Registered Nurse On Call

Gentiva Hospice•Harrisonburg, VA

About The Position

The Registered Nurse provides hospice care and support after normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The role delivers direct care, evaluates patient and family needs, guides clinical decisions, and implements the physician-prescribed Plan of Care. The nurse serves as the primary liaison among patients, families, physicians, and the hospice team, coordinating care and maintaining continuity with the daytime team. Care may be provided in patients’ homes, facilities, or wherever they reside. The position reports to the Administrator, Executive Director, or Patient Care Manager Senior and may also include routine visits during normal business hours. The nurse performs initial and ongoing patient assessments; educates patients, families, and caregivers; communicates changes in condition to the attending and hospice physicians; maintains accurate clinical records; and collaborates with the Interdisciplinary Group to address physical, psychosocial, educational, emotional, and spiritual needs. Additional duties include monitoring assigned records and staff scheduling, conducting routine supervisory visits, following infection-control practices, participating in quality-improvement activities and staff meetings, maintaining access to the TeleMed mobile application during scheduled shifts, and completing required training and other assigned activities. This is a safety-sensitive position. The listed salary range is $68,215 to $85,265. 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.
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.
Ability to meet applicable state-specific requirements and safety-sensitive position requirements.

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 and compassionately to urgent calls, patient visits, and symptom-management needs.
Serve as the primary liaison between patients, families, physicians, and the hospice team during the shift.
Assess 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 in collaboration with the 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 the 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 assessments, Plans of Care, and interdisciplinary notes.
Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts for communication and task execution.
Review and follow up on assigned patient clinical records to ensure quality services, standards of practice, 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 the Quality Assessment and Performance Improvement Program.
May perform routine visits during normal business hours.
Attend staff meetings, complete required annual company training, promote company core values, and perform other assigned activities.
Work independently while coordinating with the daytime care team to ensure continuity of care.