Registered Nurse On Call (Weekend)

Gentiva Hospice • Alamo Heights, TX

6h

About The Position

The Registered Nurse provides after-hours hospice care during a weekend shift running from Friday at 5 p.m. through Monday at 8 a.m. The RN responds to patient needs, urgent calls, visits, and symptom-management concerns, providing compassionate clinical care and support to patients and families wherever they reside. The position requires previous hospice experience as stated in the overview.

The RN assesses patients, helps develop and implement physician-prescribed plans of care, educates patients and caregivers, and coordinates services with physicians and the interdisciplinary hospice team. The role maintains accurate clinical records, monitors care quality and regulatory compliance, and ensures continuity with the daytime team. The RN reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. 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.
• Previous hospice experience is required according to the overview.
• Compassionate, calm, and dependable approach in urgent care situations.
• Excellent clinical judgment and ability to support people 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 (listed as preferred, though the overview separately requires previous hospice 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 among patients, families, physicians, and the hospice team during the shift.
• Respond promptly to urgent calls, patient visits, and symptom-management needs.
• Assess patient and family needs to guide clinical decisions and implement the plan of care.
• 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.
• 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 assessments, plans of care, and interdisciplinary notes.
• Keep access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts to support immediate responses and task completion.
• Review and follow up on assigned clinical records to support quality care, standards of practice, and compliance with policies and regulatory requirements.
• 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 in the dying process.
• Participate in quality assessment and performance improvement programs.
• Work independently and coordinate continuity of care with the daytime team.
• 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.

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 eligible 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 (ASN to BSN, BSN to MSN).
• 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.

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed