Registered Nurse On Call

About the role

Lead with Heart. Be the Difference. Deliver Compassionate Care After Hours. This full-time salaried position requires weekday/nights availability with weekend work providing visits as needed. As an After Hours Hospice RN, you’ll respond to patient needs during evenings, nights, weekends, and holidays—bringing peace of mind and compassionate care when it’s needed most. You will report directly to the Administrator, Executive Director, or Patient Care Manager Senior.

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 your shift
• Respond promptly and compassionately to urgent calls, patient visits, and symptom management needs
• Evaluate patient and family needs to guide clinical decisions and implement the plan of care
• Support and collaborate with an interdisciplinary group including LPNs/LVNs, CNAs, and other support staff
• Accurately document clinical visits and communications
• Participate in quality assessment and performance improvement programs
• Work independently while ensuring continuity of care and coordination with the daytime care team
• Assure the highest quality of care is provided and documented in accordance with 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 the terminally ill
• Work closely with the Interdisciplinary Group to provide comprehensive physical, psychosocial, educational, emotional, and spiritual services including bereavement support
• Maintain primary control and professional management of each patient; act as primary liaison between physician, patient/family, and hospice team
• Report any change in patient condition to both the Attending Physician and Hospice Physician
• Maintain close contact with patient’s family/significant others to provide information, support, and continuity of care
• Maintain accurate and updated medical records including Interdisciplinary notes, Plans of Care, assessments, and all pertinent information
• Monitor and maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during all scheduled shifts for immediate response capability
• Perform ongoing review and follow-up on assigned patient clinical records to assure quality services, standards of practice, and regulatory compliance
• Practice infection control measures and standard precautions
• Make routine supervisory visits of and with all other team members at least monthly
• Monitor scheduling of all staff
• Maintain a high level of knowledge pertaining to pain and symptom management in the dying process
• Participate in the Quality Assessment and Performance Improvement Program
• May be asked to perform routine visits during normal business hours
• Attend staff meetings
• Perform other activities as assigned
• Consistently promote company’s core values
• Complete required Company annual training

This is a safety-sensitive position.

Requirements

• Current RN license in the state of requested employment (or eligibility to obtain)
• 1+ years of nursing experience
• Compassionate, calm, and dependable in urgent care situations
• Excellent clinical judgment and ability to provide support in emotionally intense settings
• Comfortable providing care in patients’ homes, facilities, or wherever they reside
• Valid driver’s license, automobile insurance, and reliable transportation
• Current CPR certification

Preferred (not required)

• 1+ years 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

Benefits

For All Associates (Full-Time, Part-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

ReqID: 2026-144747 | Category: Registered Nurses | Position Type: Full-Time | Company: Gentiva Hospice