Location & Practice Overview

Transitions Hospice operates this after-hours nursing position from Springfield, Illinois, serving a defined multi-county territory that includes Sangamon, Cass, Morgan, Mason, Menard, and adjacent areas. Care occurs in the environments where patients reside rather than within a single dedicated clinical facility.

Base Location Springfield, Illinois
Service Territory Sangamon, Cass, Morgan, Mason, Menard and surrounding counties
Care Environments Private homes, assisted living, independent living, skilled nursing facilities, senior communities, and hospitals
Delivery Model Community-based hospice with around-the-clock interdisciplinary availability

Responsibilities

  • Conduct thorough nursing assessments of hospice patients during after-hours visits to identify changes in clinical status.
  • Administer medications and treatments ordered by physicians in accordance with individual care plans.
  • Notify physicians of significant condition changes and secure additional orders when clinically indicated.
  • Arrange necessary medical equipment and coordinate external services to sustain continuous care overnight.
  • Complete timely, accurate documentation of assessments, interventions, responses, and relevant outcomes.

The after-hours RN functions as the primary clinical resource for patients and families requiring support outside standard daytime hours, applying independent judgment while remaining consistent with the interdisciplinary plan of care.

Qualifications & Requirements

Candidates must be licensed Registered Nurses eligible to practice in Illinois and capable of providing independent nursing care during after-hours coverage. Hospice or home health experience is preferred for this community-based position.

License
Active Illinois Registered Nurse (RN) license
Education
Graduation from an accredited school of nursing
Experience
Hospice, home health, or related clinical experience preferred
Driving
Valid driver’s license and ability to travel throughout the assigned territory
Clinical Skills
Independent nursing assessment, sound clinical judgment, and accurate documentation

Compensation & Benefits

The position offers an annual salary of $80,000–$90,000, with additional employment benefits including health insurance coverage, retirement savings options, disability protection, and travel support for field-based patient visits.

  • Annual salary range of $80,000–$90,000
  • Medical, dental, and vision insurance
  • Long-term and short-term disability coverage
  • 401(k) plan with company match
  • Auto allowance and gas card
  • Company-provided equipment and paid time off

Schedule & Work Environment

Status Full-time
Weekly Structure Four 10-hour shifts
Hours Focus After-hours and overnight coverage
Weekend Expectation Rotating weekends
Work Pattern Independent field visits across the coverage territory

Patient Population & Clinical Setting

This position supports adults receiving hospice services for terminal illnesses and advanced chronic conditions. Patients remain in their preferred residential environments, which may include private homes, assisted living communities, and skilled nursing facilities. The clinical setting requires an approach centered on comfort, symptom relief, dignity, and support for family caregivers throughout the end-of-life care process.

Population Adults with terminal or advanced chronic illness
Primary Goal Comfort, symptom control, and preserved dignity
Typical Needs Pain, respiratory changes, nausea, altered consciousness, and functional decline
Caregiver Role Family members and caregivers actively participate in the care environment

Clinical Focus & Key Services

The clinical focus of this role is hospice nursing for patients experiencing advanced illness and end-of-life care needs. Practice takes place in residential environments, where nursing decisions must account for patient comfort, changing symptoms, family concerns, and the established goals of care.

Palliative Symptom Management Comfort-focused nursing interventions for pain and other symptoms associated with advanced illness
End-of-Life Nursing Clinical support for patients approaching the final stages of life
Residential Care Coordination Clinical communication across home and residential hospice care environments
Caregiver Communication Guidance and support for families navigating changes in a patient’s condition

Role Highlights

This After Hours Hospice RN position with Transitions Hospice offers a community-based nursing practice focused on maintaining access to hospice care beyond regular daytime operations. The role combines overnight clinical coverage with travel between patient residences and established residential care settings, providing a distinct alternative to facility-based nursing positions.

  • Specialized after-hours hospice nursing focused on comfort-oriented care for patients with advanced and terminal illnesses.
  • Community-based practice serving patients in private homes, assisted living communities, and skilled nursing facilities.
  • Multi-county coverage centered in Springfield, including Sangamon, Cass, Morgan, Mason, and Menard counties.
  • Compressed full-time schedule consisting of four 10-hour shifts per week.
  • Direct involvement in maintaining continuity between daytime hospice services and overnight patient care needs.

About Transitions Hospice

Transitions Hospice, part of Transitions Care, delivers hospice and palliative care to individuals facing terminal and chronic illness. Headquartered in Elk Grove Village, Illinois, the organization maintains multiple service locations across Illinois and neighboring states. Interdisciplinary teams that include physicians, registered nurses, social workers, chaplains, and bereavement professionals provide care in private residences, assisted living communities, skilled nursing facilities, and other residential settings.

Organization Hospice and palliative care provider
Headquarters Elk Grove Village, Illinois
Geographic Reach Multiple sites in Illinois and additional states
Team Structure Interdisciplinary teams emphasizing comfort, dignity, and individualized care plans

Frequently Asked Questions

Is the work performed from a central office or does it involve travel?
The position is field-based. The nurse travels locally to patients in private homes, assisted living communities, skilled nursing facilities, and similar residential settings throughout the multi-county territory.
Are specific start and end times listed for the 10-hour shifts?
The posting indicates four 10-hour shifts per week focused on after-hours and overnight coverage but does not publish exact clock times. Candidates should confirm the precise overnight window with the employer.
Is previous hospice experience mandatory?
Hospice, home health, or related clinical experience is preferred. An active Illinois RN license and graduation from an accredited nursing program are required.
How does the after-hours nurse interact with the rest of the care team?
The nurse serves as the clinical contact during overnight periods, communicates changes to physicians, and ensures interventions remain aligned with the established interdisciplinary plan so daytime staff receive accurate hand-off information.
Does the employer offer tuition reimbursement for this role?
Tuition reimbursement is listed among the organization’s broader professional development opportunities. Eligibility and specific conditions for the after-hours position should be confirmed with the hiring team.

After Hours Hospice Registered Nurse in Springfield, IL

The After Hours Hospice Registered Nurse position at Transitions Hospice in Springfield, IL, is part of a community-based hospice care model serving patients throughout central Illinois. Unlike traditional hospital or facility-based RN positions, this role operates across a distributed network of private residences, assisted living communities, and skilled nursing facilities. Its after-hours coverage structure supports the organization’s broader hospice service delivery beyond standard daytime operations, with Springfield serving as the central location for a multi-county territory. The position is particularly relevant to registered nurses interested in hospice nursing careers, community-based clinical practice, and overnight care coordination within an interdisciplinary end-of-life care environment.

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