RN Overnight On Call

Gentiva Hospice•Goldsboro, NC

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 schedule is Monday through Thursday, 5 p.m. to 8 a.m. The RN serves as the primary liaison among patients, families, physicians, and the hospice team, independently addressing urgent calls, visits, symptom management, and care coordination while maintaining continuity with the daytime team. The RN assesses patients and families, helps develop and implement physician-prescribed hospice plans of care with the Interdisciplinary Group, and provides education to patients, families, and caregivers. The role includes maintaining accurate clinical records, reporting changes in condition to physicians, following infection-control practices and regulatory requirements, and participating in quality improvement. The RN also completes supervisory visits and monitors staff scheduling. The position reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. 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 to urgent calls, patient visits, and symptom-management needs.
Assess patients and families 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 in collaboration 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 clinical 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 updated medical records, including interdisciplinary notes, plans of care, and assessments.
Maintain continuous access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support prompt communication and task completion.
Review and follow up on assigned clinical records to ensure quality services, standards of practice, and compliance with policies, procedures, and regulations.
Use infection-control measures and standard precautions.
Conduct 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.
May perform routine visits during normal business hours.
Attend staff meetings and complete required annual company training.
Perform other assigned activities and consistently promote company core values.
Work independently while coordinating care with the daytime team.
Maintain a valid driver’s license, automobile insurance, and reliable transportation for patient 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 for eligible full-time associates.
Generous paid time off and 7 paid holidays for eligible full-time associates.
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 pathways.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance for eligible full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.