RN Weekend On Call

Gentiva Hospice•Goldsboro, NC

About The Position

The RN Weekend On Call provides direct hospice patient care and support outside normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The nurse serves as the primary liaison among patients, families, physicians, and the hospice team during assigned shifts, providing prompt responses to urgent calls, visits, and symptom-management needs. The position evaluates patient and family needs, guides clinical decisions, and implements the physician-prescribed Hospice Plan of Care in collaboration with the Interdisciplinary Group. The nurse reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. The RN performs initial and ongoing patient assessments, educates patients, families, and caregivers about care needs, and coordinates physical, psychosocial, educational, emotional, and spiritual services, including bereavement support. The role requires accurate and current clinical documentation, communication of patient condition changes to the Attending Physician and Hospice Physician, and review of clinical records to support quality, standards of practice, and regulatory compliance. The nurse maintains access to the TeleMed mobile application during scheduled shifts, practices infection control and standard precautions, and works independently while coordinating continuity of care with the daytime team and other staff. This is a full-time weekend Baylor schedule. The nurse may be asked to perform routine visits during normal business hours, makes routine supervisory visits with other team members at least monthly, monitors staff scheduling, attends meetings, participates in quality improvement activities, completes required annual training, and performs 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 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, including responding to urgent calls, patient visits, and symptom-management needs.
  • Serve as the primary liaison between patients, families, physicians, and the hospice team during assigned shifts.
  • Evaluate patient and family needs to guide clinical decisions and implement the Plan of Care.
  • Perform initial and ongoing patient assessments.
  • Help develop and implement the physician-prescribed Hospice Plan of Care with the Interdisciplinary Group.
  • Educate patients, families, and caregivers about 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.
  • Maintain professional management and primary control of assigned patients, and communicate clinical issues and staffing or scheduling concerns to relevant parties.
  • 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, interdisciplinary notes, and other relevant information.
  • Maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts for 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 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.
  • 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.

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.
  • 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.
  • 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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