Registered Nurse On Call

Heartland Hospice•St. Louis, MO

24d

About The Position

Heartland Hospice is hiring an on-call After Hours Hospice Registered Nurse for a 7-days-on, 7-days-off schedule, running Monday at 8 a.m. through the following Monday at 8 a.m. The nurse responds to patient needs during evenings, nights, weekends, and holidays, providing compassionate direct care, urgent visits, symptom management, and support to patients and families. The role works independently while coordinating care with the daytime team and serving as a primary liaison among patients, families, physicians, and the hospice team. The position reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. The RN completes initial and ongoing patient assessments, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, communicates changes in condition to physicians, and maintains accurate clinical records. The RN collaborates with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual support, including bereavement support. Duties also include reviewing clinical records for quality and regulatory compliance, maintaining access to the TeleMed mobile application during scheduled shifts, making monthly supervisory visits of and with team members, monitoring staff scheduling, and participating in quality improvement activities. Routine visits during normal business hours may also be requested.

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 to 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, including evenings, nights, weekends, and holidays.
Respond promptly to urgent calls, patient visits, and symptom-management needs.
Serve as a primary liaison among patients, families, physicians, and the hospice team during the shift.
Evaluate patient and family needs to guide clinical decisions and implement the plan of care.
Perform initial and ongoing patient assessments and help develop and implement the hospice plan of care.
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 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, and assessments.
Keep continuous access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support immediate response, communication, and task completion.
Review and follow up on assigned patient clinical records to support quality care, standards of practice, and compliance with policies, procedures, and regulatory requirements.
Practice infection control measures and standard precautions.
Make routine supervisory visits of, and with, all 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 and attend staff meetings.
May perform routine visits during normal business hours.
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 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, including ASN-to-BSN and BSN-to-MSN support.
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.