On-Call RN, Full-Time (5 shifts per week 12a-8a)

On-Call Registered Nurse (RN)

Full-Time Hospice On-Call Nurse

Schedule: 12-8a - 5 shifts per week to total 40 hours/week.

Be the Calm Voice. The Trusted Expert. The Difference When It Matters Most.

When families experience a crisis in the middle of the night, they need more than a nurse.

They need someone who can confidently assess a situation, manage symptoms, provide compassionate guidance, and bring comfort during life's most difficult moments.

At Transitions LifeCare, our philosophy is that every individual deserves the quality of life they want when facing a serious illness or near life's end. Our mission is to provide compassionate care, support, and expertise to patients and families navigating life-changing illness and end-of-life journeys.

We're seeking an experienced On-Call Registered Nurse to provide after-hours clinical support to hospice patients and families. This role is ideal for a highly skilled nurse who thrives in autonomous practice, excels during urgent situations, and finds purpose in helping patients remain comfortable wherever they call home.

If you are looking for meaningful work where your clinical expertise and compassionate presence make an immediate impact, we invite you to join our team.

What You'll Do

Respond When Patients Need You Most

• Provide after-hours nursing care and symptom management for hospice patients
• Respond to urgent patient and family concerns during evenings, nights, weekends, and holidays
• Make home visits as needed to assess patients, manage symptoms, and support families in crisis
• Provide compassionate support at the time of a patient's death and assist families through the immediate bereavement process

Deliver Expert Hospice Care

• Assess, plan, implement, and document personalized hospice care
• Collaborate with physicians and the interdisciplinary team to ensure patients receive the right level of care
• Monitor and coordinate medications, medical equipment, and supplies
• Educate patients and families regarding symptom management, disease progression, and end-of-life care

Collaborate and Lead

• Work closely with triage nurses, managers-on-call, and interdisciplinary team members
• Support orientation and mentoring of new team members
• Contribute to patient-centered care planning and clinical excellence across the organization

Who Thrives in This Role

• Confident clinical decision-makers
• Calm and composed during emergencies
• Exceptional communicators
• Highly organized and self-motivated
• Comfortable working independently
• Compassionate advocates for patients and families
• Skilled at balancing empathy with clinical judgment
• Passionate about hospice and end-of-life care

Required Qualifications

• Current Registered Nurse license in North Carolina
• Minimum three years of recent clinical nursing experience
• Current CPR certification
• Strong assessment, critical thinking, and clinical management skills
• Valid North Carolina driver's license
• Reliable transportation and automobile insurance
• Ability to travel throughout the service area and provide care in homes and facilities
• Competent computer and documentation skills
• Ability to lift and/or carry up to 50 pounds
• Availability to work scheduled holidays, weekends, and overnight shifts
• Ability to attend a minimum of four team meetings annually

Preferred Qualifications

• BSN
• Hospice nursing experience
• Home health experience
• Skilled nursing or long-term care experience
• Certified Hospice and Palliative Nurse (CHPN) credential
• Knowledge of Medicare regulations, hospice reimbursement, accreditation standards, and regulatory compliance

Why This Role Matters

Hospice care doesn't stop at 5:00 p.m.

Families rely on compassionate, skilled nurses to help them navigate uncertainty, manage symptoms, and find reassurance during some of the most vulnerable moments of their lives.

As an On-Call RN, you'll be the clinician families trust when they need expert guidance most. Your knowledge, presence, and compassion can help transform moments of fear into moments of comfort and confidence.

Join a Team with Purpose

If you're an experienced nurse who values autonomy, clinical excellence, and meaningful patient relationships, this is your opportunity to make a profound impact while working alongside a mission-driven hospice team.

Apply today and help us provide comfort, dignity, and expert care whenever our patients and families need it most.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.