RN Weekend On Call

Gentiva Hospice•Greenville, NC

About The Position

The RN provides hospice care and support after normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. This full-time role follows a weekend schedule and requires compassionate, timely responses to urgent calls, patient visits, and symptom-management needs. The RN serves as a primary liaison among patients, families, physicians, and the hospice team, evaluating needs and guiding clinical decisions while coordinating with the daytime care team. The RN performs initial and ongoing patient assessments, helps develop and implement physician-prescribed hospice plans of care, and educates patients, families, and caregivers about identified care needs. The role collaborates with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual support, including bereavement support. The RN maintains accurate medical records, reports patient condition changes to physicians, 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, making at least monthly supervisory visits with team members, monitoring staff scheduling, attending meetings, participating in quality improvement programs, completing annual training, and performing other assigned activities. Routine visits during normal business hours may also be requested. 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 record (EMR) skills.

Responsibilities

  • Provide direct patient care and support after normal business hours.
  • Serve as the primary liaison between patients, families, physicians, and the hospice team during the shift.
  • Respond promptly and compassionately to urgent calls, patient visits, and symptom-management needs.
  • Evaluate patient and family needs, guide clinical decisions, and implement the plan of care.
  • Collaborate with an interdisciplinary group, including LPNs/LVNs, CNAs, and other support staff.
  • Perform initial and ongoing patient assessments and help develop and implement the hospice plan of care.
  • Educate patients, families, and caregivers about care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
  • Provide or coordinate 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, and assessments.
  • Maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts.
  • Review and follow up on assigned patient clinical records to support 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 and complete required annual company training.
  • Promote the company’s 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 support.
  • 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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