Registered Nurse On Call
Raleigh, North Carolina
You'll respond to hospice patients' needs on evenings, nights, weekends and holidays, after hours.
Posted Oct 18 · Applications close Nov 4, 2027 · 1 year of experience
- Shift and hours
- Evenings, nights, weekends and holidays you’ll respond to patient needs during evenings, nights, weekends, and holidays
- Unit and setting
- Hospice
- License
- RN license Current RN license in the state of requested employment (or eligibility to obtain)Current RN license in the state of employment (or eligibility to obtain)
- Term
- Per Diem
Do you qualify?
- License
- Current RN license in the state of employment (or eligibility to obtain) Current RN license in the state of requested employment (or eligibility to obtain)
- Certification
- Current CPR certification
- Experience
- 1+ years of nursing experience
- Also asks
- Valid driver’s license, automobile insurance and reliable transportation Valid driver’s license, automobile insurance, and reliable transportation
Preferred
- Experience
- 1+ years of hospice, home health, oncology or palliative care 1+ years of hospice, home health, oncology, or palliative care experience
- Also asks
- Prior on-call or overnight nursing experience Prior experience in on-call or overnight nursing roles
- Also asks
- Familiarity with symptom management, triage and after-hours home-based care Familiarity with symptom management, triage, and after-hours home-based care
- Also asks
- Strong documentation and EMR skills Strong documentation and electronic medical records (EMR) skills
What it pays
- Bonus
- Sign-on bonus available Sign-on Bonus Available
- Eligibility
- Core benefits apply to full-time, part-time and per diem staff Benefits for All Associates (Full-Time, Part-Time & Per Diem):
Benefits
- BenefitsCompetitive payCompetitive Pay
- Benefits401(k) with company match401(k) with Company Match
- BenefitsCareer advancement opportunitiesCareer Advancement Opportunities
- BenefitsNational and local recognition programsNational & Local Recognition Programs
- BenefitsTeammate Assistance FundTeammate Assistance Fund
- BenefitsMedical, dental and vision insuranceMedical, Dental, Vision Insurance
More benefits (11)
- BenefitsMileage reimbursement or fleet vehicle programMileage Reimbursement or Fleet Vehicle Program
- BenefitsGenerous PTO and 7 paid holidaysGenerous Paid Time Off + 7 Paid Holidays
- BenefitsWellness programs (telemedicine, diabetes management, joint and spine concierge care)Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
- BenefitsEducation support and tuition assistance (ASN to BSN, BSN to MSN)Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
- BenefitsFree continuing education units (CEUs)Free Continuing Education Units (CEUs)
- BenefitsCompany-paid life and long-term disability insuranceCompany-paid Life & Long-Term Disability Insurance
- BenefitsVoluntary pet, critical illness, accident and LTC coverageVoluntary Benefits (Pet, Critical Illness, Accident, LTC)
- Medical, Dental, Vision Insurance
- Generous Paid Time Off + 7 Paid Holidays
- Company-paid Life & Long-Term Disability Insurance
- Education Support & Tuition Assistance
The role and schedule
- Day to day
- Urgent calls, patient visits and symptom management after hours Respond promptly and compassionately to urgent calls, patient visits, and symptom management needs
- Day to day
- Patient and family teaching on medications, dressing changes and oxygen
- Day to day
- Keep the TeleMed app open on your phone or tablet every shift Monitor and maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during all scheduled shifts
- Day to day
- Monthly supervisory visits to the rest of the care team Makes routine supervisory visits of, and with, all other team members at least monthly.
- Day to day
- Monitor scheduling for all staff Monitors scheduling of all staff.
- Day to day
- Pain and symptom management for patients in the dying process Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
- Day to day
- Work independently, coordinating with the daytime care team Work independently while ensuring continuity of care and coordination with the daytime care team
- Hours stated
- Saturday & Sunday, 8am-8pm, and one day during the week.
- Weekends
- Saturday and Sunday, 8am-8pm, plus one weekday Saturday & Sunday, 8am-8pm, and one day during the week.
- On call
- On-call rotation
- Travel
- You'll travel to patients' homes, facilities or wherever they live Comfortable providing care in patients’ homes, facilities, or wherever they reside
- Details
- You report to the Administrator, Executive Director or Patient Care Manager Senior Report directly to the Administrator, Executive Director, or Patient Care Manager Senior
The workplace
Your fit
Questions to ask
- Can you walk me through base pay range and differentials?
