Benefits begin the first of the month following start dateBeginning the first of the month following your start date.
Benefits
BenefitsFlexible scheduling and generous paid time offFlexible scheduling and generous paid time off to support work-life balance!
BenefitsMedical, dental, vision, and supplemental insuranceComprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance - Beginning the first of the month following your start date.
Benefits401(k) with company match up to 5%401(k) with company match up to 5%
BenefitsCompany-paid life insuranceCompany-paid life insurance
BenefitsTuition reimbursement and annual training budgetTuition reimbursement and annual training budget
BenefitsEmployee Assistance Program (EAP)Employee Assistance Program (EAP)
More benefits (13)
BenefitsLegal services, ID protection, pet insurance, and financial wellness programsAdditional perks including legal services, ID protection, pet insurance, and financial wellness programs
Telephone triage for urgent clinical needs, symptom changes, caregiver concerns, equipment issuesProvide telephone triage for urgent clinical needs, symptom changes, caregiver concerns, and equipment issues.
Day to day
Assess patient status by phone and/or in-person visitsAssess patient status via phone and/or in-person visits using clinical judgment and agency protocols.
Day to day
Home visits for urgent issues such as pain crisis, respiratory distress, falls, wound complicationsPerform home visits for urgent issues such as pain crisis, respiratory distress, falls, wound complications, or other acute changes.
Day to day
Skilled nursing interventions including medication administration, wound care, assessments, stabilizationDeliver skilled nursing interventions, including medication administration, wound care, assessments, and stabilization.
Day to day
Ensure patient safety and support caregivers with teaching, reassurance, guidanceEnsure patient safety and support caregivers with teaching, reassurance, and guidance.
Day to day
Communicate significant changes to primary nurse, interdisciplinary team, and physicianCommunicate significant changes to the primary nurse, interdisciplinary team, and physician as needed.
Day to day
Coordinate urgent orders or guidance with on-call provider, hospice physician, or NPCoordinate with the on-call provider, hospice physician, or NP for urgent orders or guidance.
Day to day
Document all triage calls, assessments, interventions, and visits in the EMRDocument all triage calls, assessments, interventions, and visits in the EMR in a timely manner.
Day to day
Arrange after-hours equipment needs through approved vendors or internal DMEArrange after-hours equipment needs (e.g., oxygen, supplies) through approved vendors or internal DME when applicable.
Day to day
Participate in performance improvement activitiesParticipate in performance improvement activities.
Day to day
Maintain accurate and complete clinical documentationMaintain accurate and complete clinical documentation.
Day to day
Escalate concerns about patient safety, abuse/neglect, or environmental risks promptlyEscalate concerns about patient safety, abuse/neglect, or environmental risks promptly.
Weekends
Weekends covered during scheduled weeksCoverage includes evenings, nights, weekends, and holidays occurring during scheduled weeks.
On call
Available by phone at all times during assigned on-call weekAvailable by phone at all times during the assigned on-call week.
Holidays
Holidays covered during scheduled weeks
Travel
Missoula, MT and surrounding areasMissoula, MT and surrounding areas
Details
Home visits as needed based on triage assessmentRequired to make home visits as needed based on triage assessment.
Partners In Home Care is seeking a skilled and dedicated On-Call Nurse to provide clinical support after-hours and weekends for patients, families, caregivers, and facility partners.
Why You’ll Love Working With Us
Flexible scheduling and generous paid time off to support work-life balance!
Comprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance - Beginning the first of the month following your start date. No months of waiting!
401(k) with company match up to 5%
Company-paid life insurance
Tuition reimbursement and annual training budget
Employee Assistance Program (EAP)
Additional perks including legal services, ID protection, pet insurance, and financial wellness programs
Deliver care where it matters most—at home
Enjoy professional autonomy with the support of a collaborative interdisciplinary team
Department: Home Health / Hospice
Location: Missoula, MT and surrounding areas
Status: Full-Time (Rotating Schedule)
Schedule
Rotating 7 days on / 7 days off. Coverage includes evenings, nights, weekends, and holidays occurring during scheduled weeks. Available by phone at all times during the assigned on-call week. Required to make home visits as needed based on triage assessment.
Position Summary
The On-Call Nurse role ensures timely triage, intervention, and coordination of care during non-business hours. The nurse functions autonomously, prioritizing urgent issues, making home visits when necessary, and supporting continuity of care for patients in the community. The schedule follows a 7-days-on / 7-days-off rotation.
Essential Duties & Responsibilities
Patient Care & Triage
Provide telephone triage for urgent clinical needs, symptom changes, caregiver concerns, and equipment issues.
Assess patient status via phone and/or in-person visits using clinical judgment and agency protocols.
Perform home visits for urgent issues such as pain crisis, respiratory distress, falls, wound complications, or other acute changes.
Deliver skilled nursing interventions, including medication administration, wound care, assessments, and stabilization.
Ensure patient safety and support caregivers with teaching, reassurance, and guidance.
Care Coordination
Communicate significant changes to the primary nurse, interdisciplinary team, and physician as needed.
Coordinate with the on-call provider, hospice physician, or NP for urgent orders or guidance.
