Registered Nurse - RN On-Call (7 On/7 Off)

Partners in Home Care•Missoula, MT

1d•Hybrid

About The Position

Partners In Home Care is seeking a skilled and dedicated On-Call Nurse to provide clinical support after-hours and weekends for patients, families, caregivers, and facility partners. The On-Call Nurse role ensures timely triage, intervention, and coordination of care during non-business hours. The nurse functions autonomously, prioritizing urgent issues, making home visits when necessary, and supporting continuity of care for patients in the community. The schedule follows a 7-days-on / 7-days-off rotation.

Requirements

Current RN license in the state of MT in good standing.
CPR certification.
Valid driver’s license, reliable transportation, and proof of auto insurance.
Strong clinical assessment and triage skills required.

Nice To Haves

Minimum 1–2 years of nursing experience in Home Health, Hospice, ER, ICU, Med/Surg, or similar setting.
Experience with EMR documentation preferred.

Responsibilities

Provide telephone triage for urgent clinical needs, symptom changes, caregiver concerns, and equipment issues.
Assess patient status via phone and/or in-person visits using clinical judgment and agency protocols.
Perform home visits for urgent issues such as pain crisis, respiratory distress, falls, wound complications, or other acute changes.
Deliver skilled nursing interventions, including medication administration, wound care, assessments, and stabilization.
Ensure patient safety and support caregivers with teaching, reassurance, and guidance.
Communicate significant changes to the primary nurse, interdisciplinary team, and physician as needed.
Coordinate with the on-call provider, hospice physician, or NP for urgent orders or guidance.
Document all triage calls, assessments, interventions, and visits in the EMR in a timely manner.
Arrange after-hours equipment needs (e.g., oxygen, supplies) through approved vendors or internal DME when applicable.
Adhere to agency policies, ACHC standards, and CMS Home Health/Hospice CoPs.
Participate in performance improvement activities.
Maintain accurate and complete clinical documentation.
Escalate concerns about patient safety, abuse/neglect, or environmental risks promptly.

Benefits

Flexible scheduling
Generous paid time off
Comprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance -Beginning the first of the month following your start date.
401(k) with company match up to 5%
Company-paid life insurance
Tuition reimbursement
Annual training budget
Employee Assistance Program (EAP)
Legal services
ID protection
Pet insurance
Financial wellness programs