Registered Nurse On Call

Gentiva Hospice • Knoxville, TN

7d

About The Position

The Registered Nurse provides hospice care after normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The nurse delivers direct patient care and support, responds to urgent calls and visits, manages symptoms, and serves as the primary liaison among patients, families, physicians, and the hospice team. The role involves independent work while coordinating care with the daytime team and collaborating with an interdisciplinary group.

The nurse assesses patients, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, reports changes in condition to physicians, and maintains accurate clinical records. The nurse also reviews clinical records for quality and regulatory compliance, supports continuity of care, and participates in quality improvement activities and staff meetings. 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 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.
• Respond promptly to urgent calls, patient visits, and symptom-management needs.
• Evaluate patient and family needs to guide clinical decisions and implement the plan of care.
• Perform initial and ongoing patient assessments.
• 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.
• Coordinate physical, psychosocial, educational, emotional, and spiritual services, including bereavement support, with the interdisciplinary group.
• Serve as the primary liaison among the physician, patient and family, and hospice team; maintain awareness of clinical issues and staffing and scheduling concerns.
• 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 relevant information.
• Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support prompt communication and task completion.
• Review and follow up on assigned patient clinical records to ensure quality services, standards of practice, and compliance with policies and regulatory requirements.
• Practice infection control measures and standard precautions.
• Make 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.
• Attend staff meetings and complete required annual company training.
• Perform routine visits during normal business hours when requested.
• Promote company core values and perform other activities as assigned.

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 for 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, for full-time associates.

What This Job Offers

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