Registered Nurse On Call
About The Position
The After Hours Hospice Registered Nurse provides direct patient care and support during evenings, nights, weekends, and holidays. The nurse responds to urgent calls and visits, addresses 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 the primary liaison among patients, families, physicians, and the hospice team during scheduled shifts, while coordinating with the daytime care team to ensure continuity of care. The position reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. The nurse assesses patients initially and on an ongoing basis; helps develop and implement care plans with the Interdisciplinary Group; educates patients, families, and caregivers; and collaborates to provide physical, psychosocial, educational, emotional, and spiritual support, including bereavement support. The nurse maintains accurate medical records, reports changes in condition to the Attending Physician and Hospice Physician, and reviews assigned clinical records for quality, standards of practice, and regulatory compliance. The position also involves maintaining access to the TeleMed mobile application during scheduled shifts, infection-control practices, staff supervision and scheduling activities, participation in quality improvement, meetings, and required training. Routine visits during normal business hours may also be requested.
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 records (EMR) skills.
Responsibilities
- Provide direct patient care and support after normal business hours.
- 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 during the shift.
- Perform initial and ongoing patient assessments.
- Help develop and implement the Hospice Plan of Care with the physician and Interdisciplinary Group.
- Educate patients, families, and caregivers about needs identified in the Plan of Care, 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 interdisciplinary notes, plans of care, assessments, and other pertinent information.
- Maintain continuous 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 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 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.
- Perform routine visits during normal business hours when requested.
- Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.
- Work independently and coordinate with the daytime care team to ensure continuity of care.
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
- Paid time off and 7 paid holidays
- Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care
- Education support and tuition assistance (ASN to BSN, BSN to MSN)
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
