Hospice On-Call RN – PRN (Nights, Weekends & Holidays)
About The Position
Concho Hearts Hospice is seeking an experienced, compassionate, dependable PRN On-Call Registered Nurse to serve The Woodlands, Texas, and surrounding communities. The nurse provides after-hours hospice coverage and hands-on nursing care when patients and families need support, including during unexpected changes, urgent concerns, and end-of-life situations. PRN schedules and assignments are based on coverage, patient, and staffing needs and are not guaranteed. The role involves travel to patient homes, assisted living communities, and nursing facilities after hours. The position offers competitive PRN compensation, mileage reimbursement, flexible PRN scheduling based on coverage needs, and support from clinical leadership and an interdisciplinary team. Concho Hearts Hospice describes itself as a locally owned and operated organization committed to compassionate care wherever patients call home.
Requirements
- Active Texas Registered Nurse (RN) license or qualifying Nurse Licensure Compact (NLC) license.
- Previous hospice nursing experience required.
- Strong clinical assessment, critical-thinking, and symptom-management skills.
- Knowledge of end-of-life care, comfort medications, and hospice philosophy.
- Ability to independently assess patient needs and respond appropriately.
- Excellent communication, documentation, and time-management skills.
- Compassionate, dependable, and responsive approach to patient and family needs.
- Comfort traveling after hours to patient homes, assisted living communities, and nursing facilities.
- Ability to remain calm and professional during urgent or emotionally challenging situations.
- Current CPR certification.
- Valid driver's license, reliable transportation, and current auto insurance.
- Availability for assigned night, weekend, and holiday coverage.
Nice To Haves
- Previous hospice on-call or after-hours nursing experience.
Responsibilities
- Provide after-hours nursing coverage according to assigned on-call schedules.
- Respond promptly to calls from patients and families about changes in condition, symptoms, or urgent care needs.
- Make in-person nursing visits when clinically indicated.
- Assess patient conditions and provide appropriate nursing interventions.
- Manage pain, shortness of breath, anxiety, agitation, and other end-of-life symptoms.
- Communicate with physicians and obtain necessary orders.
- Provide education, reassurance, and emotional support to patients and families.
- Respond to falls, changes in condition, and other urgent clinical concerns.
- Assist with end-of-life care, actively dying patients, and death visits as needed.
- Coordinate with the triage team, clinical leadership, and interdisciplinary team.
- Accurately and promptly document patient calls, visits, assessments, interventions, and follow-up needs.
- Complete required on-call reports and communicate patient updates to the daytime clinical team.
- Provide thorough handoff communication to support continuity of care.
- Follow hospice regulations, clinical standards, and company policies.
Benefits
- Competitive PRN compensation
- Mileage reimbursement
- Flexible PRN scheduling based on coverage needs
- Supportive clinical and leadership team
- Collaborative interdisciplinary team
- Meaningful one-on-one patient care
- Opportunities for professional growth
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What This Job Offers
Education Level
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