Registered Nurse On Call (Weekend)

Gentiva Hospice • San Antonio, TX

3d

About The Position

The Registered Nurse provides after-hours hospice care during the weekend shift, from Friday at 5 p.m. through Monday at 8 a.m. The nurse responds to urgent patient needs, visits, and symptom-management concerns, and serves as the primary liaison among patients, families, physicians, and the hospice team. The role reports to the Administrator, Executive Director, or Patient Care Manager Senior and requires previous hospice experience.

The nurse assesses patients, helps develop and implement physician-prescribed hospice plans of care, and provides education to patients, families, and caregivers. Working with the interdisciplinary group, the nurse supports physical, psychosocial, educational, emotional, and spiritual needs, including bereavement support. The role includes coordinating care with the daytime team, maintaining accurate records, reviewing clinical records for quality and compliance, and using the TeleMed mobile application throughout scheduled shifts to respond and complete tasks. The nurse may also perform routine visits during normal business hours and is expected to attend meetings, complete annual training, and perform 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.
• Previous hospice experience.
• Compassionate, calm, and dependable approach in urgent care situations.
• Excellent clinical judgment and ability to support people 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.
• Act as the primary liaison among patients, families, physicians, and the hospice team during the shift.
• Respond promptly and compassionately to urgent calls, patient visits, and symptom-management needs.
• Assess patient and family needs, make 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-plan 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 up-to-date medical records, including interdisciplinary notes, plans of care, assessments, and other pertinent information.
• Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to enable prompt communication and task completion.
• Review and follow up on assigned patient 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 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 quality assessment and performance improvement programs.
• Coordinate care with the daytime team and work independently to ensure continuity of care.
• Attend staff meetings, complete required annual company 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 eligible full-time associates.
• Mileage reimbursement or fleet vehicle program for eligible full-time associates.
• Generous paid time off and 7 paid holidays for eligible full-time associates.
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for eligible full-time associates.
• Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs, for eligible full-time associates.
• Free continuing education units (CEUs) for eligible full-time associates.
• Company-paid life and long-term disability insurance for eligible full-time associates.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed