RN Weekend On Call

Gentiva Hospice•Ahoskie, NC

About The Position

The RN provides after-hours hospice care during evenings, nights, weekends, and holidays, responding to patient and family needs with compassionate, clinically sound support. The role is described as a full-time weekend Baylor schedule and includes benefits and paid time off. The RN works independently while coordinating continuity of care with the daytime team and serves as the primary liaison among patients, families, physicians, and the hospice team. The RN assesses patients, helps develop and implement physician-prescribed hospice plans of care, manages symptoms, educates patients and caregivers, and documents care and communications. The position collaborates with an interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual support, including bereavement support. Responsibilities also include clinical record review, quality improvement participation, infection control, staff supervisory visits and scheduling oversight, and maintaining access to the TeleMed mobile application during scheduled shifts. 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 support people 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, responding 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.
  • Evaluate patient and family needs to guide clinical decisions and assure care is provided and documented in accordance with the Plan of Care.
  • Educate patients, families, and caregivers on identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
  • Serve as the primary liaison among patients, families, physicians, and the hospice team; report patient condition changes to the Attending Physician and Hospice Physician.
  • Collaborate with interdisciplinary team members to provide physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
  • 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 relevant patient-care 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 with other team members at least monthly and monitor staff scheduling.
  • Maintain knowledge of pain and symptom management in the dying process.
  • Participate in the Quality Assessment and Performance Improvement Program and attend staff meetings.
  • Work independently while coordinating care with the daytime team; routine visits during normal business hours may be requested.
  • Complete required company annual training, promote company core values, and perform other activities as assigned.

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 (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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