Registered Nurse On Call

Heartland Hospice•Butler, MO

About The Position

The Registered Nurse On Call provides after-hours hospice nursing care during evenings, nights, weekends, and holidays. The nurse responds to patient needs, urgent calls and visits, and symptom-management concerns, while serving as the primary liaison among patients, families, physicians, and the hospice team. The role requires independent judgment and coordination with the daytime care team to support continuity of care. The position may also include routine visits during normal business hours. The nurse assesses patients initially and on an ongoing basis, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and coordinates physical, psychosocial, educational, emotional, spiritual, and bereavement support. The role includes maintaining accurate records, reviewing clinical records for quality and compliance, following infection-control practices, and participating in quality improvement activities. The nurse reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. This is a safety-sensitive position.

Requirements

Current RN license in the state of requested employment, or eligibility to obtain one.
At least 1 year of nursing experience.
Compassionate, calm, and dependable approach in urgent care situations.
Excellent clinical judgment and ability to provide support in emotionally intense settings.
Comfort providing care in patients’ homes, facilities, or wherever they reside.
Valid driver’s license, automobile insurance, and reliable transportation.
Current CPR certification.

Nice To Haves

At least 1 year of hospice, home health, oncology, or palliative care experience.
Familiarity with symptom management, triage, and after-hours home-based care.
Prior experience in on-call or overnight nursing roles.
Strong documentation and electronic medical records (EMR) skills.

Responsibilities

Provide direct patient care and support after normal business hours, including responding to urgent calls, patient visits, and symptom-management needs.
Serve as the primary liaison between patients, families, physicians, and the hospice team during the shift.
Assess patient and family needs and use clinical judgment to guide care decisions and implement the plan of care.
Perform initial and ongoing patient assessments and help develop and implement the hospice plan of care in conjunction with the physician and interdisciplinary group.
Educate patients, families, and caregivers about needs identified in the plan of care, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
Collaborate with the interdisciplinary group and support staff to provide physical, psychosocial, educational, emotional, spiritual, and bereavement services.
Report changes in patient condition to the Attending Physician and Hospice Physician.
Maintain contact with patients’ families or significant others to provide information, support, and continuity of care.
Maintain accurate and updated medical records, including interdisciplinary notes, plans of care, assessments, and other relevant patient-care information.
Maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts for timely communication and task completion.
Review and follow up on assigned clinical records to support quality care, adherence to practice standards, and compliance with policies, procedures, and regulatory requirements.
Practice infection control measures and standard precautions.
Make routine supervisory visits with other team members at least monthly and monitor staff scheduling.
Maintain knowledge of pain and symptom management in the dying process.
Participate in the Quality Assessment and Performance Improvement Program and attend staff meetings.
Perform routine visits during normal business hours when asked and perform other activities as assigned.
Promote the company’s core values and complete required annual company training.
Work independently while coordinating care and maintaining continuity with the daytime care team.

Benefits

Competitive pay.
401(k) with company match.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
Medical, dental, and vision insurance for eligible full-time associates.
Mileage reimbursement or fleet vehicle program for eligible full-time associates.
Generous paid time off and 7 paid holidays for eligible full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
Education support and tuition assistance, including ASN to BSN and BSN to MSN pathways.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance for eligible full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.