Registered Nurse On Call

Heartland Hospice • Raleigh, NC

1d

About The Position

Heartland Hospice is hiring a Registered Nurse to provide after-hours and on-call hospice care. The nurse responds to patient needs during evenings, nights, weekends, and holidays, providing direct care, symptom management, urgent visits, and support to patients and families. The schedule is Saturday and Sunday, 8 a.m. to 8 p.m., plus one weekday.

The nurse assesses patients, helps develop and implement physician-prescribed plans of care, educates patients and caregivers, coordinates with the interdisciplinary hospice team, and maintains communication with physicians, families, and daytime staff. The role includes documenting care and communications, reviewing clinical records for quality and regulatory compliance, participating in quality improvement, and maintaining access to the TeleMed mobile application during scheduled shifts. The nurse may also perform routine visits during normal business hours and monthly supervisory visits with other team members.

Heartland Hospice is part of Gentiva, a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations across 38 states. 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 support people 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.

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 on-call or overnight nursing experience.
• Strong documentation and electronic medical record 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, make clinical decisions, and implement the plan of care.
• Perform initial and ongoing patient assessments and help develop and implement the hospice plan of care with the physician and interdisciplinary group.
• Educate patients, families, and caregivers on plan-of-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 and 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 or tablet during scheduled shifts for communications and task completion.
• Review and follow up on assigned patient clinical records to ensure quality, standards of practice, and regulatory and policy 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 during the dying process.
• Participate in quality assessment and performance improvement programs.
• Coordinate care with the daytime team and work independently to ensure continuity of care.
• Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.
• May perform routine visits during normal business hours.

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.
• 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 for ASN-to-BSN and BSN-to-MSN programs for full-time associates.
• Free continuing education units 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, for full-time associates.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed