Careers · Clinical & Support Roles

Build a hospice career. Not just a job.

For clinicians who want to do this work for the long arc — not just to build hours or check a box. Locally owned, clinician-led, accountable to the families and to each other. Hiring across East Texas.

Send your resume See open roles

01 —Why build a career here

The work is the offer.

We can't outbid the big chains on starting salary. What we offer instead is the conditions to actually become great at this work — and the chance to stay long enough to know what that feels like.

Hospice as a calling, not a stopover

Most clinicians in hospice are passing through — using it to build hours, decompress between ICU stints, or check a box. We hire people who want to be doing this in five years. Ten years. Their whole career. Because that's how mastery happens, and how families experience the difference.

Local ownership means real autonomy

We are not owned by private equity or a regional chain. Decisions about your job, your panel, your patients, and your time happen in Tyler — by people who do the work alongside you. No quarterly investor call dictates your caseload.

Caseloads that respect mastery

Industry standard is 18-22 patient panels for case-managing RNs. We run 10-13. The difference: you know each family, the family knows you, and you do the kind of clinical work that gets harder to do well when you're spread too thin.

Real after-hours rest

We staff a dedicated on-call team for nights and weekends. Case managers go home at the end of their day. You aren't moonlighting as the answering service while pretending you got a weekend.

Practice the way you were trained

You write your patients' plans of care. You lead the family conversation. The medical director is genuinely available — not a name on a form. Your clinical judgment is the asset we hire for, and we let it work.

A medical director who actually directs

Our medical director attends IDG, reviews every certification, and is reachable when a nurse needs a physician's call. That's not standard. It changes what's possible at the bedside.

02 —The arc

What a career here looks like over time.

We hire for the long arc, not the next 18 months. Below is the shape of a career that stays — what we've seen and what we've built for.

Year 1-2

Clinical mastery in hospice

Build the muscle memory of expert hospice care. Manage your panel. Lead IDG. Run the family conversations. You leave Year 2 a substantially better clinician than you arrived — that's the deal.

Year 3-5

Specialization & mentorship

Optional growth tracks: certified hospice & palliative nurse (CHPN/CHPLN), wound care specialist, pediatric palliative pathway, bilingual care lead, on-call clinical lead. You mentor new hires. You get an opinion in how we hire and onboard the next ones.

Year 5+

Leadership, education, ownership

Director-track roles, IDG leadership, clinical educator positions, regional expansion leadership. We grow people into the org we want to build. Several of our clinical leaders started here as line nurses.

03 —How we hold each other

The four things we hire and fire on.

Not values. Not posters. The actual things we measure each other against when the hard moments come.

Standard of one

We don't have a VIP track and a basic track. We have one track. The care a person received at every stage of their life will not diminish at its close. Apply this to your patients, to your teammates, and to yourself.

Presence over performance

We don't reward heroics that come from system failure. We reward presence — being where you said you'd be, when you said you'd be there. The work compounds.

Honest conversations, always

We tell families the truth about prognosis, what to expect, what we don't know. We do the same with each other. No clinical theater. No performative kindness that withholds what someone actually needs to hear.

Rooted in East Texas

We worship where our patients worship, drive the same roads, send our kids to the same schools. That isn't an HR policy — it's a hiring filter. We hire people who want to stay here, raise their families here, retire here.

04 —What we invest in you

We bet on your growth, in writing.

Most hospice employers say they value learning. Few actually pay for it. Here's what we put real money behind:

—Tuition reimbursement for CHPN, CHPLN, BCC, and clinical certifications
—$1,500/year CME stipend (above what the state requires)
—Conference attendance — NHPCO, AAHPM, state hospice association
—Internal grand rounds twice monthly — chaplaincy, ethics, hard cases
—Wellness allowance — clinical burnout is real and we treat it as a clinical-safety issue
—Sabbatical eligibility at 5 years (one paid month every five years thereafter)

05 —Benefits

The standard ones — well done.

Health, dental, vision insurance

Premium covered for employee; family rates kept low

Retirement match

4% employer match, immediate vesting

Paid time off

Generous — this work requires actual rest

Paid bereavement leave

When YOUR people die — not just patients'

Mileage reimbursement

Full IRS rate; updated quarterly

Life insurance

Employer-paid base policy

EAP + mental health support

Confidential, generous session counts

Cell phone stipend

$50/month for clinical staff

06 —Honest about the tradeoffs

Where we're not the right fit.

We'd rather you read these before you apply than after you start. If any of them sound like a dealbreaker, that's a clean signal.

If you want a corporate ladder with annual title changes, this isn't it. We grow people inside roles before we promote them out.
We hire slowly. The interview process includes a half-day shadow with a clinician already on the team — both of you decide.
Pay is competitive, not market-leading. We don't have the margin to outbid the big chains. What we offer is the work itself.
We work in homes, not in a beautiful office. Your job is in cars, on porches, in living rooms, and on phones.
End-of-life work is hard. It will change you. We provide support, but no one finishes a hospice career unchanged by it.

