Registered Nurse On Call

SouthernCare•Terre Haute, IN

About The Position

The After Hours Hospice Registered Nurse provides direct patient care and support outside normal business hours, including evenings, nights, weekends, and holidays. Working an after-hours-only 7-on/7-off schedule, the nurse responds to urgent calls, visits, and symptom-management needs and serves as the primary liaison among patients, families, physicians, and the hospice team. The role requires independent clinical judgment while coordinating care with the daytime team and other interdisciplinary staff. The nurse conducts initial and ongoing patient assessments, helps develop and implement physician-prescribed hospice plans of care, and educates patients, families, and caregivers about identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients. The nurse collaborates with the Interdisciplinary Group to provide physical, psychosocial, educational, emotional, and spiritual support, including bereavement support. The position maintains accurate medical records, reports changes in patient condition to the attending and hospice physicians, and reviews assigned clinical records to support quality care and compliance with standards, policies, procedures, and regulatory requirements. The nurse maintains access to the TeleMed mobile application during scheduled shifts, practices infection-control measures, conducts routine supervisory visits of and with team members at least monthly, monitors staff scheduling, participates in quality improvement activities, attends staff meetings, completes annual training, and performs other assigned duties. Routine visits during normal business hours may also be requested. 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 record (EMR) skills.

Responsibilities

  • Provide direct patient care and support after normal business hours.
  • Respond promptly and compassionately to urgent calls, patient visits, and symptom-management needs.
  • Serve as the primary liaison among patients, families, physicians, and the hospice team during the shift.
  • Evaluate patient and family needs to guide clinical decisions and implement the plan of care.
  • Perform initial and ongoing patient assessments.
  • Help develop and implement the physician-prescribed Hospice Plan of Care with the 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 to provide physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
  • Maintain primary clinical oversight of assigned patients and keep current on clinical issues, staffing, and scheduling concerns.
  • Report changes in a patient’s condition to the attending physician and hospice physician.
  • Maintain contact with patients’ families and 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 pertinent information.
  • Maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts for timely response, communication, and task completion.
  • Review and follow up on assigned clinical records to support quality services, standards of practice, and compliance with policies, procedures, and regulatory requirements.
  • Practice infection-control measures and standard precautions.
  • Conduct routine supervisory visits of and with other team members at least monthly.
  • Monitor staff scheduling.
  • Maintain knowledge of pain and symptom management during the dying process.
  • Participate in the Quality Assessment and Performance Improvement Program.
  • Perform routine visits during normal business hours when requested.
  • Attend staff meetings, complete required annual company training, promote company core values, and perform other assigned activities.

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.
  • 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 support.
  • Free continuing education units (CEUs).
  • Company-paid life and long-term disability insurance.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
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