Why Choose a Career with Solace?

Benefits

  • Medical, dental, and vision coverage
  • Paid time off & holidays
  • Retirement plan options
  • Continuing education support
  • Flexible schedules (role-dependent)
  • Mileage reimbursement for field staff
  • Mental health & wellness resources
  • Recognition programs

Current Openings

Licensed Practical Nurse (LPN) - Hospice House NIGHTS (FT or PRN)

Clinical Services Hospice House Full - Time

About the Role

The Licensed Practical Nurse (LPN) provides compassionate, high-quality nursing care to patients residing in the hospice house setting under the supervision of a Registered Nurse (RN). The LPN supports comfort-focused care by assisting with symptom management, medication administration, personal care needs, and emotional support for patients and their families during the end-of-life journey. Two Positions Available: Full Time, Nights PRN Nights *please notate preference on application.

Responsibilities

  • Deliver direct patient care in accordance with the hospice plan of care and physician orders
  • Monitor patient condition and promptly report changes to the RN and interdisciplinary team
  • Administer medications, treatments, and comfort measures as directed
  • Assist in managing pain and symptoms to promote dignity, comfort, and quality of life
  • Provide emotional support and compassionate communication to patients and families
  • Assist patients with activities of daily living, mobility, and personal care needs as appropriate
  • Maintain accurate and timely clinical documentation in compliance with hospice regulations and company standards
  • Collaborate with physicians, RNs, CNAs, social workers, chaplains, and other hospice team members
  • Ensure a clean, safe, and comforting environment for patients and visitors
  • Participate in shift reports, care conferences, and interdisciplinary team meetings
  • Follow infection control, safety, and hospice house policies and procedures
  • Respond appropriately to urgent patient care needs and end-of-life situations

Qualifications

  • Current Licensed Practical Nurse (LPN) license in the state of Missouri
  • Minimum of one (1) year nursing experience preferred; hospice, long-term care, med-surg, or skilled nursing experience strongly preferred
  • Current CPR certification
  • Strong clinical assessment and communication skills
  • Ability to work collaboratively within an interdisciplinary team
  • Ability to work independently while collaborating effectively within a team
  • Compassionate, patient-centered approach to end-of-life care
  • Ability to remain calm and supportive in emotionally sensitive situations
  • IV certification required

Registered Nurse (RN) Charge Nurse - Hospice House Weekend Option Nights or PRN nights

Clinical Services Hospice House Full - Time

About the Role

The RN Charge Nurse is responsible for overseeing and coordinating the delivery of compassionate, high-quality end-of-life care within the hospice house setting. This role provides clinical leadership and support to nursing staff while ensuring patients receive comfort-focused care that promotes dignity, peace, and quality of life. The RN Charge Nurse collaborates closely with the interdisciplinary team to support patients and families throughout the hospice journey. The FT position is every Friday and Saturday night with a choice of a third shift. PRN night position is also available. *please notate preference on application

Responsibilities

  • Oversee daily clinical operations and patient care activities within the hospice house
  • Provide direct nursing care, assessments, and symptom management for hospice patients
  • Supervise and support LPNs, CNAs, and other care team members during assigned shifts
  • Coordinate admissions, transfers, discharges, and changes in patient condition
  • Administer medications, treatments, and comfort measures in accordance with physician orders and hospice care plans
  • Monitor patient status and respond promptly to urgent clinical needs and end-of-life changes
  • Ensure accurate, timely, and compliant clinical documentation
  • Collaborate with physicians, social workers, chaplains, aides, volunteers, and other interdisciplinary team members to coordinate holistic patient care
  • Communicate effectively with patients and families regarding care needs, symptom changes, and emotional support
  • Ensure compliance with hospice regulations, infection control standards, and company policies
  • Serve as a clinical resource and mentor for nursing staff and assist with training as needed
  • Promote a calm, supportive, and compassionate environment for patients, families, and staff

Qualifications

  • Current Registered Nurse (RN) license in the state of Missouri
  • Minimum of two (2) years of nursing experience preferred; hospice, palliative care, oncology, med-surg, ICU, or long-term care experience strongly preferred
  • Previous leadership or charge nurse experience preferred
  • Current CPR certification
  • Strong clinical assessment, critical thinking, and communication skills
  • Ability to lead and collaborate effectively within an interdisciplinary team
  • Compassionate approach to end-of-life care and family support
  • Ability to remain calm and organized in emotionally sensitive situations

