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

Immanuel•Omaha, NE

About The Position

Immanuel Hospice is seeking a compassionate Registered Nurse to provide after-hours and on-call clinical support, symptom management, and end-of-life care for patients and families across its service area. The role follows a 7-on/7-off schedule, with on-call coverage beginning at 4:30 PM during scheduled work weeks. The RN provides care in patients’ homes, assisted living facilities, skilled nursing facilities, and other community settings, including evenings, weekends, and holidays. Pay is based on experience, education, certifications, and skills. The position requires a high school diploma or GED and successful completion of a Registered Nurse course of study. A Bachelor’s degree in Nursing is preferred. Two years of acute care or long-term care nursing experience within the last five years is required. Community health, hospice, and Emergency Room/Critical Care experience are preferred. Reliable transportation, a current RN license in good standing, BLS certification (or attainment within 60 days of hire), a valid driver’s license, and auto insurance meeting or exceeding statutory requirements are required. The employee is responsible for keeping their license current at their own expense.

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.
Current RN license in good standing; the employee is responsible for maintaining the license at their own expense.
Basic Life Support (BLS) certification, or ability to obtain it within 60 days of hire.
Reliable transportation for travel between locations.
Valid driver’s license and auto insurance at or above statutory requirements.

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 calls from patients, families, facilities, and caregivers; assess concerns, determine urgency, and provide appropriate nursing interventions.
Perform in-person and telephone clinical 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 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 assigned on-call periods, including evenings, weekends, and holidays.
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 about 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.