RN Overnight On Call

Gentiva Hospice•Leland, NC

11h

About The Position

The After Hours Hospice RN provides direct patient care and support outside normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The stated schedule is Monday to Thursday, overnight on call. The RN serves as the primary liaison among patients, families, physicians, and the hospice team, responding promptly to urgent calls and visits, managing symptoms, evaluating patient and family needs, and implementing the plan of care. The position works independently while coordinating continuity of care with the daytime team and collaborating with an interdisciplinary group that includes LPNs/LVNs, CNAs, and other support staff. The RN conducts initial and ongoing patient assessments; helps develop and implement the physician-prescribed Hospice Plan of Care; and educates patients, families, and caregivers on identified needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients. The RN coordinates physical, psychosocial, educational, emotional, spiritual, and bereavement support; reports changes in patient condition to the attending and hospice physicians; maintains family communication; and keeps accurate, current clinical records. The role includes maintaining continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts, reviewing and following up on clinical records for quality and compliance, practicing infection control and standard precautions, and participating in quality assessment and performance improvement. The RN makes routine supervisory visits of and with team members at least monthly, monitors staff scheduling, attends staff meetings, completes annual company training, and may be asked to perform 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 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.
Serve as the primary liaison among patients, families, physicians, and the hospice team during the shift.
Respond to urgent calls, patient visits, and symptom-management needs.
Evaluate patient and family needs, make clinical decisions, and implement the plan of care.
Perform initial and ongoing patient assessments.
Help develop and implement the Hospice Plan of Care as prescribed by the physician and in conjunction with the Interdisciplinary Group.
Educate patients, families, and caregivers on 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, spiritual, and bereavement support.
Maintain primary control and professional management of assigned patients and keep abreast of clinical issues, staffing, and scheduling concerns.
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 current medical records, including interdisciplinary notes, plans of care, assessments, and other pertinent information.
Keep continuous access to the TeleMed mobile application on a cellular device and/or tablet during scheduled shifts for timely response, communication, and task completion.
Review and follow up on assigned patient clinical records to ensure quality services, standards of practice, and regulatory and policy compliance.
Practice infection control measures and standard precautions.
Make routine supervisory visits of and with other team members at least monthly.
Monitor scheduling of staff.
Maintain knowledge of pain and symptom management in the dying process.
Participate in the Quality Assessment and Performance Improvement Program.
Attend staff meetings, complete required annual 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 full-time associates.
Mileage reimbursement or fleet vehicle program for full-time associates.
Generous paid time off and 7 paid holidays for full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for full-time associates.
Education support and tuition assistance, including ASN to BSN and BSN to MSN, for full-time associates.
Free continuing education units (CEUs) for full-time associates.
Company-paid life and long-term disability insurance for full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.