Registered Nurse On Call Hospice

Heartland Hospice•Carlinville, IL

About The Position

The Registered Nurse provides hospice care and support after normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The RN serves as a primary liaison among patients, families, physicians, and the hospice team, responds to urgent calls and visits, manages symptoms, evaluates patient and family needs, and helps implement the plan of care. The position reports to the Administrator, Executive Director, or Patient Care Manager Senior and works independently while coordinating with the daytime care team and interdisciplinary group. The RN conducts initial and ongoing patient assessments, helps develop and implement the Hospice Plan of Care, educates patients and caregivers, reports changes in condition to physicians, maintains accurate clinical records, and supports physical, psychosocial, educational, emotional, and spiritual care, including bereavement support. The role also includes quality improvement activities, infection control, staff supervisory visits and scheduling oversight, continuous access to the TeleMed mobile application during scheduled shifts, staff meetings, and required company training. Routine visits during normal business hours may also be requested. Care may be provided in patients’ homes, facilities, or wherever they reside. The position is safety-sensitive. The listed salary range is $71,830–$89,785; compensation 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 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 record (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 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 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.
Coordinate 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.
Maintain continuous access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support prompt communication and task completion.
Review and follow up on assigned clinical records to ensure quality services, standards of practice, and regulatory compliance.
Practice 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.
Work independently while coordinating continuity of care with the daytime team.
Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.
Perform routine visits during normal business hours when requested.

Benefits

Medical, dental, and vision insurance.
Wellness programs and resources.
401(k) with company match.
Paid time off and seven paid holidays.
FMLA, ADA, and other federal and state required leaves.
Short- and long-term disability.
HSA contribution.
Mileage reimbursement or fleet vehicle program.
Cell phone reimbursement for eligible roles.
Short-term incentive for eligible roles.
Tuition reimbursement and education support.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
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.