Hospital-Based Hospice RN (Admissions & Acute Care)

Granite VNA is seeking an experienced, compassionate Hospital-Based Hospice RN to join our collaborative hospice team in Concord, NH. This role is embedded within a local hospital and is ideal for a nurse who thrives in complex clinical situations, values interdisciplinary teamwork, and wants to make a profound difference at critical moments for patients and families.

In this role, you’ll guide patients and families through hospice admission, deliver expert symptom management, and serve as a trusted clinical partner to hospital teams—ensuring seamless transitions and dignified, patient-centered end-of-life care.

 Why Nurses Choose Granite VNA

• Supportive, mission-driven leadership that leads with integrity and compassion
• Autonomy with purpose—your clinical judgment truly matters
• Highly collaborative hospice team including physicians, social workers, chaplains, and liaisons
• Competitive pay, mileage reimbursement, and generous benefits
• Professional development and career growth opportunities within hospice and palliative care
• A culture that prioritizes staff safety and well-being, including AVADE Training for field staff and Armed Intruder Training for applicable roles
• Clothing stipend for Granite VNA–branded apparel
• And yes—lakeside sunsets, fresh air, and the quality of life New Hampshire is known for

At Granite VNA, we care for our team the same way we care for our patients: with respect, trust, and support.

Position Overview

Reporting to the Hospice Director, the Hospital-Based Hospice RN serves as an embedded hospice specialist within the hospital setting. You will provide direct General Inpatient (GIP) hospice care, complete hospice admissions, and act as the primary clinical liaison between hospital teams and Granite VNA. In addition to hospital-based care, this role supports:

• Same-day hospice admissions in facilities or the community, as needed
• Backup clinical support to the Hospice House, when required

This is a dynamic role for a nurse who enjoys both hands-on clinical care and coordination across care settings.

 What You’ll Do

• Complete hospice and GIP admissions, including comprehensive assessments, care planning, and documentation
• Provide direct nursing care to patients receiving GIP-level hospice services in the hospital
• Collaborate closely with hospitalists, palliative care teams, nursing staff, case managers, and hospice physicians
• Educate hospital staff on hospice eligibility, philosophy of care, and symptom management best practices
• Participate in interdisciplinary team (IDT) meetings to ensure coordinated, holistic care
• Manage complex symptoms in alignment with hospice protocols and CMS GIP regulations
• Support transitions of care, including discharge planning and family communication
• Provide same-day routine hospice admissions in the community or facilities as needed
• Partner with Hospice House and community teams to ensure continuity of care
• Serve as a clinical ambassador for Granite VNA, building strong relationships with hospital partners
• Safely travel throughout the service area as needed using a personal vehicle

 Who Thrives in This RoleThis role is a great fit for nurses with experience in:

• Hospice or palliative care
• ICU, oncology, med-surg, or acute care
• Admissions, care coordination, or hospital-based nursing

If you’re seeking meaningful work, strong team support, and the opportunity to practice nursing at the top of your license—this role offers all of that and more.
 

• Current RN license in the state of practice (BSN preferred).
• Minimum 2 years of hospice or acute care experience (GIP or palliative care background strongly preferred).
• Strong clinical assessment and symptom management skills.
• Excellent communication and collaboration skills with interdisciplinary teams.
• Familiarity with both hospice and hospital documentation systems preferred.
• Valid driver's license, reliable transportation and an acceptable driving record.