Registered Nurse On Call Hospice
About The Position
The Registered Nurse provides after-hours hospice care during evenings, nights, weekends, and holidays. The RN responds to urgent calls, visits patients as needed, manages symptoms, evaluates patient and family needs, and helps implement the hospice plan of care. The position serves as a primary liaison among patients, families, physicians, and the hospice team, while coordinating with the daytime care team to maintain continuity of care. Care may be provided in patients’ homes, facilities, or other places where they reside. The RN conducts initial and ongoing patient assessments; develops and implements the hospice plan of care in collaboration with the physician and interdisciplinary group; educates patients, families, and caregivers; maintains accurate clinical records; and supports physical, psychosocial, educational, emotional, and spiritual care, including bereavement support. The role also includes quality-improvement participation, review of clinical records for quality and compliance, infection-control practices, monthly supervisory visits with team members, staff scheduling oversight, and ongoing attention to pain and symptom management. The RN must maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts. 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 support patients and families 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.
- Respond promptly to urgent calls, patient visits, and symptom-management needs.
- Evaluate patient and family needs to guide clinical decisions and implement the plan of care.
- Serve as a primary liaison among patients, families, physicians, and the hospice team.
- Coordinate care with the interdisciplinary group and daytime care team to ensure continuity.
- Conduct initial and ongoing patient assessments.
- Help develop and implement the hospice plan of care with the physician and interdisciplinary group.
- Educate patients, families, and caregivers about 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 continuous access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts and respond to communications and tasks.
- Review and follow up on assigned clinical records to support quality services, professional standards, and regulatory compliance.
- Practice infection control measures and standard precautions.
- Conduct routine supervisory visits with other team members at least monthly.
- Monitor staff scheduling.
- Maintain knowledge of pain and symptom management during the dying process.
- Participate in quality assessment and performance improvement programs.
- Attend staff meetings and complete required annual company training.
- Promote company core values and perform other assigned activities.
- May perform routine visits during normal business hours.
Benefits
- Medical, dental, and vision insurance.
- 401(k) with company match.
- Paid time off and seven paid holidays for full-time associates.
- Wellness programs and resources, including telemedicine, diabetes management, and joint and spine concierge care.
- FMLA, ADA, and other federally and state-required leaves.
- Short- and long-term disability benefits.
- Health savings account (HSA) contribution.
- Mileage reimbursement or fleet vehicle program.
- Cell phone reimbursement for eligible roles.
- Short-term incentive for eligible roles.
- Tuition reimbursement and education support, 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.
- Career advancement opportunities.
- National and local recognition programs.
- Teammate Assistance Fund.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
