Make a Difference When Patients Need It Most

Kline Galland Hospice is seeking an experienced Registered Nurse- Triage and offering a $10,000 Sign on Bonus to serve as our primary overnight clinical triage resource. In this role, you will serve as the primary overnight clinical contact for hospice patients, caregivers, and facilities. The RN independently evaluates urgent symptoms, coordinates interventions and field visits, maintains continuity through the night, and prepares the daytime team for priority follow-up. Daily completion of assigned clinical audits and creation or updating of hospice plans of care. Patient calls, urgent follow-up, orders, visits, and required clinical documentation remain the first priority.

This position is ideal for an RN who excels in independent clinical decision-making, prioritization, and end-of-life care.

This position is based at our South Seattle (Georgetown) office.

Schedule:

• 0.75 FTE

• Overnight Shift: 12:30 AM - 8:30 AM

• Rotation: 7 Days On / 7 Days Off

• Primary triage coverage: 12:30 AM - 8:30 AM
• Shift includes overlap and handoff periods with evening and day-shift nurses
• Weekends and holidays as scheduled

What You'll Do

• Provide overnight telephone triage for hospice patients, caregivers, and facilities
• Assess urgent symptoms, changes in condition, medication concerns, falls, and end-of-life needs
• Deliver clinical guidance and coordinate appropriate interventions
• Escalate concerns to providers or field clinicians as needed
• Coordinate urgent patient visits with visit nurses
• Document patient assessments, interventions, communications, and outcomes in the EMR
• Complete assigned clinical documentation audits and identify areas requiring follow-up
• Create and update individualized hospice plans of care
• Prepare detailed handoff reports for the daytime clinical team
• Collaborate with physicians, nurses, pharmacies, care facilities, and interdisciplinary team members

Handoff and Communication Expectations

• Receives structured handoff from the 2nd Shift RN between 12:30 AM and 1:00 AM.
• Provides structured handoff to the 1st Shift RN between 8:00 AM and 8:30 AM.
• Communicates incomplete audit or plan-of-care assignments, identified documentation risks, and required follow-up to Nursing Manager.

Qualifications

Required

• Current, unrestricted Registered Nurse (RN) license

-If MSL, complete Suicide Prevention Training in advance of hire per state regulations-If MSL, complete Washington State Board of Nursing (WABON) MSL demographic survey

• Strong clinical assessment and critical thinking skills
• Ability to independently manage multiple priorities in a fast-paced environment
• Experience with electronic medical records (EMR)
• Excellent verbal and written communication skills
• CPR certification

Preferred

• Hospice and/or palliative care experience
• Telephone triage experience
• Experience in home health, oncology, geriatrics, emergency nursing, critical care, or telephone triage.
• Experience with clinical documentation review, quality assurance, or care plan development
• Knowledge of end-of-life symptom management, comfort medications, caregiver education, and interdisciplinary hospice practice.

Physical, Cognitive, and Work Requirements

• Ability to remain available and attentive throughout the assigned shift, including extended periods using a telephone, headset, and computer.
• Ability to review detailed clinical information, identify inconsistencies, enter documentation, and manage multiple time-sensitive tasks.
• Ability to work scheduled nights, weekends, and holidays as assigned.
• Ability to respond effectively to frequent interruptions, urgent symptoms, deaths, caregiver distress, and changing priorities.

Benefits

We offer a comprehensive benefits package to support your health, work-life balance, and professional growth:

• Competitive pay with $10,000 Sign on Bonus
• Comprehensive Medical, Dental, Vision, Critical Illness, Accident, Hospital Indemnity Insurance and Flexible Spending Account
• Public Service Loan Forgiveness (PSLF) eligible employer, helping qualified employees pursue federal student loan forgiveness
• 403b with employer contribution
• Generous Paid Time Off (PTO) and Extended Illness Leave
• Mileage reimbursement
• Continuing education / CEU support
• Supportive and mission-driven team environment
• Opportunities for professional growth and advancement
• Company-Provided Technology for Efficient Documentation and Care Coordination

Why Join Kline Galland Hospice?

Kline Galland Hospice is part of a respected nonprofit healthcare organization with more than a century of service to the Seattle community. Our team is dedicated to providing exceptional end-of-life care while supporting patients and families with compassion, dignity, and clinical excellence.