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Registered Nurse On Call

Gentiva

Saint Louis, Missouri

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RNHospicePalliative CareOncology

Posted Jul 29, 2026 · Last seen active Aug 2, 2026

What the posting states

Weekends, holidays, call
What You'll Do as a Hospice RN – After Hours / On-Call: · Prior experience in on-call or overnight nursing roles

About this role

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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. 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 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

Requirements

  • Current RN license in the state of requested employment (or eligibility to obtain)
  • 1+ years of nursing experience
  • Current CPR certification
  • BLS Certification
  • Valid driver's license, automobile insurance, and reliable transportation
  • In-home healthcare experience
  • Electronic health records (EHR) management

About the employer

Gentiva logo
Gentiva
Hiring organization

You would join Gentiva as a hospice nurse in the Mount Vernon area, working as the primary point of contact for patients and families in the home, assisted living, or similar settings. Care runs through Homecare Homebase, and the work…

What reviewers appreciate

  • Primary-point-of-contact hospice nursing in home and community settings
  • Sign-on bonuses posted for permanent Hospice RN / RN Case Manager roles
  • Monday–Friday pattern available on Regional Support, plus weekend on-call options

What reviewers flag

  • RN case managers report poor work-life balance, high demands, and burnout risk
  • Company Glassdoor around 2.9/5 with only about one-third recommending
  • Reviews describe weak upper-management support and leadership turnover
hospicehome-basedcompassioncase managementregional floatcorporate

Living in Saint Louis, MO

Saint Louis pairs Midwestern friendliness with a storied cultural scene anchored by the Gateway Arch and Forest Park, one of America's largest urban parks. Neighborhoods like Soulard, with its historic farmers' market, and the Central West End offer distinct character for nurses seeking an approachable city with genuine community feel.

Map showing the location of Saint Louis, MO
Saint Louis, MO on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · Missouri
90.8
9% below the national average

U.S. Bureau of Economic Analysis · 2024 Regional Price Parities

Browse open roles in Saint Louis

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load and floating handled day to day?
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