TOUCHSTONE HEALTH·San Antonio, Texas
The RN is responsible for conducting patient assessments and developing individualized hospice care plans while providing skilled nursing services for pain and symptom management. They coordinate with an interdisciplinary group and supervise LPNs and HHAs to ensure high-quality end-of-life care.
At Touchstone Hospice, you join a team shaped by five generations of care — a place where dignity, clarity, and compassion are not only expected, but lived. As a Hospice Registered Nurse, you help bring out the courage in others by guiding patients and families through some of life’s most sacred moments. Drawing from the core purpose outlined in the job description — delivering patient-centered hospice care that preserves comfort and dignity — this role gives you meaningful clinical autonomy, steady interdisciplinary support, and the chance to make a lasting impact every single day.
Key Responsibilities Complete initial and ongoing assessments and develop individualized hospice plans of care in accordance with physician orders and regulatory timelines.
Provide skilled nursing services including pain and symptom management, crisis intervention, and urgent patient/caregiver support.
Document clinical care accurately and timely to ensure compliance with Medicare/Medicaid Hospice Conditions of Participation.
Coordinate closely with the interdisciplinary group (IDG), participate in care conferences, and ensure patients and families remain informed, supported, and empowered.
Supervise and support LPNs and HHAs through required supervisory visits and delegated task accountability.
Provide education to patients and families on the hospice philosophy, end-of-life care, symptom management, safety, and patient rights.
What We’re Looking For Current RN license (unencumbered) in the state of practice; CPR certification required. Two years of nursing experience preferred; hospice experience strongly preferred due to role autonomy and on-call expectations. Strong clinical judgment with the ability to provide compassionate end-of-life care across homes and facilities. Emotionally steady, empathetic, patient-centered, and able to remain calm under pressure. Excellent communication, follow-through, and the ability to support families in crisis. Adaptability, integrity, and comfort working independently while staying connected to a highly supportive team. Valid driver’s license, auto insurance, and reliable transportation for home visits. Why Join Us This work is meaningful — and so are the people you’ll do it with. Touchstone Hospice is grounded in CareM’s mission to bring out the courage in others, and you’ll feel that mission in the way we support our patients, our families, and each other. Here’s what we offer:
Mileage reimbursement Clear on-call rotation expectations Supportive interdisciplinary team (IDG) that collaborates with honesty, respect, and shared purpose Training and mentorship to help you grow into the role or advance your clinical skills Leadership and growth pathways within Touchstone Health and across CareM entities Comprehensive benefits package, including: Health, dental, and vision PTO and paid holidays Bereavement time 401(k) A culture built on trust, integrity, teaching, collaboration, transparency, innovation, and discipline — the CareM Values that guide every interaction. Who Thrives Here Nurses who flourish at Touchstone Hospice are: Patient-centered, always returning to what brings comfort, dignity, and clarity Calm and steady, even in emotionally intense or unpredictable moments Grounded in integrity, doing what’s right even when no one is watching Guided by compassion, curiosity, and the desire to make people feel seen and supported
Market context
In Texas, nursing roles like this often draw steady demand in dialysis and other patient-care settings because employers need licensed LVN/LPN candidates who can start safely and learn specialized workflows. These positions can be competitive when they require a current license, preferred dialysis experience, and completion of a training program soon after hire. Review the AI-summarized requirements and benefits here to save time, then confirm you meet the license, color-recognition, and training expectations before applying.