Licensed Practical Nurse (LPN) - Full Time Nights On Call (Lincoln/Warren Counties)

Clinical Services Community Hospice Full-Time

About the Role

The Licensed Practical Nurse (LPN) – Full-Time Night On-Call provides after-hours nursing support to hospice patients and families, ensuring timely, compassionate, and clinically appropriate care during overnight hours. This role is responsible for triaging calls, making visits as needed, managing symptoms, and supporting patients through urgent and end-of-life situations. The LPN works under the supervision of a Registered Nurse (RN) and collaborates with the interdisciplinary hospice team to promote comfort, dignity, and quality of life. This role will primarily serve our Lincoln/Warren County patients.

Responsibilities

  • Respond to after-hours patient and family calls, providing triage, guidance, and support
  • Make in-person visits to patient homes, facilities, or hospice house as needed
  • Deliver skilled nursing care in accordance with the plan of care
  • Assess patient condition and report changes to the RN, Physician and care team
  • Administer medications and treatments to manage pain and symptoms
  • Provide crisis intervention and support during actively dying and emergent situations
  • Educate and reassure patients and families during overnight care needs
  • Communicate effectively with physicians, RNs, and interdisciplinary team members
  • Complete accurate and timely documentation of all care provided and communications
  • Participate in shift handoff to ensure continuity of care
  • Follow all hospice policies, procedures, and regulatory requirements

Qualifications

  • Current Licensed Practical Nurse (LPN) license in the state of Missouri
  • Graduate of an accredited practical nursing program
  • Minimum of one (1) year of nursing experience required; hospice, home health, or acute care experience preferred
  • Current CPR certification
  • Strong clinical judgment and ability to work independently with minimal supervision
  • Excellent communication and critical thinking skills
  • Ability to remain calm and supportive in urgent and emotionally sensitive situations
  • Valid driver’s license, reliable transportation, and auto insurance

Licensed Practical Nurse (LPN) - Full Time Days (South County)

Clinical Services Community Hospice Full - Time

About the Role

The Full-Time Day LPN provides compassionate, skilled nursing care to hospice patients in their homes and other care settings in collaboration with an overseeing RN Case Manager. This position works collaboratively with the hospice interdisciplinary team to promote comfort, dignity, quality of life, and support for patients and their families throughout the hospice journey. This position is primarily serving patients in South County.

Responsibilities

  • Provide skilled nursing care to hospice patients according to the individualized plan of care.
  • Assess patient needs and monitor changes in physical, emotional, and psychosocial status.
  • Administer medications and treatments as ordered and within the scope of LPN practice.
  • Monitor and manage symptoms including pain, shortness of breath, nausea, anxiety, agitation, and other end-of-life symptoms.
  • Communicate changes in patient condition to the RN Case Manager and other members of the interdisciplinary team.
  • Provide education and support to patients, families, and caregivers regarding medications, symptoms, comfort measures, and the hospice plan of care.
  • Assist with personal care needs and provide hands-on support when appropriate.
  • Perform wound care and other treatments as ordered.
  • Maintain accurate and timely clinical documentation in accordance with hospice and regulatory requirements.
  • Participate in interdisciplinary communication and collaborate with physicians, RNs, social workers, chaplains, aides, and other members of the hospice team.
  • Respond appropriately to patient and family concerns and communicate significant changes promptly.
  • Assist with coordination of supplies, medications, equipment, and other patient needs.
  • Follow all hospice policies, procedures, infection-control standards, and applicable state and federal regulations.
  • Maintain patient confidentiality and protect patient rights and dignity.

Qualifications

  • Current, unrestricted LPN license in the state of Missouri
  • Graduate of an accredited practical nursing program.
  • Current CPR certification.
  • Previous hospice, home health, long-term care, skilled nursing, or palliative care experience preferred.
  • Valid driver's license, reliable transportation, and appropriate automobile insurance may be required for community-based visits.
  • Strong clinical assessment and communication skills.
  • Ability to work independently while functioning effectively as part of an interdisciplinary team.
  • Demonstrated compassion, professionalism, dependability, and commitment to quality patient care.