Document all triage calls, assessments, interventions, and visits in the EMR in a timely manner.
Arrange after-hours equipment needs (e.g., oxygen, supplies) through approved vendors or internal DME when applicable.
Compliance & Quality
Adhere to agency policies, ACHC standards, and CMS Home Health/Hospice CoPs.
Participate in performance improvement activities.
Maintain accurate and complete clinical documentation.
Escalate concerns about patient safety, abuse/neglect, or environmental risks promptly.
Qualifications
Education & Licensure (Required)
Current RN license in the state of MT in good standing.
CPR certification.
Valid driver’s license, reliable transportation, and proof of auto insurance.
Experience (Preferred)
Minimum 1–2 years of nursing experience in Home Health, Hospice, ER, ICU, Med/Surg, or similar setting.
Strong clinical assessment and triage skills required.
Experience with EMR documentation preferred.
Partners In Home Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Neighborhoods+Nurses and relocating professionals in Missoula gravitate toward neighborhoods that balance mountain scenery with manageable commutes. Downtown Missoula offers walkable loft and apartment living along the Clark Fork River, putting dining, coffee shops, and cultural venues right outside the door. For a more traditional residential feel with elevated views and immediate trail access, the South Hills and Miller Creek provide single-family homes, townhomes, and duplexes on the south end of town. On the west side, Grant Creek features newer residential developments with quick access to Interstate 90 and commercial retail centers, while established enclaves like the Rattlesnake and Rose Park are prized for tree-lined streets, character homes, and immediate proximity to nature.
Nurses and relocating professionals in Missoula gravitate toward neighborhoods that balance mountain scenery with manageable commutes. Downtown Missoula offers walkable loft and apartment living along the Clark Fork River, putting dining, coffee shops, and cultural venues right outside the door.
For a more traditional residential feel with elevated views and immediate trail access, the South Hills and Miller Creek provide single-family homes, townhomes, and duplexes on the south end of town. On the west side, Grant Creek features newer residential developments with quick access to Interstate 90 and commercial retail centers, while established enclaves like the Rattlesnake and Rose Park are prized for tree-lined streets, character homes, and immediate proximity to nature.
Getting around+Missoula is geographically compact, with average city commute times running roughly 15 minutes. Key thoroughfares such as Interstate 90 connect outlying areas like Grant Creek and East Missoula to the city core, while central arterials and the Higgins Avenue bridge carry daily traffic across the Clark Fork River. While local drivers increasingly observe heavier congestion and rush-hour slowdowns as the city grows, distances between primary residential districts and medical facilities remain short, making drive times dependable even in winter weather.
Missoula is geographically compact, with average city commute times running roughly 15 minutes. Key thoroughfares such as Interstate 90 connect outlying areas like Grant Creek and East Missoula to the city core, while central arterials and the Higgins Avenue bridge carry daily traffic across the Clark Fork River.
While local drivers increasingly observe heavier congestion and rush-hour slowdowns as the city grows, distances between primary residential districts and medical facilities remain short, making drive times dependable even in winter weather.
Outdoors+Located at the confluence of the Clark Fork, Bitterroot, and Blackfoot rivers, Missoula provides immediate access to world-class blue-ribbon trout fishing, summer tubing, and whitewater kayaking at Brennan's Wave right beside Caras Park. Trail lovers hike the famous switchbacks up Mount Sentinel to the concrete 'M' directly above the University of Montana or venture into the adjacent Bitterroot National Forest. Winter recreation centers around skiing and snowboarding at nearby Montana Snowbowl, while summer thrill-seekers tackle the rapids of Alberton Gorge.
Located at the confluence of the Clark Fork, Bitterroot, and Blackfoot rivers, Missoula provides immediate access to world-class blue-ribbon trout fishing, summer tubing, and whitewater kayaking at Brennan's Wave right beside Caras Park. Trail lovers hike the famous switchbacks up Mount Sentinel to the concrete 'M' directly above the University of Montana or venture into the adjacent Bitterroot National Forest.
Winter recreation centers around skiing and snowboarding at nearby Montana Snowbowl, while summer thrill-seekers tackle the rapids of Alberton Gorge.
Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.
Living in Missoula
Missoula offers healthcare professionals a rare blend of Western mountain tranquility and progressive college-town energy. Situated at the meeting point of the Clark Fork, Bitterroot, and Blackfoot rivers, this Northern Rockies community revolves around the outdoors. Nurses coming off shift can tube right through downtown, hike the steep switchbacks up Mount Sentinel to the iconic 'M,' or hit the slopes at Montana Snowbowl in winter. Neighborhoods range from walkable downtown riverfront lofts near independent staples like Biga Pizza and Top Hat Bar and Grill to scenic, trailside communities in the South Hills and Rattlesnake. Average commute times hover around 15 minutes, making daily travel to medical facilities painless compared to larger metros. However, relocating healthcare workers must prepare for practical tradeoffs: housing vacancy is tight, local roads face growing traffic congestion, and winters bring long spells of freezing temperatures and snow. For clinicians seeking a tight-knit community with boundless trail and river access right outside the hospital doors, Missoula offers an enriching base in western Montana.