07 —Open roles

Hiring across East Texas.

We're hiring across Smith, Gregg, Cherokee, Henderson, Rusk, Van Zandt, Anderson, and Wood counties. Some roles are central; others are field-based. We'll discuss territory at the interview.

Hospice Registered Nurse (RN)

Full-time · PRN · East Texas territory

Case management for patients across one of our 8 East Texas counties. You will own your panel, write the plan of care, lead the IDG discussion, and answer your patients' calls. No 14-patient days. No corporate playbook overriding your clinical judgment.

Requirements

—Active Texas RN license in good standing
—1+ year hospice, home health, oncology, ICU, or geriatric experience preferred
—Reliable vehicle (we reimburse mileage at IRS rate)
—Comfort with end-of-life conversations — and the families having them

Apply for Hospice Registered Nurse (RN) →

Hospice On-Call Nurse (After-Hours, Weekends)

Full-time nights · Rotating weekends

You are the voice families hear at 2 a.m. — when breathing changes, when pain spikes, when a death is approaching. You triage by phone, drive when needed, and stay until the family is held. This is the most consequential role on our team.

Requirements

—Active Texas RN license
—2+ years hospice or critical-care experience
—Strong phone presence and de-escalation skills
—Willingness to drive to patients' homes within service area

Apply for Hospice On-Call Nurse (After-Hours, Weekends) →

Licensed Vocational Nurse (LVN)

Full-time · PRN

Scheduled visits for symptom management, medication administration, wound care, and family teaching. You will work alongside an RN case manager and have direct access to the medical director for clinical questions.

Requirements

—Active Texas LVN license
—Hospice or home-health experience preferred
—Reliable vehicle

Apply for Licensed Vocational Nurse (LVN) →

Chaplain

Full-time · Per-diem

Spiritual and emotional support for patients and families across all faith traditions — and none. This is companionship work, not preaching. You meet families where they are, with whatever they bring.

Requirements

—Theological education or equivalent pastoral training
—Board certification (BCC) preferred or willingness to pursue
—Comfort across denominations and with non-religious families
—Reliable vehicle

Apply for Chaplain →

Social Worker (MSW or BSW)

Full-time

Resource navigation, advance care planning, family-systems support, financial counseling. You help families across hospital discharge, funeral planning, Medicaid navigation, and bereavement linkage.

Requirements

—Texas social worker license (LMSW or LBSW)
—Hospice, palliative, or medical SW experience preferred
—Bilingual (English/Spanish) is a plus

Apply for Social Worker (MSW or BSW) →

Hospice Aide / Home Health Aide (HHA / CNA)

Full-time · PRN

Personal care — bathing, grooming, light meal prep, dignified presence. You are often the most consistent face our patients see. Your work matters more than the title suggests.

Requirements

—Texas CNA or HHA certification
—Hospice or home-care experience preferred
—Reliable vehicle

Apply for Hospice Aide / Home Health Aide (HHA / CNA) →

Bereavement Coordinator

Full-time

13 months of grief support per family, after the death. Group facilitation, mailings, phone outreach, individual check-ins. You build the bridge from the last hospice visit to a family rebuilding their life.

Requirements

—Master's in counseling, social work, or related field
—Experience facilitating grief groups
—Strong written communication for bereavement mailings

Apply for Bereavement Coordinator →

08 —Our hiring process

Slow on purpose. Both sides decide.

01
You email us
Resume + a short note about why hospice. We respond within five business days.
02
30-minute phone conversation
With a clinical leader. We ask about your trajectory; you ask about ours.
03
Half-day shadow
You ride with a clinician already on the team. They show you the actual work — homes, charting, IDG, on-call. Both of you decide at the end.
04
Offer or honest no
If we say yes, the offer comes with a written 90-day plan. If we say no, we tell you why — clearly, with specifics.
05
First 30 days
Paired with a mentor. Weekly check-ins with a clinical leader. No solo visits in the first two weeks unless you choose.

Accreditations & certifications

CMS

Medicare-Certified

CMS Provider · NPI #1700460789

Texas-Licensed

DSHS HCSSA #020708

CHAP Accredited

Independent accreditation

09 —How to apply

Email us. We read every one.

Send your resume, your license number (if applicable), and a brief note about why hospice matters to you, to care@azaleahospice.com.

We respond to every applicant within five business days. If you have specific questions before applying, call (903) 555-0000 during business hours and ask for the hiring manager.

We are an equal opportunity employer. We do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, disability, veteran status, or any other protected characteristic.

If this is the work you want to spend your career on, we want to talk.

Send a resume. Call us. Stop by the office. We'll respond fast — and honestly.

Email care@azaleahospice.com Or call (903) 555-0000

Meet our medical director · About Azalea