Companies Optimal Care Hospice After Hours Registered Nurse - 7 On / 7 Off

About the role

Optimal Care · Onsite

Optimal Care is where your dedication meets a rewarding career. 

Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We’re committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day.

As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day.

We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life.

We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.

Location 

  • Main Service Area:  
    • Genesee
    • Livingston
    • Macomb / Oakland
    • Wayne
    • Lapeer
      ~This position requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes

  • Office Location: Bingham Farms, MI

Hours 

  • Only 26 weeks per year, on call for 7 nights, then off work for the next 7 nights
  • Every other Monday to Sunday, 5 p.m. to 8 a.m.
  • Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2-4 weeks


About the Role

Provide compassionate, skilled hospice care while enjoying a truly predictable schedule that supports your life outside of work. As a Hospice After Hours Registered Nurse, you'll deliver skilled nursing care and emotional support to patients and families during the overnight hours, responding to urgent needs in the moments they need it most while helping ensure comfort, dignity, and peace at end of life.

This role is ideal for an experienced RN who thrives in autonomous practice and is confident making critical clinical decisions in real time. You'll work a consistent 7-on / 7-off night rotation (5pm–8am), giving you half the year off while still earning a full-time salary. With no additional on-call requirements and all shifts beginning and ending from home, you'll have a highly structured schedule that allows you to fully disconnect during your time off and plan your life with confidence.

During your working nights, you'll assess and manage urgent symptoms, provide skilled nursing interventions, and support families through crisis moments with clinical expertise and compassion. Working independently while coordinating closely with physicians and the hospice team, you'll ensure continuity of care throughout the night and serve as a steady, reassuring presence during some of life's most vulnerable hours.

Location 

  • Office Location: 
  • Main Service Area:  
    • This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes

Hours 

  • Only 26 weeks per year, on call for 7 nights, then off for the next 7 nights
  • Every other Monday to Sunday, 5 p.m. to 8 a.m.
  • Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2-4 weeks

Required Qualification

  • Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
  • Current State License as a Registered Nurse
  • Minimum 1 year experience as a nurse in a clinical care setting
  • Reliable transportation, valid driver’s license, and valid automobile insurance coverage
  • Ability to work evenings, nights, weekends, and holidays

Preferred Qualifications

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

Essential Skills and Competencies

  • Demonstrates clinical nursing competencies in accordance with accepted standards of practice
  • Able to assess and respond appropriately to the physical, emotional, and psychosocial needs of patients, families, and caregivers in a variety of care settings, including homes and facilities
  • Exhibits strong interpersonal communication skills, emotional resilience, and the ability to support patients and families facing end-of-life issues
  • Capable of managing multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently

How We Care for You

  • Minimum of 3 Weeks Paid Time Off (PTO)
  • Medical, Dental, and Vision Insurance
  • HSA and FSA options including Dependent Care
  • Company paid Short Term Disability
  • Company paid Life Insurance
  • 401(k) with Employer Match
  • Mileage Reimbursement 
  • Company Vehicle Program for field roles
  • Pet Insurance
  • ID and Fraud Protection
  • And more...

Background Screening

Employment is contingent upon the successful completion of a background check. 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 offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation.

Equal Opportunity Employer

We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

 

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