Registered Nurse On Call 7on-7off

Heartland Hospice•Fort Wayne, IN

About The Position

The Registered Nurse provides after-hours hospice care on a 7-on, 7-off schedule, responding to patient needs during evenings, nights, weekends, and holidays. The RN delivers direct care and support, responds to urgent calls and visits, manages symptoms, evaluates patient and family needs, and helps implement the physician-prescribed Hospice Plan of Care. The position works independently while coordinating continuity of care with the daytime team and collaborating with patients, families, physicians, and interdisciplinary staff. The RN performs initial and ongoing patient assessments, educates patients and caregivers, monitors changes in condition, maintains accurate medical records, and reviews assigned clinical records for quality and regulatory compliance. The role also includes maintaining access to the TeleMed mobile application during scheduled shifts, infection-control practices, monthly supervisory visits with team members, staff scheduling oversight, participation in quality improvement and staff meetings, and other assigned duties. 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.
Comfort providing care in patients’ homes, facilities, or other residences.
Valid driver’s license, automobile insurance, and reliable transportation.
Current CPR certification.
Ability to maintain access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts.

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, including responding to urgent calls, patient visits, and symptom-management needs.
Serve as the primary liaison among patients, families, physicians, and the hospice team during the shift.
Assess patient and family needs and make clinical decisions to implement the Plan of Care.
Perform initial and ongoing patient assessments and report changes in patient condition to the Attending Physician and Hospice Physician.
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.
Collaborate with interdisciplinary team members to provide physical, psychosocial, educational, emotional, spiritual, and bereavement support.
Maintain contact with patients’ families or significant others to provide information, support, and continuity of care.
Maintain accurate, current medical records, including interdisciplinary notes, Plans of Care, assessments, and other pertinent information.
Keep continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts to support prompt responses and task completion.
Review and follow up on assigned clinical records to help ensure quality services, standards of practice, and compliance with policies, procedures, and regulations.
Practice infection control measures and standard precautions.
Make 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.
Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.
Perform routine visits during normal business hours if requested.

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, including ASN-to-BSN and BSN-to-MSN programs, 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.