- What should I expect for weekly hours, holiday, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load and floating handled day to day?
Original listing
Posted on Heartland Hospice’s careers page.
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Overview Sign-on Bonus Available Lead with Heart. Be the Difference. Deliver Compassionate Care After Hours. As an After Hours Hospice RN, you’ll respond to patient needs during evenings, nights, weekends, and holidays—bringing peace of mind and compassionate care when it’s needed most. Saturday & Sunday, 8am-8pm, and one day during the week.
What You'll Do as a Hospice RN – After Hours / On-Call
- Report directly to the Administrator, Executive Director, or Patient Care Manager Senior• Provide direct patient care and support after normal business hours• Serve as the primary liaison between patients, families, physicians, and the hospice team during your shift• Respond promptly and compassionately to urgent calls, patient visits, and symptom management needs• Evaluate patient and family needs to guide clinical decisions and implement the plan of care• Support and collaborate with an interdisciplinary group including LPNs/LVNs, CNAs, and other support staff• Accurately document clinical visits and communications• Participate in quality assessment and performance improvement programs• Work independently while ensuring continuity of care and coordination with the daytime care team
Essential Functions
- Assures the highest quality of care is provided and documented in accordance with the Plan of Care.• Performs the initial and on-going assessment of the patient.• Helps develop and implement the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the Interdisciplinary Group.• Responsible for the education of the patient, family or other caregivers in relation to needs identified on the Plan of Care, including, but not exclusive of, medication administration, dressing changes, oxygen administration, Hospice philosophy and care of the terminally ill patient.• Works closely with other members of the Interdisciplinary Group to provide all-inclusive physical, psychosocial, educational, emotional and spiritual services including bereavement support to the patient and family to achieve the highest quality of care.• Maintains primary control and professional management of each patient and acts as primary liaison between physician, patient/family and hospice team so as to be fully aware and abreast of all clinical issues, staffing and scheduling concerns.• Reports any change in the patient’s condition to both the Attending Physician and Hospice Physician.• Maintains close contact with the patient’s family and/or significant others to provide information, support, and continuity of care.• Maintains an accurate and updated medical record, including all Interdisciplinary notes, Plans of Care, initial and on-going assessments and any other information pertinent to the care of the patient.• Monitor and maintain continuous access to the TeleMed mobile application on a cellular device and/or tablet during all scheduled shifts to ensure immediate response capability, prompt communication and task execution and completion.• Performs on-going review and follow up on assigned patient clinical records to assure quality services are provided, standards of practice are followed, and compliance with policies, procedures and regulatory requirements is met and maintained.• Practices infection control measures and standard precautions.• Makes routine supervisory visits of, and with, all other team members at least monthly.• Monitors scheduling of all staff.• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.• Participates in the Quality Assessment and Performance Improvement Program.• May be asked to perform routine visits during normal business hours• Attends staff meetings.• Performs other activities as assigned.• Consistently promotes company’s core values.• Completes required Company annual training.• This is a safety-sensitive position.
About You
Experience - What you'll bring
- Current RN license in the state of requested employment (or eligibility to obtain)• 1+ years of nursing experience• A hospice heart: compassionate, calm, and dependable in urgent care situations• Excellent clinical judgment and the ability to provide support in emotionally intense settings• Comfortable providing care in patients’ homes, facilities, or wherever they reside• Valid driver’s license, automobile insurance, and reliable transportation• Current CPR certification
Preferred Experience (Not Required)
- 1+ years of hospice, home health, oncology, or palliative care experience• Familiarity with symptom management, triage, and after-hours home-based care• Prior experience in on-call or overnight nursing roles• Strong documentation and electronic medical records (EMR) skills
We Offer
Benefits for All Associates (Full-Time, Part-Time & Per Diem)
- Competitive Pay
- 401(k) with Company Match
- Career Advancement Opportunities
- National & Local Recognition Programs
- Teammate Assistance Fund
- Additional Full-Time
Benefits
Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now and bring comfort, skill, and reassurance to patients and families when it matters most—after hours. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Location Heartland Hospice Our Company At Heartland Hospice, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home.
We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U. S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.
What's around it?
Raleigh, NCFrom Census ACS 2024.
Living costs about 2% below the US average
- Median rent
- $1,572/mo
- Household income
- $85,395/yr, all local households, not nurse pay