Registered Nurse On Call

Heartland Hospice • Butler, MO

12d

About The Position

The Registered Nurse provides hospice care and support after normal business hours, including evenings, nights, weekends, and holidays. The nurse responds to urgent calls, visits, and symptom-management needs, evaluates patient and family needs, and guides clinical decisions in accordance with the physician-prescribed Hospice Plan of Care. The role serves as a primary liaison among patients, families, physicians, and the hospice team, and coordinates care with interdisciplinary colleagues and the daytime team. Care may be provided in patients’ homes, facilities, or wherever they reside. The position reports to the Administrator, Executive Director, or Patient Care Manager Senior. It may also include 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.
• 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.
• Serve as a primary liaison between patients, families, physicians, and the hospice team during the shift.
• Respond to urgent calls, patient visits, and symptom-management needs.
• 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, 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 assessments, plans of care, and interdisciplinary notes.
• Maintain access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts for communication and task completion.
• Review and follow up on assigned clinical records to support quality care, standards of practice, and regulatory and policy 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 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 training, promote company core values, and perform other assigned activities.

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.
• Generous paid time off and 7 paid holidays.
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
• Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN pathways.
• 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.

What This Job Offers

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