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RN Acute Care - Hospice
Company : Legacy Health
Location : Tualatin, OR, 97062-7706
Job Type : Full Time
Date Posted : 5 January 2026
Overview
At Legacy, our nursing philosophy centers on patients and their families. Our nurses bring this philosophy to life every day as advocates, communicators, problem-solvers, and compassionate caregivers. Their expertise is respected and relied upon by our entire health care team. In many ways, they are the face of wellness at Legacy.
Does this sound like an environment where you could thrive? If so, we invite you to consider joining us as a Registered Nurse in Acute Care Hospice.
About Legacy Hospice Services
Legacy Hospice Services delivers high-quality, compassionate, home-based care to adults, children, and their families throughout the Portland metropolitan area and the Willamette Valley.
We also provide hospice care in residential and assisted living communities, adult foster homes, and skilled nursing facilities - ensuring support and dignity for patients wherever they call home.
Responsibilities
- Performs professional community health nursing visits and services for terminally ill patients and their families.
- Provides pain and symptom management tailored to patient needs.
- Serves as a member of the Hospice Interdisciplinary Team (IDT); coordinates and assists in implementing the plan of care for the patient and their family/caregiver.
- Completes nursing assessments and delivers palliative treatment and symptom management.
- May conduct initial visits to admit patients and initiate or revise the hospice plan of care.
- Prepares timely and accurate clinical documentation.
- Participates in IDT meetings and case conferences as appropriate.
- Collaborates with the care team to coordinate services and ensure continuity of care.
Qualifications
Education:
- As required by licensure.
- BSN or degree in progress strongly preferred.
- BSN may be required for specific assignments; experienced RNs without a BSN may be hired based on clinical experience with approval of the site CNO.
Experience:
- One-year registered nursing experience or completion of either the Legacy Health RN Residency program or a nursing residency program that is equivalent in content, curriculum and duration.
- Hospice experience or one year medical/surgical acute care or long-term skilled nursing experience preferred.
Skills:
- Working knowledge of and the ability to apply the basic principles and techniques of community hospice nursing in a variety of home settings.
- Must possess excellent clinical nursing skills and be able to utilize problem-solving techniques.
- Ability to establish and maintain effective working relationships with professional groups, volunteers and the general public.
- Must possess excellent communication skills both verbal and in writing.
- Keyboard skills and ability to navigate electronic systems applicable to job functions.
Licensure
- Current RN license required.
- BLS for Healthcare Providers certification from the American Heart Association required.
- Valid driver’s license required.
- Certified Hospice and Palliative Nurse (CHPN) from the National Board for Certification of Hospice & Palliative Nurses (NBCHPN) preferred.
Pay Range
USD $54.37 - USD $81.21 /Hr.Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you
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Frequently asked questions
In acute care hospice nursing, symptom management often focuses on palliative approaches tailored to terminally ill patients, emphasizing comfort rather than curative treatments. This requires specialized skills in pain control and psychosocial support, distinguishing it from other nursing areas where curative interventions are prioritized.
Experienced RNs in acute care hospice can advance to roles like hospice nurse case manager, clinical nurse specialist, or pursue certification as a Certified Hospice and Palliative Nurse (CHPN). These pathways open opportunities in leadership, education, and specialized patient care coordination.
A typical day involves conducting thorough nursing assessments, managing pain and symptoms, coordinating with the interdisciplinary team, documenting clinical notes accurately, and providing emotional support to patients and families, all while adapting care plans to individual needs in diverse home settings.
Legacy Health integrates a patient-family centered philosophy and offers comprehensive hospice services across multiple settings. Nurses benefit from collaborative interdisciplinary teams, access to ongoing education, and a supportive culture that values compassionate care within the Portland and Willamette Valley communities.
Legacy Health emphasizes advocacy and communication, requiring their hospice RNs to be proactive in care coordination, symptom management, and family support. This approach fosters deeper nurse-patient relationships and ensures holistic care aligned with patient dignity and comfort.
Tualatin's growing healthcare market has increased demand for hospice RNs, especially those skilled in acute care environments. Job seekers with hospice experience or relevant certifications often find favorable hiring conditions, though competition remains for roles at leading providers like Legacy Health.
While a current RN license and BLS certification are baseline requirements, the Certified Hospice and Palliative Nurse (CHPN) credential is highly valued locally. This certification enhances credibility and may improve job prospects amid Oregon’s emphasis on specialized hospice care quality.
Hourly pay for RN Acute Care - Hospice positions at Legacy Health ranges approximately between $54.37 and $81.21. This competitive salary reflects the specialized skills needed and the regional market rates within the Portland metropolitan healthcare sector.
Legacy Health's acute care hospice RNs engage in comprehensive patient assessments, symptom management, and interdisciplinary collaboration typical of hospice nursing careers, yet with a strong emphasis on community-based care and tailored treatment plans that enhance patient comfort.
Legacy Health offers a distinct integration of home-based and residential hospice care with a strong nursing philosophy centered on advocacy and family involvement. This creates a dynamic role where nurses are empowered to deliver personalized care across varied settings within the Willamette Valley region.