Registered Nurse On Call

Heartland Hospice • Butler, MO

9d

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. The RN responds to urgent calls and visits, evaluates patient and family needs, manages symptoms, and helps implement the physician-prescribed Hospice Plan of Care. The role serves as a primary liaison among patients, families, physicians, and the hospice team and coordinates continuity of care with daytime staff. The nurse works with an interdisciplinary group and support staff, educates patients and caregivers, maintains accurate clinical records, and contributes to quality and performance improvement activities. The position is safety-sensitive and may also include routine visits during normal business hours.

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 on-call or overnight nursing experience.
• Strong documentation and electronic medical records (EMR) skills.

Responsibilities

• Provide direct patient care and support after normal business hours, responding to urgent calls, visits, and symptom-management needs.
• Assess patients initially and on an ongoing basis; evaluate patient and family needs to guide clinical decisions.
• Help develop and implement the Hospice Plan of Care as prescribed by the physician and in coordination with the 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.
• Coordinate comprehensive physical, psychosocial, educational, emotional, and spiritual services, including bereavement support, with the Interdisciplinary Group.
• Act as the primary liaison among the physician, patient and family, and hospice team; maintain awareness of 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 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 pertinent information.
• Maintain continuous 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 support quality services, standards of practice, and regulatory compliance.
• Practice infection control measures and standard precautions.
• Perform routine supervisory visits with other team members at least monthly and monitor staff scheduling.
• Maintain knowledge of pain and symptom management in the dying process.
• Participate in the Quality Assessment and Performance Improvement Program and attend staff meetings.
• Perform routine visits during normal business hours when asked, complete required annual 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 full-time associates.
• Mileage reimbursement or fleet vehicle program for full-time associates.
• Generous paid time off and 7 paid holidays for full-time associates.
• Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care, for full-time associates.
• Education support and tuition assistance, including ASN to BSN and BSN to MSN, for full-time associates.
• Free continuing education units (CEUs) for full-time associates.
• Company-paid life and long-term disability insurance for full-time associates.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.

What This Job Offers

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