Hospice RN - Nights (7 On / 7 Off On-Call)

Immanuel•Omaha, NE

About The Position

Immanuel Hospice is seeking an After-Hours/On-Call Hospice Registered Nurse to provide clinical support, symptom management, and compassionate end-of-life care for patients and families across the service area. The position follows a 7-on/7-off schedule, with on-call coverage beginning at 4:30 PM during scheduled work weeks. The nurse provides care in homes, assisted living facilities, skilled nursing facilities, and other community settings, including evenings, weekends, holidays, and assigned on-call periods. Pay is based on experience, education, certifications, and skills. The role includes triage and clinical assessment, direct patient care and crisis intervention, coordination with physicians and interdisciplinary team members, education for patients and caregivers, accurate documentation, compliance with hospice and organizational requirements, and support for team members. The nurse helps patients and families receive comfort-focused care and timely service while maintaining professional judgment and flexibility.

Requirements

High school diploma or GED.
Successful completion of a Registered Nurse course of study.
Two years of acute care or long-term care nursing experience within the last five years.
Reliable transportation for travel between locations.
Basic Life Support (BLS) certification, or the ability to obtain it within 60 days of hire.
Keep the nursing license current at the employee’s expense and in good standing as recorded on the registry.
Valid driver’s license and auto insurance at or above statutory requirements.
Currently authorized to work in the United States on a full-time basis.
Complete a background check and drug screen prior to hire.

Nice To Haves

Bachelor’s degree in Nursing.
Experience in community health and/or hospice.
Emergency Room or Critical Care experience.

Responsibilities

Respond promptly to after-hours patient, family, facility, and caregiver calls; assess concerns, determine urgency, and provide appropriate nursing interventions.
Perform in-person and telephone assessments to evaluate changes in condition, manage symptoms, and identify patient and family needs.
Use nursing judgment to implement interventions, revise care approaches, and promote patient comfort in accordance with hospice philosophy and physician orders.
Provide skilled nursing care in homes, assisted living facilities, skilled nursing facilities, and other community settings during evenings, weekends, holidays, and assigned on-call periods.
Administer medications and treatments, manage pain and symptoms, address urgent clinical issues, and respond to emergencies as appropriate.
Support patients and families through end-of-life care with comfort-focused interventions and compassionate clinical support.
Communicate significant changes in patient condition to physicians, hospice leadership, and interdisciplinary team members; obtain and implement physician orders as needed.
Collaborate with caregivers, facilities, community providers, and hospice staff to ensure continuity of care and timely service delivery.
Educate and guide patients, families, and caregivers regarding symptom management, medications, disease progression, and available hospice resources.
Complete accurate, timely, and comprehensive clinical documentation, including assessments, interventions, physician communications, and patient outcomes.
Maintain compliance with hospice regulations, accreditation standards, HIPAA requirements, infection control practices, and organizational policies.
Participate in quality improvement and safety initiatives and report compliance concerns as appropriate.
Serve as a clinical resource and support team members through communication, collaboration, and mentoring when appropriate.
Participate in required meetings, education, training, and licensure activities to maintain clinical competency.
Demonstrate professionalism, sound decision-making, effective prioritization, and flexibility in responding to changing patient and organizational needs.