Weekend On Call RN

The On-Call Registered Nurse provides after-hours clinical support to hospice patients and families to ensure continuous access to care, symptom management, and crisis intervention. This role supports the hospice’s obligation to provide 24-hour nursing availability as required by regulation.

• Provide telephonic triage for patients, caregivers, and facilities
• Conduct urgent visits for symptom management, death pronouncement, and crisis intervention
• Implement standing orders and physician directives
• Perform comprehensive assessments during urgent visits
• Manage pain, respiratory distress, agitation, nausea, and other end-of-life symptoms
• Adjust care plan interventions in collaboration with physician
• Communicate after-hours events to primary case managers and IDG
• Coordinate pharmacy, DME, and emergency services when necessary
• Facilitate transitions in level of care
• Provide education regarding symptom expectations and medication use
• Offer emotional support and anticipatory guidance
• Support families during active dying phase
• Complete timely, accurate documentation supporting interventions and level of care
• Document triage calls, visits, medication changes, and physician communication
• Ensure handoff notes are completed for next business day
• Follow response time standards and escalation protocols
• Adhere to medication management and controlled substance procedures
• Complete incident reports when required
• Follow infection control and safety guidelines
• Maintain availability during scheduled on-call shifts
• Participate in rotation scheduling and coverage planning
• Ensure readiness of supplies and equipment for after-hours visits
• Demonstrate understanding of 24/7 coverage requirement
• Participate in chart audits and education related to documentation
• Contribute to QAPI initiatives related to after-hours utilization

• Graduate of accredited nursing program
• Active RN license required in the state of practice
• Hospice experience strongly preferred
• Experience with triage and crisis care

• Symptom management
• Emergency protocols
• Documentation under time constraints
• Family education
• Independent decision-making
• Emotional resilience
• Communication
• Ability to drive at night/weekends
• Ability to lift patients and provide patient assistance
• Capability to rapidly respond