OPT Hospice Registered Nurse Jobs
Hospice Registered Nurse jobs are available to F-1 OPT students with a valid nursing license and active EAD. Most roles require NCLEX-RN passage and state licensure before your start date. STEM OPT extension does not apply to nursing, so a 12-month timeline is your primary window.
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INTRODUCTION
Oversees, supervises, coordinates, facilitates, and supports the Hospice After Hours care delivery activities, including field staff supervision. Manages continuity of care to all Hospice patients and their families after normal operating hours. Responds to incoming calls from patients/families/caregivers, assesses and prioritizes patient needs based on policies and procedures and staff capacity, ensuring all emergent and urgent requests are met timely. Addresses needs within the context of the patient's Interdisciplinary Plan of Care and Hospice Care mission, objectives, policies, and procedures. Documents and reports to the team patient's needs, significant events, plan of care, and other issues. Evaluates the effectiveness of clinical directions. Works under general supervision.
ROLE AND RESPONSIBILITIES
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Collaborates with all Interdisciplinary team members and outside vendors determining the most appropriate treatment method, including changes in level of care, based on patient/caregiver needs, best practice, and cost-effectiveness.
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Ensures workload assigned is appropriate to staff’s ability and capacity in order to provide quality and comprehensive services; provides clinical oversight of nurses through coordination and feedback from staff and patients/caregivers.
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Maintains current knowledge of clinical standard practices and the use of VNS HEALTH technology, to ensure care delivered is of high quality while maintaining cost efficiency.
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Assesses the physical, emotional, and medical needs of hospice patients and their caregivers through after-hours telephone consult. Provides support and direction to families in accordance with the patient’s Interdisciplinary Plan of Care and Hospice Care mission, objectives, policies, and procedures.
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Takes referral information and triages for immediate response, dispatches the on-call nurse to do the evaluation/admission. Contacts Physician for verification of prognosis and appropriateness for Hospice/Palliative care. Contacts and interfaces with team members, primary physician, team physician, administrator, and other staff to ensure patient’s and family’s needs are met.
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Works directly with outside vendors and care delivery partners to ensure when patients are transferred to General Inpatient Facilities, Emergency Departments, and Paramedicine Activation, that documents and patient information ensure continuity of care and most effective care based on patient/caregiver goals and clinical needs.
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Provides clinical directions to patients/caregivers in accordance with Hospice guidelines. Obtains and receives verbal orders from team/physician and documents care using standard form. Evaluates and documents effectiveness of directions through telephone follow-up with patients/caregivers. Provides team/physician with documentation and implements any changes, as directed.
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Obtains and reviews daily report from each team on significant patient care situations that may require contact/follow-up during the course of the shift. Documents all calls received using a high degree of accuracy and detail to ensure team/physician is provided with all relevant and necessary information. Completes case conference form on all calls received and faxes to respective team. Supervises on-call Nurses: Monitors/evaluates performance, provides guidance, recommends hiring and termination, as needed. Determines/Deploys on-call Nurse for home visits, provides necessary information and follows up regarding the status of visit and to obtain necessary report.
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Provides verbal report on significant events, plan of care changes, and other patient/caregiver issues requiring further action and/or follow-up to each respective team.
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Participates in Interdisciplinary Hospice Team meetings, management meets, and serves on relevant committees for the purposes of information exchange, team collaboration, development of procedures and documentation tools, development of quality and training.
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Understands/implements/complies with Hospice Care Mission, objectives, policies, and procedures to ensure Hospice Care/patient/caregiver needs are met.
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Participates in special projects and performs other duties as assigned.
QUALIFICATIONS
Licenses and Certifications:
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CERT - Hospice and Palliative Nurse (CHPN) - Hospice and Palliative Credentialing Center required
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License and current registration to practice as a Registered Professional Nurse in the State of New York required
Education:
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Associate's Degree in Nursing required
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Bachelor's Degree in Nursing preferred
Work Experience:
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Minimum of two years of clinical nursing experience in Acute Care (Med Surg, ICU), Clinical Crisis Management, Hospice, or Palliative Care required
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Clinical expertise and critical thinking skills required
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Effective oral, written, and interpersonal communication skills required
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Demonstrated expertise in clinical care management required
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Knowledge of personal computer operations including MS Office applications required
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Experience in health care management preferred
PAY RANGE
- USD $93,400.00 - USD $116,800.00 /Yr.
About us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
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Get Access To All JobsTips for Finding OPT Sponsorship as a Hospice Registered Nurse
Get your state RN license before applying
Most hospice employers require an active RN license in the state where you'll practice. Apply for licensure immediately after passing NCLEX-RN. Delays in licensure can cost you job offers, especially with a limited OPT window.
Target hospice agencies with active H-1B filing history
Many hospice roles qualify under specialty occupation for H-1B visa sponsorship. Research which agencies have sponsored nurses in the past. Employers already familiar with the process are far more likely to sponsor your transition off OPT.
Disclose your OPT status and EAD early
Bring up your EAD and authorization end date in early conversations with recruiters. Surprises late in the hiring process damage trust. Transparent candidates give employers time to plan for sponsorship before your OPT expires.
Prioritize roles at larger hospice organizations
Regional and national hospice networks have dedicated HR and legal teams experienced with visa sponsorship. Smaller single-location agencies often lack the infrastructure to navigate immigration filings, making sponsorship conversations significantly harder to start.
Earn a hospice-specific credential as quickly as possible
The Certified Hospice and Palliative Nurse credential signals specialization to employers. Candidates with CHPN certification stand out in a competitive field and give employers additional incentive to invest in sponsorship rather than hire a locally licensed alternative.
Understand your cap-gap protection if selected in H-1B lottery
If your employer files an H-1B petition before your OPT expires and you are selected in the lottery, cap-gap protection extends your work authorization through September 30. Plan your OPT end date against H-1B filing deadlines carefully.
Hospice Registered Nurse OPT: Frequently Asked Questions
Can I work as a Hospice Registered Nurse on F-1 OPT?
Yes, as long as your OPT is authorized for nursing and you hold an active RN license in the state where the role is located. Your EAD must be valid before your start date, and the position must be directly related to your nursing degree field of study.
Does STEM OPT extension apply to Hospice RN roles?
No. Nursing degree programs are not classified as STEM fields under the STEM OPT extension list, so you cannot extend your OPT beyond the standard 12 months on that basis. This makes it critical to begin H-1B sponsorship conversations early, ideally within the first few months of starting work.
Do hospice employers typically sponsor H-1B visas for registered nurses?
Some do, particularly larger regional and national hospice networks that have established immigration processes. Hospice RN roles can qualify as specialty occupations under H-1B, but not all employers are willing to sponsor. Searching on Migrate Mate can help you identify hospice employers with a demonstrated history of visa sponsorship.
What happens if my RN license is pending when my OPT starts?
You cannot legally practice as a registered nurse without an active state license, regardless of your OPT authorization. If your license application is still processing, you will not be able to start clinical work. Many employers will hold an offer while you complete licensure, but your OPT clock is already running during that time.
Can I switch from one hospice employer to another while on OPT?
Yes. OPT is not tied to a specific employer, but the new role must still be directly related to your degree field. You must report the employer change to your DSO within 10 days, and your DSO will update your SEVIS record. Ensure your EAD remains valid and that your new role meets the practical training requirement.