekend Rotation 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

About the Role

Optimal Care Hospice Registered Nurses (RNs) are skilled professionals who provide comprehensive nursing care, case management, and compassionate support to terminally ill patients and their families in home or facility settings. As a Hospice RN, you will assess, plan, coordinate, implement, and evaluate individualized patient care plans.

Working closely with the Hospice Medical Director, you will lead an Interdisciplinary Team—which may include Hospice Aides, Medical Social Workers, Chaplains, LPNs, Music or Massage Therapists, and Volunteers—to ensure patients receive holistic, high-quality care.

What You’ll Do

• Conduct initial patient evaluations and ongoing reassessments to meet nursing care needs.
• Manage your caseload, including assessment, planning, coordination, implementation, and evaluation of patient care plans.
• Perform hospice-specific assessments, including:
• Home safety evaluations
• Appropriateness of the home environment for care delivery
• Availability and capacity of support systems and community resources
• Provide compassionate support to patients and families, including at the time of death. Conduct bereavement assessments as requested.
• Maintain positive and professional communication with physicians, patients, families, facilities, visitors, and other team members.

Required Qualifications 

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing 
• Current State License as a Registered Nurse 
• Minimum 1 year of experience as a nurse in a clinical care setting 
• Nursing skills as defined by accepted nursing standards 
• Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment 
• Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 
• Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines. 
• Reliable transportation and valid automobile insurance coverage  

Desired Qualifications 

• BSN preferred 
• Hospice or home health experience preferred 

Location 

• Office: Bingham Farms, MI
• Service Area:  Oakland County

Schedule

• Regular Hours: 8:00 AM–5:00 PM, Monday through Friday 
• Weekend Rotation: One weekend every fifth weekend, covering any PRN assignments in a different area. 
• Holiday Rotation: Two holidays per year—one in winter and one in summer—from 8:00 AM to 5:00 PM

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.

 

Key Responsibilities 

Optimal Care Hospice Medical Social Workers are trained professional Social Workers who assist patients and families living with terminal illnesses. The Medical Social Worker coordinates care to enhance the patient’s quality of life by handling the day-to-day details of the client’s medical care, establishing, implementing, and evaluating goals, and counseling the patient and their family/caregiver as they journey through the end stage of life. 

In this role you will be responsible for: 

• Completing the patient’s initial evaluation within 5 days of hospice admission and re-evaluating the patient's social work needs during each subsequent visit 
• Assisting patients and caregivers in planning for funeral arrangements, financial, legal, and health care decisions 
• Educating and assisting patients and caregivers in the preparation of advanced directives 
• Providing information to patients and caregivers regarding community agencies and referral services 
• Carrying out social evaluations, including family dynamics, caregiver abilities, communication patterns, high risks for suicide, neglect, or abuse, and planning intervention based on evaluation findings 
• Assessing the psychosocial status of patients and caregivers related to the patient’s terminal illness 
• Counseling patients and caregivers as needed concerning stress, and other identified coping difficulties 
• Assessing for and educating staff on any special needs related to the culture of patients and their caregivers. This includes communication, the role of family, space, and any special traditions 
• Providing bereavement support to patients, caregivers, and hospice personnel 

Required Qualifications 

• Master's degree in Social Work from an accredited college or university 
• Current state licensing in social work 
• Current and valid driver’s license 
• Reliable transportation and valid automobile insurance coverage 
• Minimum of one year experience in healthcare 
• Medical Social Work skills are as defined by accepted MSW standards 
• Understands the hospice philosophy, and issues of death/dying 
• Experience and or education in grief or loss counseling 
• Demonstrates ability to assess and respond to the needs of patient’s families and caregivers in varied settings and to function effectively in the home or nursing facility environment 
• Demonstrates skill in Social Work practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles 
• Ability to handle multiple priorities, documentation requirements, and deadlines 

Desired Qualifications 

• Hospice experience preferred 
• Familiarity with Home Care Home Base (HCHB) preferred

Location 

• Office Location:  Carmel, MI
• Main Service Area: Marion, Hamilton, Madison, Hancock, Shelby, Johnson, Morgan, Henricks, Boone, and Clinton

Hours 

• Per Diem
• Hours flexible based on your schedule 

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

 

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

 

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.