Registered Nurse On Call

Gentiva Hospice•Tucson, AZ

About The Position

The Registered Nurse provides hospice care and support after normal business hours, including evenings, nights, weekends, and holidays. The RN responds to urgent calls and patient visits, manages symptoms, evaluates patient and family needs, and guides clinical decisions in accordance with the physician-prescribed Plan of Care. The RN serves as the primary liaison among patients, families, physicians, and the hospice team, coordinating care with the daytime team and working independently to support continuity of care. Care may be provided in patients’ homes, facilities, or wherever they reside. The role includes initial and ongoing patient assessments; developing and implementing the Hospice Plan of Care with the physician and Interdisciplinary Group; educating patients, families, and caregivers; and coordinating physical, psychosocial, educational, emotional, spiritual, and bereavement support. The RN reports patient condition changes to the Attending Physician and Hospice Physician, maintains accurate and current clinical records, reviews assigned records for quality and regulatory compliance, and follows infection-control measures and standard precautions. The RN also makes monthly supervisory visits with other team members, monitors staff scheduling, participates in quality improvement and staff meetings, completes required annual training, and may perform routine visits during normal business hours. The position requires maintaining access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts. This is a safety-sensitive position. Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations across 38 states.

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, including evenings, nights, weekends, and holidays.
  • Respond promptly and compassionately 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 patients, families, physicians, and the hospice team, and coordinate with the daytime care team.
  • 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 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, spiritual, and 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 pertinent information.
  • Maintain access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts to support prompt communication and task completion.
  • Review and follow up on assigned patient clinical records to monitor service quality, standards of practice, and compliance with policies, procedures, and regulatory requirements.
  • Practice infection control measures and standard precautions.
  • Make routine supervisory visits of and 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.
  • Attend staff meetings and complete required annual company training.
  • Promote the company’s core values and perform other activities as assigned.
  • 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 & 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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