Hospice RN 7 On/7 Off Schedule (Dallas and Surrounding Areas)

Are you a clinical leader who thrives in the quiet of the night? We are seeking an Extended Service Unit (ESU) Registered Nurse to join our after-hours clinical team. 

Coverage Areas: Dallas and Surrounding Areas

Scheduled Hours: Monday 12:01 am - 8:00 am & 4:00 pm - 8:00 am; Tuesday through Thursday 4:00 pm - 8:00 am; Friday 4:00 pm - 8:00 pm; Saturday 8:00 am - 8:00 pm; and Sunday 8:00 am - 11:59 pm.

In this role, you will be the primary lifeline for hospice patients and their families, providing expert triage, admissions, and nursing care when it matters most. If you are a decisive professional dedicated to maintaining the gold standard of care after normal business hours, we invite you to apply.

For nearly 100 years, the Visiting Nurse Association of Texas (VNA) has been a trusted pioneer in hospice care, helping our neighbors age with dignity and independence. Our mission-driven work spans 16 counties across North Texas—including Collin, Dallas, Denton, Kaufman, and Tarrant to rural communities in Fannin and Navarro—ensuring no one faces life's transitions alone. As a non-profit, we prioritize people over profits, treating every patient like family and maintaining a gold standard of clinical excellence. Beyond hospice, our community roots run deep through programs like Meals on Wheels.

Joining our team means more than a competitive salary and mileage reimbursement. We offer comprehensive medical, dental, and vision plans, along with employer-paid life and short and long-term disability insurance. To support your future, we offer a 401(k) with a 6% match and a fast, two-year vesting schedule. We also prioritize work-life harmony through generous PTO, eight total paid holidays, and opportunities for professional growth and tuition reimbursement—all within a supportive, mission-driven culture.

Job Summary

As an ESU RN, your primary mission is to administer high-quality nursing care after normal business hours for clients of all ages in their place of residence. You will triage patient needs, perform after-hours admissions, and coordinate closely with the interdisciplinary team to ensure seamless continuity of care.

Key Responsibilities

• After-Hours Care: Administer nursing care to hospice patients in their homes or facilities during evening, overnight, and weekend shifts.

• Triage & Admission: Determine visit priority through phone or in-person triage and perform admissions to hospice and palliative programs as needed.

• Clinical Assessment: Assess physical, psychosocial, and environmental needs to develop and implement individualized plans of care.

• Team Coordination: Communicate effectively with the IDT, physicians, and directors while providing clinical direction to Hospice Aides and LVNs.

• Standard Compliance: Apply infection control concepts and ensure all care meets the requirements of third-party payors and VNA policies.

Qualifications

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

• Licensure: Current Texas State license as a Registered Nurse and a current Texas Driver’s License.

• Experience: At least one (1) year of experience as an RN in a clinical care setting is required; hospice experience is preferred.
• Skills: Strong nursing skills based on accepted standards of practice and excellent interpersonal communication.
• Requirements: Valid Texas Driver’s License, reliable transportation, and current auto liability insurance.
  • Proof of current CPR certification.
  • Ability to pass a criminal background check.
  • Proof of TB testing and Hepatitis consent/declination.

Working Conditions

This position involves local travel to visit patients in their homes and facilities in various conditions. You must be comfortable with possible exposure to infectious diseases and unpleasant weather. The role requires prolonged standing, walking, the ability to lift up to 50 lbs, and the capacity to make quick, resourceful decisions under stressful conditions.

The Visiting Nurse Association of Texas is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other status protected by federal, state, or local law