Registered Nurse - Hospice Community - Per Diem

At Granite VNA, New Hampshire's largest home health and hospice provider, we believe in helping patients and their families navigate end‑of‑life care with dignity, comfort and grace. The care we provide is personal and meaningful. Join our mission‑driven team and deliver high‑quality nursing care in the heart of New Hampshire.

• A supportive leadership team who leads with compassion and integrity
• Autonomy and purpose
• Collaboration with a team full of dedicated, knowledgeable and supportive professionals
• Competitive pay, mileage reimbursement and generous benefits
• Ongoing professional development and opportunities for career growth
• At Granite VNA, we care for our team the same way we care for our patients—by creating a safe, respectful, and supportive environment. That’s why we offer AVADE Training for our field team members and Armed Intruder Training for team members in other roles.
• Clothing stipend for Granite VNA–embroidered apparel so you can proudly represent our organization in the community.
• We invest in tools that let you do what you do best. Our clinicians have access to secure AI technology that helps cut documentation time, giving you more space to focus on connection, compassion, and delivering exceptional patient care
• Oh, and did we mention lakeside sunsets and fresh air?

Reporting to the Director of Hospice, the Hospice Community Registered Nurse delivers age‑appropriate care to the patient in the home and/or facility setting utilizing standard nursing best practice: assessment, planning, intervention, implementation and evaluation within scope of practice defined by the NH Board of Nursing. RNs will effectively interact with patients, care givers and other healthcare team members while maintaining all standards of professional nursing.

RNs will supervise Licensed Practical Nurses and Licensed Nursing Assistants assigned to patients.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Explain Hospice program philosophy (e.g. services, limitations, bereavement).
• Develop and implement appropriate plan of care (POC) that complies with referral source orders, specific treatment measures, frequency/expected duration and discharge goals in partnership with the patient, healthcare provider, patient representative (if any) and/or caregiver(s) based on thorough assessment incorporating all aspects of patient limitations and goals, and potential discharge environment.
• Document accurate and ongoing assessment/reassessment, treatment and discharge of the patient: nursing interventions, patient response to care provided, patient/caregiver teaching, and the understanding of these instructions in accordance with agency guidelines.
• Engage the patient/caregiver/family in meaningful education as indicated per care plan.
• Communicate with all physicians involved in the POC and other health practitioners, Hospice team members and hospice volunteers, related to the current POC.
• Demonstrate responsibility to effectively coordinate the patient’s POC with members of the Interdisciplinary Team and other health professionals through team/patient care conference. Updates patient’s goals as appropriate based on interdisciplinary team assessments and reassessments.
• Participate in interdisciplinary team, agency projects, committees, QAPI program and/or other activities upon request and approval from direct supervisor.
• Attend Agency In‑service programs.
• Safely operate a personal vehicle while traveling throughout Granite VNA service area to provide patient visits and/or attend meetings.

• Supervise Licensed Practical Nurses and Licensed Nursing Assistants assigned to patients according to federal and state regulations.
• Coach, mentor and precept new nursing team members and students.
• Perform job duties in a safe manner to prevent injury to yourself and others.

Expected Hours of Work:
This is a Per Diem position. The team member will be scheduled to work based on program and Agency needs. Work assignments include holiday, weekend and/or on‑call rotation.