Registered Nurse On Call

Gentiva Hospice•Whiteville, NC

11d

About The Position

The Registered Nurse provides hospice care after normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The nurse delivers direct patient care and support, responds to urgent calls and visits, manages symptoms, evaluates patient and family needs, and guides clinical decisions in accordance with the physician-prescribed Plan of Care. The role serves as the primary liaison among patients, families, physicians, and the hospice team, coordinating with the daytime team to maintain continuity of care. The RN completes initial and ongoing patient assessments, helps develop and implement the Hospice Plan of Care, educates patients and caregivers, reports changes in condition to physicians, and maintains accurate clinical records. The nurse collaborates with the Interdisciplinary Group to address physical, psychosocial, educational, emotional, and spiritual needs, including bereavement support. Other duties include reviewing records for quality and regulatory compliance, maintaining access to the TeleMed mobile application during scheduled shifts, supervising and monitoring team members and staffing, attending meetings, participating in quality improvement, completing annual training, and performing other assigned 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 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.
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.
Serve as the primary liaison among the physician, patient and family, and hospice team; coordinate with the daytime care team.
Perform initial and ongoing patient assessments and help develop and implement the Hospice Plan of Care.
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 a patient’s condition to the Attending Physician and Hospice Physician.
Maintain contact with patients’ families and 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.
Maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts for 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 regulations.
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 in the dying process.
Participate in the Quality Assessment and Performance Improvement Program.
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.