Registered Nurse (RN) Case Manager - Full Time (St. Charles County)

Clinical Services Community Hospice Full - Time

About the Role

The RN Case Manager provides comprehensive, compassionate nursing care to hospice patients and their families throughout the hospice experience. The RN Case Manager serves as the primary clinical coordinator for an assigned group of patients, ensuring individualized care plans are developed, implemented, evaluated, and updated based on the patient's changing needs. This position works closely with the hospice interdisciplinary team, physicians, caregivers, and facility staff to promote comfort, dignity, quality of life, and effective symptom management. This position will primarily serve our St Charles County patients.

Responsibilities

  • Complete comprehensive nursing assessments and evaluate patients for changes in condition.
  • Develop and maintain individualized plans of care based on patient and family needs.
  • Coordinate and oversee the delivery of hospice services for an assigned caseload.
  • Provide skilled nursing care, including assessment, symptom management, medication management, wound care, and other treatments as ordered.
  • Monitor pain and other symptoms and implement appropriate interventions to promote patient comfort.
  • Regularly evaluate patient progress and update the plan of care as patient needs change.
  • Communicate changes in patient condition to the hospice physician and interdisciplinary team.
  • Coordinate medications, durable medical equipment, supplies, and other services needed to support the patient's care.
  • Provide education and guidance to patients, families, caregivers, and facility staff regarding the hospice plan of care, medications, symptom management, and end-of-life changes.
  • Serve as an advocate for patients and families while respecting their goals, wishes, and care preferences.
  • Coordinate care with hospice aides, social workers, chaplains, volunteers, physicians, LPNs, and other members of the interdisciplinary team.
  • Conduct routine hospice visits and additional visits as clinically indicated.
  • Participate in interdisciplinary group meetings and provide updates regarding patient status and plan of care.
  • Complete accurate, timely, and thorough clinical documentation in accordance with hospice policies and regulatory requirements.
  • Recognize signs of decline and actively coordinate appropriate interventions and changes in the plan of care.
  • Participate in on-call responsibilities as assigned.

Qualifications

  • Current, unrestricted RN license in the state of Missouri
  • Graduate of an accredited nursing program.
  • Current CPR certification.
  • Previous hospice, home health, palliative care, oncology, critical care, or long-term care experience preferred.
  • Hospice and Palliative Nursing (CHPN) certification preferred but not required.
  • Valid driver's license, reliable transportation, and appropriate automobile insurance.
  • Strong clinical assessment, critical-thinking, communication, and organizational skills.
  • Ability to manage multiple patients and prioritize care effectively.
  • Ability to work independently while functioning effectively as part of an interdisciplinary team.
  • Demonstrated compassion, professionalism, dependability, and commitment to patient- and family-centered care.

Certified Nursing Assistant (CNA)

Clinical Services Community Hospice Full - Time

About the Role

The Certified Nursing Assistant provides compassionate, hands-on personal care and support to hospice patients in their homes and other care settings. The CNA works closely with the RN Case Manager and hospice interdisciplinary team to promote patient comfort, dignity, safety, and quality of life. The ideal candidate is dependable, compassionate, and comfortable supporting patients and families during the end-of-life journey. This position requires reliable transportation and an ability to work independently.

Responsibilities

  • Provide personal care including bathing, grooming, dressing, toileting, oral care, and other activities of daily living.
  • Assist with repositioning, transfers, ambulation, and other activities to promote patient comfort and safety.
  • Observe and report changes in the patient's condition, behavior, skin integrity, appetite, or overall well-being to the RN Case Manager.
  • Provide companionship and emotional support to patients and families with compassion and respect.
  • Maintain accurate documentation of care provided and communicate effectively with the hospice team.
  • Follow the patient's plan of care, hospice policies, infection-control procedures, and applicable regulations.

Qualifications

  • Current CNA certification in the state of Missouri
  • High school diploma or equivalent preferred.
  • Previous hospice, home health, long-term care, or healthcare experience preferred.
  • Current CPR certification preferred or ability to obtain
  • Valid driver's license, reliable transportation, and appropriate automobile insurance.
  • Compassionate, dependable, and respectful approach to patient and family care.
  • Ability to work independently while functioning effectively as part of a team.
  • Ability to stand, walk, bend, kneel, and assist with patient care.
  • Ability to lift, reposition, and transfer patients using safe patient-handling practices.
  • Ability to travel between patient care locations when required.

 

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