PRN RN (Registered Nurse) Hospice (23186)

Cantex Continuing Care Network · Addison, TX Full Time
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Job Description

Description Location: Dallas, TX Job Summary: The Hospice Registered Nurse (RN) is responsible for providing skilled nursing care to hospice patients in their place of residence and coordinating patient care with the Interdisciplinary Team (IDT), physicians, patients, and families. The RN performs comprehensive assessments, develops and manages hospice plans of care, and ensures quality patient care and regulatory compliance throughout the hospice care process. This role requires strong clinical assessment skills, care coordination experience, and the ability to work independently in a hospice field setting while collaborating with the interdisciplinary care team. Benefits: • Highly competitive compensation • Generous 401K with matching contributions • Continuing education reimbursement for professional growth • Ample vacation, sick leave, and holidays. • Over-productivity pay • Employee recognition program with financial rewards • Mileage reimbursement • Comprehensive medical, dental, and supplemental insurance Qualifications Qualifications: Registered Nurse (RN), licensed per state requirements Hospice experience preferred Home Care Home Base (HCHB) experience preferred Strong clinical assessment, communication, and documentation skills Experience working within an interdisciplinary healthcare team Knowledge of hospice regulations, documentation, and care planning preferred Reliable transportation, valid driver’s license, and current auto liability insurance Ability to read, write, and communicate effectively in English Essential Functions: Perform initial and ongoing comprehensive nursing assessments for hospice patients Develop, implement, and update individualized hospice plans of care to ensure quality and continuity of care Coordinate patient care with the Interdisciplinary Team (IDT), physicians, patients, and families Educate patients and families on disease process, medications, symptom management, and end-of-life care Determine scope and frequency of nursing services based on patient condition and care needs Supervise and provide clinical direction to Hospice Aides and LVN/LPN staff Maintain accurate and timely clinical documentation in the electronic medical record Communicate changes in patient condition to physicians and interdisciplinary team members Ensure compliance with Medicare hospice regulations, documentation standards, and agency policies Participate in case conferences, IDT meetings, and care coordination activities Monitor assigned cases to ensure compliance with third-party payer and hospice requirements Promote hospice philosophy and provide compassionate, patient-centered end-of-life care We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package. Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location. HCBSRN

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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