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 #J-18808-Ljbffr Home&Care