Overview We are seeking a compassionate and experienced Registered Nurse (RN) to join our Advanced Illness Management (AIM) Palliative Care Team . This is a field-based position that provides in-person and telephonic care coordination, education, and assessments to patients with serious or life-limiting illnesses.
The AIM Palliative RN will collaborate with an interdisciplinary team including Nurse Practitioners, Social Workers, and Primary Care Providers. This role ensures high-quality, patient-centered care and supports comfort, dignity, and quality of life for patients in private homes, assisted living communities, and skilled nursing facilities.
Key Responsibilities Conduct in-home and telephonic nursing assessments and screenings for palliative care patients
Complete risk stratification assessments and determine frequency of visits based on patient needs
Deliver patient and family education on disease progression, medications, nutrition, and end-of-life care
Collaborate with NPs and PCPs to identify changes in patient condition and escalate care appropriately
Coordinate care transitions and facilitate hospice referrals when needed
Accurately document clinical findings, assessments, care plans, and education in the Electronic Medical Record (EMR)
Support the development and regular updates of individualized Palliative Care Plans
Communicate lab results, order DME, and manage prescriptions in accordance with state RN scope of practice
Participate in rotating on-call coverage for evenings and weekends
Foster strong communication and collaboration across the care team, including social work and case management
Ensure adherence to all HIPAA, compliance, ethical, and professional standards
About You Required Qualifications Active and unrestricted Registered Nurse (RN) license with no board actions
Minimum 2 years of clinical RN experience, preferably in skilled nursing, home health, palliative care, hospice, geriatrics, or oncology
Demonstrated ability to provide quality care in high-empathy environments
Proficiency in Microsoft Outlook, Word, Excel, and electronic medical records
Exceptional communication, time management, and critical thinking skills
Keen observation skills with the ability to identify changes in condition and escalate appropriately
Comfortable working independently in the field and within interdisciplinary care models
Valid driver’s license and reliable transportation (field-based role)
Preferred Experience Previous experience in palliative care, hospice, or oncology nursing
Familiarity with risk stratification, symptom management, and home-based care planning
Experience working in or with assisted living and skilled nursing facilities
We Offer Benefits For All Associates (Full-Time, Part-Time & Per Diem) Competitive Pay
401(k) with Company Match
Career Advancement Opportunities
National & Local Recognition Programs
Teammate Assistance Fund
Additional Full-Time Benefits Medical, Dental, Vision Insurance
Mileage Reimbursement or Fleet Vehicle Program
Generous Paid Time Off + 7 Paid Holidays
Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
Free Continuing Education Units (CEUs)
Company-paid Life & Long-Term Disability Insurance
Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese This is a safety-sensitive position
Employee must meet minimum requirements to be eligible for benefits
Where applicable, employee must meet state specific requirements
We are proud to be an EEO employer
We maintain a drug-free workplace