Registered Nurse On Call

Gentiva Hospice • Tucson, AZ

18h

About The Position

The After Hours Hospice RN provides direct patient care and support outside normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The nurse is a primary liaison among patients, families, physicians, and the hospice team during scheduled shifts, responding to urgent calls and visits and managing symptoms. The role evaluates patient and family needs, guides clinical decisions, implements the hospice plan of care, collaborates with the interdisciplinary team, documents care, and coordinates with the daytime care team to ensure continuity.

The RN performs initial and ongoing patient assessments, helps develop and implement physician-prescribed plans of care, and educates patients, families, and caregivers about identified care needs. The nurse maintains professional oversight of assigned patients, communicates changes in condition to the attending and hospice physicians, supports families, and maintains accurate medical records. The position also includes reviewing clinical records for quality and regulatory compliance, maintaining access to the TeleMed mobile application during scheduled shifts, participating in quality improvement activities, conducting monthly supervisory visits with team members, monitoring staff scheduling, attending meetings, completing training, and performing other assigned activities. 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 places where 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 responding to urgent calls, patient visits, and symptom-management needs.
• Serve as the primary liaison between patients, families, physicians, and the hospice team during scheduled shifts.
• 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 physician-prescribed Hospice Plan of Care in collaboration with the 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.
• Maintain primary professional oversight of each patient and remain informed about clinical issues, staffing, and scheduling concerns.
• Report changes in a patient's 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 notes, plans of care, assessments, and other pertinent information.
• Maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts to enable prompt responses and task 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 with and of 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.
• Perform routine visits during normal business hours when requested.
• Attend staff meetings, complete required annual company training, 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.

What This Job Offers

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