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.

 

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 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.