Registered Nurse On Call

Gentiva Hospice • Morristown, TN

8d

About The Position

The Registered Nurse provides after-hours hospice care during evenings, nights, weekends, and holidays. The nurse responds to urgent calls and patient needs, makes visits as needed, manages symptoms, and provides compassionate support to patients and families. The role serves as the primary liaison among patients, families, physicians, and the hospice team while coordinating care with the daytime team.

The nurse assesses patients, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and coordinates physical, psychosocial, educational, emotional, and spiritual services with the interdisciplinary group. The position maintains accurate clinical records, reports changes in condition to the attending and hospice physicians, and reviews assigned records for quality, standards of practice, and regulatory compliance. It also includes supervisory visits and staff scheduling oversight, participation in quality improvement and staff meetings, required annual training, and other assigned activities. Routine visits during normal business hours may also be requested.

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 other residences.
• 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, responding to urgent calls, patient visits, and symptom-management needs.
• Serve as the primary liaison between patients, families, physicians, and the hospice team, maintaining communication and continuity 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.
• Evaluate patient and family needs to guide clinical decisions and provide care in accordance with the plan of care.
• Educate patients, families, and caregivers about identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
• Collaborate with interdisciplinary team members to provide physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
• 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 up-to-date medical records, including interdisciplinary notes, plans of care, assessments, and other relevant information.
• Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support prompt communication and task completion.
• Review and follow up on assigned patient clinical records to ensure quality services, standards of practice, and compliance with policies, procedures, and regulatory requirements.
• Practice infection control measures and standard precautions.
• Conduct routine supervisory visits with other team members at least monthly and monitor staff scheduling.
• Maintain knowledge of pain and symptom management during the dying process.
• Participate in the Quality Assessment and Performance Improvement Program, attend staff meetings, and complete required annual training.
• Perform routine visits during normal business hours when requested and perform other assigned activities.
• Promote the company’s core values.

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.
• Generous paid time off and 7 paid holidays.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed