Registered Nurse On Call

Gentiva Hospice•Warwick, RI

About The Position

The Registered Nurse – On Call provides hospice care and support after normal business hours, including evenings, nights, weekends, and holidays. The RN responds to urgent calls and patient visits, supports symptom management, and serves as a primary liaison among patients, families, physicians, and the hospice team. The role requires independent work while maintaining continuity of care and coordinating with the daytime care team. The RN assesses patients, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and collaborates with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual support. The position also includes documentation, staff coordination and supervision, quality improvement participation, and compliance with clinical standards and regulatory requirements. The role is safety-sensitive and may include routine visits during normal business hours. Salary range: $79,670–$99,580. Compensation may vary based on factors including location, experience, education, skills, licensure, certifications, and internal and department equity.

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.
Strong clinical judgment and ability to provide support in emotionally intense settings.
Comfort providing care in patients’ homes, facilities, or other places where 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.
Serve as the primary liaison among patients, families, physicians, and the hospice team during the shift.
Respond promptly to urgent calls and patient visits and address symptom management needs.
Assess patient and family needs to guide clinical decisions and implement the plan of care.
Perform initial and ongoing patient assessments and help develop and implement the hospice plan of care with the physician and interdisciplinary group.
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 the interdisciplinary group 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 updated 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 to enable prompt response, communication, and task completion.
Review and follow up on assigned patient clinical records to ensure quality care, standards of practice, and compliance with policies, procedures, and regulatory requirements.
Follow infection-control measures and standard precautions.
Make 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.
Work independently while coordinating care with the daytime team.
Attend staff meetings, complete required annual company training, promote company core values, and perform other assigned activities.
May perform routine visits during normal business hours.

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.