Hospice On-call Licensed Vocational Nurse (LVN)

Schedule: Weekends + after-hours on-call

Compensation: Starting compensation range $35.00 - $45.00 hourly Exact compensation will be based on job-related factors including experience, education, licensure, certifications, and location, in accordance with applicable laws.

On-call: This position participates in the organization's on-call program. Employees scheduled for on-call coverage are eligible for on-call compensation and any applicable compensation for time worked while responding to patient care needs, in accordance with company policy and applicable law.

Benefits:

• Comprehensive medical, dental, and vision insurance package (full-time)
• 401(k) retirement plan
• Assistance with licensure renewal
• Generous PTO policy
• The opportunity to build from the ground up and put your stamp on a growth-stage organization!

Position Overview

The Licensed Vocational Nurse (LVN) is an essential member of the interdisciplinary care team, delivering skilled, compassionate nursing care to patients and families navigating life-limiting illness. Working under the supervision of a Registered Nurse (RN) and in close collaboration with the full interdisciplinary team (IDT), the LVN provides direct patient care across care settings — including private homes, skilled nursing facilities (SNFs), assisted living facilities (ALFs), and residential care settings.

This role sits at the intersection of clinical excellence, patient and family experience, and mission-driven care. The LVN is accountable for skilled nursing visits, timely and accurate documentation, effective symptom management, and meaningful family support — all while serving as a trusted representative of the organization’s values at every bedside.

This role requires strong clinical judgment, emotional intelligence, and the ability to work independently in a field-based environment. LVNs are expected to operate with accountability, urgency, and a deep sense of ownership over the quality and consistency of care they deliver.

Key Responsibilities

Clinical Care & Patient Support

• Perform skilled nursing visits per the patient’s Plan of Care (POC), including wound care, catheter care, medication administration, and pain and symptom monitoring
• Conduct thorough patient assessments at each visit and report changes in condition to the supervising RN or attending physician in a timely manner
• Administer medications, treatments, and nursing interventions as ordered and within LVN scope of practice per California BRN guidelines
• Monitor and document vital signs, pain levels, comfort measures, and overall patient status with accuracy and consistency
• Ensure patients have access to comfort kit medications and that families are educated on their proper use
• Provide personal care instruction and hands-on education to family members and caregivers, reducing burden and promoting confidence in the home

Patient & Family Education / Experience

• Serve as a compassionate, clear, and culturally sensitive communicator during emotionally complex conversations at the bedside
• Educate patients and families on hospice philosophy, disease progression, comfort care goals, and what to expect through the end of life
• Address patient and family concerns and barriers to care with empathy and professionalism, escalating to the RN or social worker as appropriate
• Recognize signs of caregiver or family distress and ensure connection to the appropriate IDT support services
• Provide immediate emotional presence and bereavement support to families at the time of passing

Interdisciplinary Team (IDT) Collaboration

• Participate actively in IDG/IDT meetings, contributing timely and relevant clinical observations on assigned patients
• Collaborate with RNs, social workers, chaplains, aides, and physicians to ensure holistic, coordinated care aligned with patient goals
• Communicate proactively with the supervising RN regarding changes in patient condition, urgent family concerns, or care plan adjustments
• Support care transitions between levels of care — RHC, CHC, GIP, and Respite — as directed by the clinical team

Documentation, Compliance & Quality

• Complete accurate and timely clinical documentation in the EMR per agency policy and CMS hospice Conditions of Participation (CoPs)
• Ensure all visit notes, medication administration records, and care coordination entries are completed on the day of service
• Adhere to Medicare and Medi-Cal hospice benefit guidelines, maintaining full compliance with applicable state and federal regulations
• Maintain patient confidentiality in accordance with HIPAA at all times
• Participate in audits, chart reviews, and quality improvement initiatives as requested

On-Call & Urgent Response

• Participate in rotating on-call schedule, responding to urgent patient and family needs during evenings, weekends, and holidays
• Conduct urgent and after-hours visits as needed to manage acute symptoms, provide family support, or carry out pronouncement per agency protocol
• Document all urgent visits and communicate clinical changes to the supervising RN promptly and thoroughly

Perform other job-related duties as assigned.

Performance Outcomes & Key Metrics

Clinical Quality & Compliance (40%)

• Accurate and consistent skilled nursing visits completed per patient Plan of Care
• Timely documentation with zero material deficiencies; chart audit compliance = 99%
• Appropriate and proactive escalation of patient changes to the supervising RN

Patient, Family & Partner Experience (30%)

• High patient and family satisfaction reflected in feedback and survey scores
• Positive feedback from IDT members, facility staff, and referral partners
• Demonstrated professionalism, empathy, and responsiveness at every interaction

Operational Accountability (20%)

• Consistent on-time visit completion and same-day documentation
• Reliable participation in on-call rotation with appropriate coverage and follow-through
• Effective coordination and handoff with the IDT following complex visits or patient changes

Culture & Team Contribution (10%)

• Consistent demonstration of accountability, urgency, and emotional intelligence
• Active collaboration with RNs, aides, social workers, and operations staff
• Participation in training, skills development, and continuous improvement initiatives