Hospice RN (Hospital Based)  – Acute Symptom Management & Admissions/Transitions of Care at Granite VNA, Inc. – Concord, New Hampshire

This is hospice nursing at the highest level.

Granite VNA Hospice is seeking an experienced Hospice RN to provide expert hospice admissions and acute, inpatient-level symptom management within a hospital setting. This role supports patients and families at critical moments, including those who require Hospice House–level care, delivered in hospital or alternative settings when inpatient hospice placement is not immediately available.If you are a nurse who values clinical autonomy, interdisciplinary collaboration, and the privilege of guiding patients and families through complex end-of-life decisions, this role offers meaningful, high-impact work every day.

What You’ll Do

• Lead hospital-based hospice admissions and care transitions
• Deliver advanced pain and symptom management for complex patients
• Provide Hospice House–level assessment and care in hospital or alternative settings as needed
• Serve as a trusted clinical partner to hospital physicians and care teams
• Educate patients, families, and clinicians on hospice philosophy and goals of care
• Advocate for comfort, dignity, and patient-centered decision-making

Why This Role Is Different

• Embedded within a hospital — no traditional home hospice caseload
• Practice at the top of your license with a focused clinical scope
• High level of professional respect and autonomy
• Deep collaboration with an experienced interdisciplinary hospice team
• Opportunity to make an immediate, meaningful difference when it matters most

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
• We invest in tools that let you do what you do best. Our clinicians have access to secure AI technology that helps cut documentation time, giving you more space to focus on connection, compassion, and delivering exceptional patient care.
• 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.

What We’re Looking For

• Licensed RN in New Hampshire (or eligible)
• Minimum 2 years of RN experience (Hospice, palliative care, ICU, ED, oncology, or acute care preferred)
• Strong clinical assessment, communication, and critical-thinking skills
• Comfort supporting patients and families through emotionally complex situation