Registered Nurse (RN) Hospice Home Care Weekends
Work Arrangement: On-Site
Requisition Number: 272361
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOMECARE AND HOSPICE
Date: Sep 5, 2026
At Duke Health, we're driven by a commitment to compassionate care that
changes the lives of patients, their loved ones, and the greater community. No
matter where your talents lie, join us and discover how we can advance health
together.
About Duke HomeCare & Hospice
Pursue your passion for caring with Duke HomeCare & Hospice, which offers
hospice, home health, and infusion services across the region, as well as
serves as the home forthe Duke Caregiver Support Program. Team members work
closely with a patient's physician to provide comprehensive, individualized
care in the comfort of their home or at our inpatient hospice facility in
Durham, NC.
Our team is active in delivering exemplary care for each patient to ensure
an excellent patient experience, every time. As a nurse with Hospice Home and
Partners at Duke you will get to live out Duke's mission of caring for our
patients, their loved ones, and each other in a very precious way. While
working with our Hospice department, you will have the opportunity to truly
care for people at their most vulnerable state of being as well as help them
and their loved ones learn to let go in peace and comfort.
Experienced Hospice Nurse needed for this current position.
Shifts/Hours: (3) 12 hour day shifts either F, S, S or S, S, M
Duke HomeCare and Hospice differs from other home health companies in many
amazing ways. Please see a list of some of those reasons below:
Manageable caseloads and territories
Commitment to safety for both patients and employees
Mileage reimbursement rate equal to the current federal rate
Extensive orientation of 16+ weeks based on individual needs
JOB SUMMARY:
Performs professional nursing care for patients in a primary care setting
(the home or alternate-site setting) according to nursing practices, agency
policies and regulations. Provide nursing services to patients and families in
accordance with the scope of the RN as defined by the North Carolina Board of
Nursing.
MAJOR JOB RESPONSIBILITIES:
Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.
Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
Develop and implement an effective discharge plan for patients to begin at the initiation of services.
Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
Complete documentation accurately, timely, concisely.
Medication reconciliation and education to prevent adverse events and readmission to hospital
Observe patient's reactions to medications and reports significant incidents to the physicians.
Communicate regularly with team members, caregivers, and physicians.
Follow infection control standard precautions and uses personal protective equipment as required.
Delegate and supervise care given by NCA's/LPN's.
Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs.
Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Implement agency policy, procedures and objectives.
Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
Maintain confidentiality of employee and patient information.
Exhibit an attitude which promotes harmony and goodwill in the workplace.
Display a clean, neat, professional appearance.
Participate in Performance Improvement Program.
Promote quality, comprehensive services through a team approach.
Perform other duties as assigned.
WORK ENVIRONMENT AND REQUIREMENTS:
Perform Patient care primarily in the patient's residence or skilled nursing
facility (>50%)
Travel to and from patient residence
Education and Formal Training
Associate Degree or Diploma, Nursing required
Registered Nurses are not required but encouraged to enroll in a DUHS
approved BSN program after completing two years of service of their start
date.
Licensures, Certifications
Must have a current North Carolina RN Licensure or compact RN licensure in
participating state
BLS Certification, may be recertified during orientation
Valid driver's license and current automobile insurance coverage is
required
Professional Work Experience & Requirements
One to Two years of med-surgical, critical care or home
health/hospice/infusion
Valid driver's license and current automobile insurance coverage
Prior experience in Home Health, Hospice or Infusion preferred
Prior OASIS and PDGM experience preferred for home health
Knowledge, Skills & Abilities
Working knowledge of Medicare and Medicaid regulations, including JCAHO
and DFS standards, ICD-9 Coding.
Knowledge of scope of the registered nurse, licensed practical nurse and
NCA
Knowledge of and appropriate application of the nursing process
Ability to assess nursing needs of acute and chronically ill patients and
their families
Ability to independently seek out resources and work collaboratively
Ability to establish and maintain effective working relationships
Ability to communicate clearly with patients, families, visitors,
healthcare team, physicians, administrators, leadership and others
Ability to teach patients and families in accordance with the nursing plan
of care
Ability to use sensory and cognitive functions to process and prioritize
information, treatment, and follow-up
Ability to use fine motor skills
Ability to record activities, document assessments, plan of care,
interventions, evaluation and re-evaluation of patient status
Ability to use computer and learn new software programs and technology
Able to document and communicate pertinent information using computer
and/or paper documentation tools
Knowledge in wound identification and treatments, infusion and other
advanced nursing skills
Critical thinking skills and organization skills
Working knowledge of infection control procedures and safety precautions
Strong computer skills including MS Outlook, Word, Excel, preferred
Excellent rapport, understanding, and communication with the patients and
their family members
Ability to work autonomously and independently in varying environments.
Able to withstand driving long distances, stooping, bending, lifting 20
plus pounds, and climb stairs
Duke is an Equal Opportunity Employer committed to providing employment
opportunity without regard to an individual's age, color, disability, gender,
gender expression, gender identity, genetic information, national origin,
race, religion, sex (including pregnancy and pregnancy related conditions),
sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation,
creativity, and belonging. Our collective success depends on the robust
exchange of ideas—an exchange that is best when the rich diversity of our
perspectives, backgrounds, and experiences flourishes. To achieve this
exchange, it is essential that all members of the community feel secure and
welcome, that the contributions of all individuals are respected, and that all
voices are heard. All members of our community have a responsibility to uphold
these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include
essential job functions that require specific physical and/or mental
abilities. Additional information and provision for requests for reasonable
accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
