Registered Nurse On Call

Heartland Hospice•Creve Coeur, MO

25d

About The Position

Heartland Hospice is hiring an on-call After Hours Hospice Registered Nurse to provide compassionate patient care outside normal business hours. The schedule is seven days on and seven days off, from Monday at 8:00 a.m. until the following Monday at 8:00 a.m., providing approximately two weeks off each month. The RN responds to patient needs during evenings, nights, weekends, and holidays, including urgent calls, visits, and symptom-management needs. The role serves as a primary liaison among patients, families, physicians, and the hospice team and works independently while coordinating continuity of care with the daytime team. The RN provides and documents care in accordance with the physician-prescribed Hospice Plan of Care, performs initial and ongoing assessments, helps develop and implement care plans, and educates patients, families, and caregivers about identified care needs. The RN collaborates with the interdisciplinary group to support patients and families physically, psychosocially, educationally, emotionally, and spiritually, including bereavement support. Responsibilities also include monitoring clinical records and staff scheduling, making monthly supervisory visits, maintaining availability through the TeleMed mobile application on a cellular device or tablet during scheduled shifts, and participating in quality improvement activities. The position may include routine visits during normal business hours and is safety-sensitive. Heartland Hospice, part of Gentiva, provides hospice, palliative, home health, and advanced illness management services. It has nearly 600 locations and thousands of clinicians across 38 states, with corporate headquarters in Atlanta, Georgia.

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 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, responding 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.
Evaluate 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 about 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, and spiritual services, including bereavement support.
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 interdisciplinary notes, Plans of Care, assessments, and other relevant information.
Keep continuous access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts for prompt communication and task completion.
Review and follow up on assigned patient clinical records to ensure quality, standards of practice, and compliance with policies, procedures, and regulatory requirements.
Practice infection control measures and standard precautions.
Make routine supervisory visits with and to other team members at least monthly.
Monitor scheduling of all staff.
Maintain knowledge of pain and symptom management in the dying process.
Participate in the Quality Assessment and Performance Improvement Program and attend staff meetings.
Complete required annual company training and perform other assigned activities.
Promote the company's core values.
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.
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, including 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.