Registered Nurse- Hospice Home Care - Night Shift

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 - Wyoming

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

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