Registered Nurse On Call

Gentiva Hospice•Morristown, TN
•Onsite

About The Position

The Registered Nurse provides after-hours hospice care during evenings, nights, weekends, and holidays. The RN responds to urgent calls and patient visits, manages symptoms, assesses patient and family needs, and implements the hospice Plan of Care. The position serves as the primary liaison among patients, families, physicians, and the hospice team and works independently while coordinating continuity of care with the daytime team. The RN conducts initial and ongoing assessments, collaborates with the Interdisciplinary Group, educates patients and caregivers, reports changes in patient condition to physicians, and maintains accurate clinical records. The role also includes monitoring assigned records and staff scheduling, making routine supervisory visits, participating in quality improvement activities and staff meetings, completing required training, and maintaining access to the TeleMed mobile application during scheduled shifts. 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 to 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.
  • Respond promptly to urgent calls, patient visits, and symptom-management needs.
  • Assess patients and families and guide clinical decisions in accordance with the Plan of Care.
  • 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 the Interdisciplinary Group.
  • Act as the primary liaison among the physician, patient and family, and hospice team; report changes in patient condition to the Attending Physician and Hospice Physician.
  • Maintain contact with patients’ families and significant others to provide information, support, and continuity of care.
  • Accurately maintain medical records, including interdisciplinary notes, plans of care, and assessments.
  • Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts for communication and task completion.
  • Review and follow up on assigned clinical records to ensure quality, 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.
  • May perform routine visits during normal business hours and other assigned activities.
  • Complete required annual company training and promote company core values.

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
  • Generous paid time off and 7 paid holidays
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
  • Education support and tuition assistance
  • 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
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