Registered Nurse On Call - 7 On 7 Off

Gentiva Hospice•Kansas City, MO

About The Position

Gentiva Hospice is hiring an on-call hospice Registered Nurse to provide compassionate care after normal business hours. The nurse responds to patient needs during evenings, nights, weekends, and holidays, including urgent calls, home visits, and symptom-management needs. The role serves as the primary liaison among patients, families, physicians, and the hospice team during scheduled shifts, and coordinates continuity of care with the daytime team. The RN performs initial and ongoing patient assessments, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and collaborates with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual support. The role maintains accurate clinical records, monitors quality and regulatory compliance, participates in quality improvement, and may perform routine visits during normal business hours. 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.
  • Compassion, calmness, and dependability 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 the shift.
  • 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 as prescribed by the physician and in coordination with the 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.
  • 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, assessments, and other relevant patient-care information.
  • Maintain continuous access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support timely response, communication, 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.
  • Make routine supervisory visits with other team members at least monthly.
  • Monitor staff scheduling.
  • Maintain knowledge of pain and symptom management in the dying process.
  • Participate in the Quality Assessment and Performance Improvement Program.
  • Work independently while coordinating care with the daytime team.
  • Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.
  • 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 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.
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