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  3. RN I - IPU Per Diem
HO

RN I - IPU Per Diem

Hospice of the East Bay·Alamo, California

$56 - $61/hr·Unknown·On Site·2-5 yrs·Posted 4 days ago
Practice for this role

About the role

The RN provides direct nursing care and coordinates assistance for terminally ill patients in an inpatient unit and home settings. They act as a Team Leader, supervising LVNs and aides while collaborating with an interdisciplinary team to manage holistic care.

Currently accepting internal candidates only.

Hospice East Bay (HEB) is a community-based program of home care for terminally ill patients. Care is given to patients and families by an interdisciplinary group. Bereavement care is provided to the family for one year after the death. Hospice services are given regardless of ability to pay, making the agency dependent on donations and insurance billing to meet operating expenses.

Position summary

Under the direction of the Hospice Physician or Nurse Practitioner and in conjunction with the interdisciplinary group, the main role of a Registered Nurse (RN) is providing direct nursing care and coordinating related assistance for patients and families in the setting of the Bruns House, an inpatient unit (IPU). The IPU RN functions as Team Leader of the IPU and assigns and coordinates care with Licensed Vocational Nurses (LVN), hospice aides, and administrative support team members.

The IPU RN Float reports primarily to the Director Bruns House and floats to the home program to perform outpatient admissions and revisits as assigned.

Essential functions

Hospice nursing services include

Assessing all aspects of the patient’s pain and developing an individualized pain management plan.

Anticipating, preventing and treating undesirable symptoms or secondary symptoms.

Identifying and addressing comfort care needs.

Supporting, instructing and educating the patient, family and caregiver.

Documenting problems, nursing assessments, appropriate goals, care provided, care interventions and patient and family outcomes achieved from intervention and care provided.

Coordinating all patient and family services and community resources as needed.

Maintaining the dignity, confidentiality and privacy of the dying patient.

Supporting the patient’s unique spiritual and cultural beliefs.

Providing holistic, family-centered care across treatment settings to improve the quality of life.

Consulting and collaborating with the interdisciplinary team and others involved in the patient’s care.

Coordinating and managing patient care with awareness of insurance benefits, necessary authorizations and cost containment.

Attending and presenting appropriate patient-related information at the Interdisciplinary Team Meetings that focuses on open care plan problems.

Updating the comprehensive assessment and patient’s progress towards desired outcomes daily.

Reassesses patient’s response to care.

Completing patient-related documentation within an 8-hour shift.

Adhering to and complies with state and federal regulations, as well as accreditation standards.

Providing patient and primary caregiver education/training, as appropriate, for care and services identified in the plan of car

Admissions for home patients

Determine eligibility for hospice services based on clinical criteria and LCD guidelines.

Explain hospice philosophy, services, and benefits to patients and families.

Complete all required admission paperwork accurately and efficiently.

Obtain necessary consents and authorizations.

Coordinate with physicians, referral sources, and other healthcare providers to facilitate the admission process.

Ensure the care plan addresses the patient's and family’s goals, preferences, and needs.

Other Case Management responsibilities

  • Communicating with Director Bruns House or IDT Clinical Manager as appropriate regarding patient acuity, scheduling, workload, and difficult situations.
  • Completing necessary records, reports and documentation in a timely manner according to agency requirements.
  • Following the agency’s process for effective “hand off” communication.
  • Participating in educating new staff members as assigned.
  • Supervising performance of Home Health Aide and LVN.
  • Overseeing Volunteers in the IPU.
  • Attending appropriate meetings and in-services held for Hospice of the East Bay staff.
  • Participating, as requested, in QAPI activities.
  • Initiating and ongoing monitoring of medication reconciliation processes according to Medicare and accreditation standards.score
  • Respond to email and voice mail communications in a timely manner

Position requirements

Demonstrates the skills, knowledge and abilities necessary to be successful in the job as outlined in the position requirements.

  • Must have the ability to perform a complete nursing physical assessment, develop a comprehensive care plan and respond to the needs of patients and families in the Bruns House and outpatient setting (home, Skilled Nursing Facility, Residential Care Facility for the Elderly).
  • Must be able to cope with patient/family emotional stress and be tolerant of individual lifestyles without judgment.
  • Must have ability to establish professional boundaries and maintain cooperative relationships with professionals.
  • Must demonstrate excellent interpersonal communication skills, customer service skills, initiative, dependability and good judgment.
  • Must be able to work collaboratively as part of an interdisciplinary team, as well as independently, and problem solve in a crisis situation.
  • Must take (and pass with 85% or more) a medication calculation competency exam annually.
  • Demonstrates clinical competency as observed during supervisory visit.

Experience and education

  • Current California Registered Nurse License required.
  • A minimum of one year of experience working as a professional nurse in an acute clinical setting required.
  • CPR certification required.
  • Must have current California Driver’s License and a car in good working condition.
  • Prior experience in hospice and/or home care preferred.
  • Hospice and Palliative Care Nurse Certification highly desirable.
  • IV knowledge and expertise desirable

Benefits

  • Mileage Reimbursement at the current IRS rate (when working in the home program)
  • 10% per diem differential every time you work
  • 403(b) Retirement Account with a generous company match
  • Employee Discounts
  • Employee Assistance Program
  • Work with passionate team members that have the same commitment to our organization as you.

Variable Shifts, days, PM's, nights Must provide 6 shifts per month minimum; including 2 weekend days

Posting details

Employment type
Unknown
Work arrangement
On Site
Experience
2-5 yrs
Salary
$56 - $61/hr
Location
Alamo, California
Posted
Jul 23, 2026
Application
Employer website
HO

Hiring organization

Hospice of the East Bay

Hospice East Bay has provided compassionate end-of-life services to Contra Costa residents for 35 years, while offering emotional, spiritual, logistical and bereavement support for their families and caregivers. Our acclaimed in-patient facility, Bruns House, offers privacy and...

Salary listed on 2 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size201-500 employees
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Market context

California nursing roles remain highly competitive

California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.

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