After-Hours Hospice RN: Compassionate Care On-Call

Gentiva; Iowa; On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

401(k) plan

Paid time off

Medical insurance

Mileage reimbursement

CEUs paid

Life insurance

Voluntary benefits

Job summary

Heartland Hospice is seeking an After Hours Hospice RN to respond to patient needs during evenings, nights, weekends, and holidays in home-based settings. You will act as the primary liaison and ensure continuity of care with the daytime team.

The role requires an active RN license, 1+ year of nursing experience, and CPR certification. A compassionate hospice approach and strong clinical judgment are essential for success in high-demand, emotionally charged environments.

Qualifications

• Current RN license for the state of employment
• 1+ years of nursing experience
• Hospice heart: compassionate, calm under pressure
• Excellent clinical judgment and ability to support in emotionally intense settings
• Comfortable delivering care in patients' homes or residence settings
• Valid driver’s license, auto insurance, reliable transportation
• Current CPR certification

Responsibilities

• Report to Administrator, Executive Director, or Patient Care Manager Senior
• Provide direct patient care and support after normal business hours
• Serve as primary liaison between patients, families, physicians, and hospice team
• Respond promptly to urgent calls, visits, and symptom management
• Evaluate patient and family needs to guide clinical decisions
• Collaborate with LPNs/LVNs, CNAs, and support staff
• Document clinical visits and communications accurately
• Participate in quality assessment and performance improvement programs
• Work independently while coordinating with daytime team

Skills

RN license

Home care nursing

CPR certification

EMR experience

Education

RN degree (ADN/BSN)

Tools

EMR software

Job description

Overview

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

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

ReqID: 2026-140605
Category: Registered Nurses
Position Type: Full-Time
Company: Heartland Hospice