Registered Nurse On Call

Heartland Hospice • Marion, OH

8h • $66,720 - $83,395

About The Position

The After Hours Hospice Registered Nurse provides direct patient care and support outside normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The RN serves as the primary liaison among patients, families, physicians, and the hospice team during assigned shifts, addressing urgent calls, visits, and symptom-management needs while coordinating continuity of care with the daytime team. The role reports directly to the Administrator, Executive Director, or Patient Care Manager Senior.

The RN assesses patients, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, coordinates services with the interdisciplinary group, and documents care and communications. The position also includes clinical record review, staff supervision and scheduling oversight, quality-improvement participation, infection-control practices, and maintaining access to the TeleMed mobile application 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 provide support in emotionally intense settings.
• Ability to provide 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 records (EMR) skills.

Responsibilities

• Provide direct patient care and support after normal business hours.
• Serve as the primary liaison between patients, families, physicians, and the hospice team during assigned shifts.
• 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.
• 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.
• Coordinate physical, psychosocial, educational, emotional, spiritual, and bereavement support with interdisciplinary team members.
• 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 and/or tablet during scheduled shifts for prompt communication and task completion.
• Review and follow up on assigned clinical records to support 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 and monitor staff scheduling.
• Maintain knowledge of pain and symptom management in the dying process.
• Participate in quality assessment and performance improvement programs and attend staff meetings.
• Work independently while coordinating care with the daytime team; routine visits during normal business hours may also be requested.
• Complete required annual company 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 and spine concierge care, for full-time associates.
• Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN education 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 pet, critical illness, accident, and long-term care benefits for full-time associates.

What This Job Offers

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