RN Overnight On Call

Gentiva Hospice•Goldsboro, NC

About The Position

The After Hours Hospice RN provides direct hospice patient care and support outside normal business hours, responding to patient needs during evenings, nights, weekends, and holidays. The stated schedule is Monday through Thursday, 5 p.m. to 8 a.m. The RN works independently while coordinating care with the daytime team and serves as the primary liaison among patients, families, physicians, and the hospice team. The role reports directly to the Administrator, Executive Director, or Patient Care Manager Senior. The RN performs initial and ongoing patient assessments; helps develop and implement physician-prescribed hospice plans of care; educates patients, families, and caregivers; monitors and reports changes in condition; and provides support for physical, psychosocial, educational, emotional, and spiritual needs. The position also includes clinical documentation and record review, staff coordination and supervisory visits, participation in quality improvement, infection control practices, and maintaining access to the TeleMed mobile application during scheduled shifts. 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, 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.
Respond promptly to urgent calls, patient visits, and symptom-management needs.
Serve as the primary liaison between patients, families, physicians, and the hospice team.
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 hospice plan of care with the physician and Interdisciplinary Group.
Educate patients, families, and caregivers about identified 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, spiritual, and 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 assessments, plans of care, and interdisciplinary notes.
Maintain 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 support quality, standards of practice, and regulatory compliance.
Practice 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.
Perform routine visits during normal business hours when asked.
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 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 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, for full-time associates.