Registered Nurse On Call

Heartland Hospice•Buffalo Grove, IL

About The Position

The Registered Nurse provides hospice care and support after normal business hours, including evenings, nights, weekends, and holidays. The nurse responds to urgent calls, patient visits, and symptom-management needs, serving as the primary liaison among patients, families, physicians, and the hospice team. The role includes assessing patient and family needs, guiding clinical decisions, implementing the plan of care, and coordinating with the daytime care team to maintain continuity of care. Care may be provided in patients’ homes, facilities, or wherever they reside. The RN reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. Responsibilities include initial and ongoing patient assessments; helping develop and implement the Hospice Plan of Care with the physician and interdisciplinary group; educating patients, families, and caregivers; coordinating physical, psychosocial, educational, emotional, and spiritual support, including bereavement support; and notifying physicians of changes in patient condition. The nurse maintains accurate clinical records, reviews records for quality and regulatory compliance, practices infection control, and participates in quality assessment and performance improvement. The position also includes monthly supervisory visits with team members, staff scheduling monitoring, staff meetings, annual training, and other assigned activities. Routine visits during normal business hours may also be requested. The position requires continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts to support prompt communication and task completion. It is designated as safety-sensitive. The listed salary range is $80,195–$100,240; compensation may vary based on factors including location, experience, education, skills, licensure, certifications, and department equity.

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 support patients and families 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 records (EMR) skills.

Responsibilities

  • Provide direct patient care and support after normal business hours, including evenings, nights, weekends, and holidays.
  • Respond promptly and compassionately to urgent calls, patient visits, and symptom-management needs.
  • Serve as the primary liaison between patients, families, physicians, and the hospice team during the shift.
  • Perform initial and ongoing patient assessments and evaluate patient and family needs to guide clinical decisions.
  • Help develop and implement the Hospice Plan of Care with the physician and interdisciplinary group.
  • Educate patients, families, and caregivers about care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
  • Collaborate with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual services, including 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 interdisciplinary notes, plans of care, assessments, and other pertinent information.
  • Use the TeleMed mobile application on a cellular device and/or tablet throughout scheduled shifts for immediate response, communication, and task execution and 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 in the dying process.
  • Participate in the Quality Assessment and Performance Improvement Program.
  • Perform routine visits during normal business hours when requested.
  • Attend staff meetings, complete required annual company training, promote company core values, and perform other assigned activities.

Benefits

  • Medical, dental, and vision insurance
  • Wellness program and resources
  • 401(k) with company match
  • Paid time off
  • FMLA, ADA, and other federal and state-required leaves
  • Short- and long-term disability
  • HSA contribution
  • Mileage reimbursement or fleet vehicle program
  • Cell phone reimbursement for eligible roles
  • Short-term incentive for eligible roles
  • Tuition reimbursement and education support
  • Career advancement opportunities
  • National and local recognition programs
  • Teammate Assistance Fund
  • Seven paid holidays
  • Free continuing education units (CEUs)
  • Company-paid life insurance
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage
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