Hospice Registered Nurse On Call PRN

The PRN On-Call Hospice RN provides after-hours nursing support to hospice patients and families, ensuring timely response to urgent needs, symptom management, and coordination of care consistent with the hospice plan of care.

Employment Status

• PRN / As Needed
• Non-exempt or exempt based on agency structure
• On-call shifts (evenings, nights, weekends, holidays)

Primary Responsibilities

• Responds to patient/family calls during assigned on-call hours
• Provides telephonic triage and clinical guidance
• Determines need for and performs urgent visits
• Assesses patient condition and changes in status
• Implements interventions for pain and symptom control
• Administers medications and treatments per hospice plan of care
• Provides end-of-life care and support
• Manages acute symptom crises (e.g., pain, dyspnea, agitation)
• Provides education and reassurance to families during end-of-life transitions
• Coordinates with physician or nurse practitioner as needed
• Communicates with hospice physician/NP regarding changes in condition
• Updates plan of care as appropriate
• Coordinates with pharmacies, DME providers, and other vendors
• Completes timely, accurate documentation of all calls and visits
• Documents assessments, interventions, patient response, and follow-up plan
• Educates on symptom management, medication use, and what to expect
• Reinforces hospice philosophy and goals of care

Qualifications

Required

• Current, unencumbered Registered Nurse (RN) license - Montana
• Minimum 1–2 years nursing experience (hospice, home health, or acute care preferred)
• Valid driver’s license and reliable transportation
• Ability to work independently and make clinical decisions

Scheduling Expectations

• Assigned on-call shifts (e.g., evenings 5pm–8am, weekends, holidays)
• Minimum of one weekend per month

Performance Expectations

• Timely response to calls and visits
• Accurate and compliant documentation
• Effective symptom management
• Professional and compassionate patient/family interactions

Compensation Structure

• On-call stipend per shift
• Additional pay per hour for response to calls, visits, etc.
• Mileage reimbursement