After Hours Nurse - Part Time (Weekends)

About the Role

Under the supervision of the Patient Care Manager, the After Hours Nurse provides clinical nursing support during non-core business hours. This includes telephone assessments, home visits, and documentation, all in accordance with hospice standards and procedures.

Responsibilities

• Uses clinical judgment to assess needs of the patient and their families and initiates intervention to meet immediate needs by utilizing principles of palliative care, including:
  • Assessing the need for skilled nursing by phone
  • Making home visits to calm a situation, provide necessary skilled interventions, and when a patient expires
  • Giving pertinent report to attending physician and/or obtaining new medication orders when indicated
  • Reporting administratively complicated situations to the Patient Care Coordinator
  • Seeking consultation from patient’s primary care physician or Hospice Hawai’i Medical Director and implementing orders/recommendations
  • Making routine/follow-up calls or home visits to new admissions and current patients while on duty, utilizing backup system as needed
• Obtains updated patient information and physician orders by:
  • Accessing report via the voicemail system or directly from the RN Case Managers
  • Reviewing patient medical records in the EMR system or from another On-Call RN
• Clears calls with answering service within 10 minutes of receiving a phone message
• Documents all phone calls, home visits, and medication orders in accordance with Hospice Hawai’i protocol
• Provides clinical report to Interdisciplinary Team regarding all occurrences during after-hours shift and interventions done for those occurrences by 7:00 AM
• If patient calls and/or visits are initiated within the last hour of the shift, updates and redistributes call logs to staff before the end of the work shift
• Assumes the role of either primary or backup call when other After Hours staff is on leave
• Performs other related duties as assigned by the Patient Care Manager or Director of Clinical Operations

Requirements

• Valid Registered Nurse License in the State of Hawai’i
• 3 years of experience as a staff nurse in an acute hospital or comparable, relevant experience
• Valid Hawai’i Driver’s License
• Reliable transportation with valid registration and insurance
• TB Clearance
• CPR and BLS Certification

Skills

• Ability to exercise independent and sound judgment in planning and providing patient care
• Ability to problem-solve, demonstrate reason, and analyze situations
• Skilled in providing holistic nursing care to patients
• Ability to identify and provide for psychosocial needs of caregivers
• Ability to be flexible and organized in planning
• Ability to establish and maintain effective working relationships with staff, clients, family members, the public, and representatives of other agencies and organizations
• Ability to communicate effectively with all levels of individuals
• Basic computer knowledge of EMRs and MS applications such as Word, Excel, and Outlook

Working Conditions

• Indoors in patient homes, nursing, and acute care facilities
• Outdoors in all types of weather

Schedule

• Saturday and Sunday, either 8am-4pm, 4pm-12am, or 12am-8am

Pay

$44.71 - $47.60 per hour

About Us

Navian Hawaii is a legacy kama'aina nonprofit hospice and palliative care organization deeply committed to serving our community. For more than 44 years, we have demonstrated compassion, dignity, and excellence in delivering care to individuals and families facing serious illness and end-of-life journeys. We proudly extend our services across Oahu as well as in-patient at our Kailua Home (closed for renovation, re-opening 2027).