Registered Nurse On Call, Hospice - 7 Days On, 7 Days Off

Gentiva Hospice•Altoona, PA

12d

About The Position

The Registered Nurse provides compassionate, high-quality hospice care after normal business hours, responding to patient and family needs and ensuring continuity of care during evenings, overnight hours, weekends, and holidays. The schedule is seven days on and seven days off, with on-call coverage during the scheduled week. Care may be delivered in patients’ homes, facilities, or other places where they reside. This is a safety-sensitive position. The RN performs initial and ongoing assessments, helps develop and implement the physician-prescribed Hospice Plan of Care with the Interdisciplinary Group, provides direct care and symptom management, and educates patients, families, and caregivers. The RN serves as a primary liaison among patients, families, physicians, and the hospice team, maintains accurate clinical records, coordinates with daytime staff, and contributes to quality and performance improvement activities. The position may also include routine visits during normal business hours and routine supervisory visits with other team members.

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 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.
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.
Help develop and implement the Hospice Plan of Care with the physician and Interdisciplinary Group.
Educate patients, families, and caregivers about care-plan needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
Coordinate physical, psychosocial, educational, emotional, and spiritual services, including bereavement support, with the Interdisciplinary Group.
Serve as the primary liaison among the physician, patient and family, and hospice team; remain informed about clinical issues, staffing, and scheduling concerns.
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 to support prompt communication and task completion.
Review and follow up on assigned patient clinical records to ensure quality services, standards of practice, and compliance with policies, procedures, and regulatory requirements.
Practice infection-control measures and standard precautions.
Conduct routine supervisory visits of and 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.
Attend staff meetings and complete required annual company training.
Coordinate care with the daytime care team and work independently to ensure continuity of care.
Promote the company’s core values and perform other activities as assigned.

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.
Paid time off and seven paid holidays.
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.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.