Registered Nurse On Call

Heartland Hospice•Marion, OH

About The Position

The Registered Nurse provides hospice care and support after normal business hours, including evenings, nights, weekends, and holidays. The nurse responds to urgent calls and patient needs, conducts visits, manages symptoms, and serves as a primary liaison among patients, families, physicians, and the hospice team. The role requires independent judgment while coordinating care with the daytime team and supporting continuity of care in patients’ homes, facilities, or other residences. The nurse performs initial and ongoing patient assessments, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and coordinates physical, psychosocial, educational, emotional, and spiritual support. The role also includes maintaining accurate clinical records, monitoring care quality and regulatory compliance, supporting team members, and participating in quality improvement activities. Routine visits during normal business hours may also be requested. This is a safety-sensitive position. Compensation is listed at $66,720–$83,395 per year and may vary based on factors including location, experience, education, skills, licensure, certifications, and department equity.

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 patients and families 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.
  • Serve as the primary liaison among patients, families, physicians, and the hospice team during assigned shifts.
  • 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 prescribed by the physician 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.
  • Coordinate with the Interdisciplinary Group to provide physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
  • Maintain professional management of assigned patients and 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 assessments, plans of care, interdisciplinary notes, and other relevant information.
  • Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support timely response and task completion.
  • Review and follow up on assigned 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 with 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.
  • Attend staff meetings and complete required annual company training.
  • May perform routine visits during normal business hours.
  • Perform other assigned activities and consistently promote company core values.

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.
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