Registered Nurse On Call

Gentiva Hospice•Warwick, RI
•$79,670 - $99,580•Onsite

About The Position

Gentiva Hospice is hiring an on-call Registered Nurse to provide after-hours hospice care on a 7-on, 7-off schedule. The nurse responds to patient needs during evenings, nights, weekends, and holidays, providing compassionate care, urgent support, and symptom management in patients’ homes, facilities, or other places of residence. The role works independently while coordinating care with patients, families, physicians, hospice colleagues, and the daytime care team, and reports to the Administrator, Executive Director, or Patient Care Manager Senior. The RN conducts initial and ongoing assessments, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and maintains accurate clinical records. The position also involves monitoring care quality and regulatory compliance, coordinating staff and scheduling, supporting interdisciplinary care, and participating in quality improvement 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 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 responding to urgent calls, visits, and symptom-management needs.
  • Serve as the 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.
  • Conduct 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 identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
  • Coordinate with the Interdisciplinary Group to provide physical, psychosocial, educational, emotional, spiritual, and bereavement support.
  • Maintain primary professional management of assigned patients and communicate changes in 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 assessments, plans of care, interdisciplinary notes, and other pertinent information.
  • Keep the TeleMed mobile application accessible on a cellular device or tablet during scheduled shifts and respond to communications and tasks promptly.
  • Review and follow up on assigned patient clinical records to support quality, standards of practice, and regulatory and policy compliance.
  • Follow 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 the Quality Assessment and Performance Improvement Program and attend staff meetings.
  • May perform routine visits during normal business hours and other activities as assigned.
  • Promote company core values and complete required annual company training.

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 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.
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