Many nurses are drawn to the profession by a deep desire to care for others with compassion, presence, and purpose, additionally, nurses are drawn to hospice care because it is an honor to serve people during life’s most meaningful and vulnerable moments. At Iowa City Hospice, that personal mission is shared and strengthened by a team united around honoring dignity, comfort, and layers of support at end of life. Our nurses value relationships over rush, quality over quantity, and genuine human connection over task-based care. Because we are aligned in why we do this work, we support one another, collaborate closely, and foster an environment where nurses can practice with heart, expertise, and integrity.  We aren't just a job, our team is a place to belong.

Join our mission-driven healthcare team dedicated to compassionate exceptional end-of-life care to patients and their families. Iowa City Hospice is seeking a caring and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) who is passionate about delivering personalized, high-quality hospice care in a respectful and supportive environment. If you are committed to making a meaningful difference, we would love to hear from you.

As a Hospice RN or LPN, you will provide skilled nursing care to patients with life-limiting illnesses in their homes or care facilities. You will play a vital role in supporting patients’ comfort, dignity, and quality of life while guiding and educating families throughout the caregiving journey.

Key Responsibilities: 

• Deliver comprehensive, patient-centered nursing care to hospice patients in home and facility settings, honoring dignity, comfort, and individual goals of care
• Perform thorough clinical assessments, develop and implement individualized care plans, and adjust interventions in response to patient condition and disease progression
• Administer medications and manage complex symptoms to promote comfort, safety, and quality of life
• Serve as a patient and family advocate, supporting informed decision-making and honoring end-of-life wishes
• Educate and support patients and families regarding disease progression, caregiving techniques, symptom management, and available community and hospice resources
• Communicate clearly and effectively with physicians and interdisciplinary team members to coordinate holistic, high-quality care
• Provide emotional and psychosocial support to patients and families throughout the end-of-life journey
• Accurately document clinical findings, care activities, and outcomes in compliance with hospice regulations and organizational standards
• Practice at the top of your clinical scope with confidence, compassion, and professional autonomy
• Contribute to a collaborative, supportive, team-based care environment focused on continuous quality improvement and excellence in hospice care

What We Offer:

• Time and autonomy to deliver one-on-one, patient-centered care
• Supportive, mission-driven, and team-oriented culture
• Competitive salary and comprehensive benefits, including: 
  • Wellmark medical & dental
  • Avesis vision
  • Voluntary benefits (Short-Term Disability, Critical Illness, Accident)
  • Employer-paid life and disability insurance
  • Paid vacation (accrue 19 days per year)
  • Paid sick leave (accrue 12 days per year)
  • 403(b) retirement plan with company match
• Thorough orientation and ongoing professional development
• Free parking
• Company car or mileage reimbursement
• iPhone and iPad provided for work

Visit www.iowacityhospice.org to apply or contact Karen at 319-325-0319 for more information.

Iowa Care Community is deeply committed to diversity, equity, and inclusion. We prohibit discrimination based on race, color, religion, age, sex, national origin, disability, genetics, veteran status, or any other protected characteristic. We foster a supportive, inclusive work environment that values professional growth and compassionate care.

Join us and make a lasting impact through supporting patients and families with dignity, compassion, and excellence.

REQUIREMENTS / QUALIFICATIONS: 

• A graduate of an approved school of nursing ( LPN/RN/BSN/ARNP) with a current Iowa Nursing License. 
• Two years of home health or hospice or work related experience preferred. General medical knowledge related to home health and hospice services with end-of-life issues is desirable.
• Ability to work independently while contributing to a multidisciplinary care team.
• Car, driver's license and adequate insurance as outlined in the personnel policies is required.  
• Strong clinical assessment, critical thinking, and decision-making skills.
• Exceptional interpersonal communication during assessments, organizational skills, and an empathetic demeanor. 
• Ability to prioritize tasks, delegate responsibilities, and manage multiple priorities effectively. 
• Proficient computer skills, including electronic health records (EHR) and Microsoft Office applications. 
• Advanced Certifications in Hospice and Palliative Nurse certification is strongly desired by the 3rd year of employment.
• All offers of employment are conditioned upon the result of a criminal background check conducted by the Iowa Division of Criminal Investigation, as required by law and a negative finding on the Office of Inspector General’s Excluded Provider List.  

KNOWLEDGE/SKILLS: 

• Overall, the role requires strong interpersonal skills, negotiation abilities, and a deep understanding of healthcare operations, regulations and cultural differences.
• Demonstrates competence in professional decision-making skills within the parameters of the Nurse Practice Act, including the ability to make appropriate assessments, problem-solve, prioritize, complete Plans of Care and evaluate their effectiveness.  
• Demonstrates initiative in recognizing unmet needs and assuring a timely and appropriate response, skills and knowledge in providing education and treatment of acute and chronic symptom management.   
• Maintains confidentiality in all matters, including employee information, client information and agency matters.  
• Knowledge of computer operating systems, data sourcing, project management with outcomes analysis proficiency required.  
• Demonstrates organizational skills necessary to manage workload and productivity expectations while working independently and managing several projects simultaneously. 
• Exhibits professionalism in all workday interactions, follows through on commitments and maintains composure under stress. 
• Recognizing new referral opportunities and ensuring that the organization responds appropriately to them.

WORK ENVIRONMENT/EQUIPMENT: 

• Perform the duties in both inside and outside environmental conditions.  
• Visits are conducted in a variety of settings including family home, group home, LTC and assisted care facilities and requires employee to drive from location to location during the work period in good and inclement weather, within the service territory including city and small towns and rural areas.  
• Atmospheric conditions – fumes, odors, dust, poor ventilation, animal presence, and/or smoking.  
• The ambient noise level in this environment can flex, is generally low.  
• Duties include frequent use of electronic devices: iPad, I Phone, desktop computer, copier and occasionally other office machinery.  
• The driving requirements include in-town and highway driving in good and inclement weather. 
• All professional staff will use PC and iPad to document work in client home and/or hospital settings.

PHYSICAL/COGNITIVE DEMANDS: 

• Gross Motor Skills: Sit for long periods in office car or patient home settings, maintain balance in multiple positions, reach above shoulders / head, reach below waist, reach/extend arms in front, sustain repetitive motions (CPR), and physical demands of climbing up/down stairs, walking, kneeling, standing, twisting, squatting, stooping, pushing/pulling 35+ lbs, grasping, lifting 35 lbs+.
• Fine Motor Skills: Use of hands to operate motor vehicle, provide physical cares for patients, pinch/squeeze fingers together, type, grasp small objects, twist at wrist.    
• Visual & Hearing Acuity: includes up close, distance and peripheral vision with ability to adjust focus to inspect patient, operate a motor vehicle, view electronic devices (I-phone, I-Pad, computer terminal) and read data; with or without corrective aids. Able to hear normal speaking levels, faint voices, faint body sounds with or without corrective aids. Able to speak. 
• Cognitive Ability: focused attention on task at hand, to solve practical problems with a variety of variables and limited standardization, interpret instructions, document visits and effectively communicate with team and patient(s). Able to manage information, build report with patients & families, collaborate with healthcare team; respect and value cultural differences, provide emotional support to patients & families, cope with strong emotions in others, maintains appropriate personal boundaries, appropriately responds to the unexpected.