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Optimal Care

Medicare-certified home health with geriatric care

Hospice After Hours Registered Nurse

Full-TimePosted on 10/19/2026
$80k - $85k+ $10,000 Sign-On Bonus + Mileage Reimbursement + 401(k) Match
Junior
Bachelor's, Associate's
Lansing, MI, USA
In PersonDaily travel within the Lansing service area is required; shifts begin and end from home, without daily office reporting.
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • Graduate of an accredited nursing school with an Associate's or Bachelor's degree in Nursing.
  • Hold a current Michigan State Registered Nurse license.
  • Have at least 1 year of experience as a nurse in a clinical care setting.
  • Have reliable transportation, a valid driver's license, and valid automobile insurance coverage.
  • Be able to work evenings, nights, weekends, and holidays.
  • Demonstrate clinical nursing competencies in accordance with accepted standards of practice.
  • Assess and appropriately respond to the physical, emotional, and psychosocial needs of patients, families, and caregivers across home and facility settings.
  • Communicate effectively and demonstrate emotional resilience when supporting patients and families facing end-of-life issues.
  • Manage multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently.
Responsibilities
  • Provide skilled hospice care and emotional support to patients and families during overnight hours.
  • Respond to urgent patient needs and help ensure comfort, dignity, and peace at end of life.
  • Provide symptom management and skilled nursing interventions during the 7-on/7-off night rotation.
  • Collaborate with physicians, hospice leadership, and the interdisciplinary team.
  • Travel within the service area to provide care in patients' homes, assisted living facilities, and nursing homes.
Desired Qualifications
  • Hospice or home health experience.
  • Previous after-hours or on-call experience.

About the company

Optimal Care provides Medicare-certified home health services for seniors, guided by a nurse practitioner-led care model. A nurse practitioner visits patients at home and develops individualized care plans that cover behavioral health, dementia, geriatric, diabetic, wound, and orthopedic care. This in-home, NP-driven approach offers a broad suite of geriatric-focused programs rather than only post-surgical or rehabilitation services. Its goal is to keep seniors safe and healthy at home by coordinating comprehensive, specialty care in their living environments.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Michigan

Founded

2003

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Simplify Jobs

Simplify's Take

What believers are saying

  • The 2025 Careline and Optimal Home Care merger created broader integrated post-acute coverage.
  • August 2026 website updates signal ongoing investment in service lines and patient acquisition.
  • LinkedIn lists 501-1000 employees, supporting scale for multi-state growth and operational leverage.

What critics are saying

  • Medicare reimbursement cuts can compress margins across physician, home health, and hospice services.
  • Large regional operators can outspend Optimal Care on recruiting, compliance, and payer negotiations.
  • Any hospice billing investigation could threaten referrals, contracts, and the company’s survival.

What makes Optimal Care unique

  • Optimal Care combines physician services, home health, and hospice across one continuum.
  • Its clinician-owned model and Midwest footprint deepen referral relationships and care coordination.
  • Website updates in August 2026 show active service expansion and brand consolidation after 2025 merger.

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Benefits

  • Paid Time Off
  • Company Vehicle Program
  • Flexible Work Schedule
  • Medical, Dental, and Vision Insurance
  • 401(k) Retirement Plan
  • Mileage Reimbursement

Company News

EIN News
Oct 15th, 2024
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