After-Hours Hospice RN: Compassionate, Independent Care

Gentiva; Virginia; Hybrid; USD 85,000 - 90,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid time off

Tuition reimbursement

Wellness programs

Job summary

Gentiva Hospice is seeking an After Hours Hospice RN to respond to patient needs during evenings, nights, weekends, and holidays. The role focuses on delivering compassionate, patient-centered care, coordinating with a multi-disciplinary team, and ensuring seamless handoffs to daytime staff.

The position requires an active RN license in the state, 1+ year of nursing experience, CPR certification, and reliable transportation. Compliance with safety and documentation protocols is essential.

Qualifications

• Current RN license in the state of employment or eligibility to obtain
• 1+ years of nursing experience
• CPR certification is required
• Valid driver’s license, insurance and reliable transportation
• Comfort providing care in patients’ homes or facilities
• Excellent clinical judgment and ability to handle urgent care situations

Responsibilities

• Respond to patient needs after hours, including evenings, nights, weekends and holidays
• Serve as primary liaison between patients, families, physicians, and hospice team
• Provide direct patient care during after-hours shifts
• Document clinical visits and communications accurately
• Participate in quality assessment and performance improvement programs
• Coordinate with daytime care team and interdisciplinary staff
• Promote continuity of care and safe handoffs
• Support and document symptom management and care plans

Skills

1+ years nursing experience

CPR certification

Home-based care

Excellent clinical judgment

Emotional resilience

EMR skills

Valid driver’s license

Dependable in urgent care

Tools

EMR systems

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.

RNOC Weekday Schedule - Monday 5pm - Thursday 8am

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

Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive Total Rewards package, of which base pay is just one component.

Salary Range: $85,000-90,000

Full-Time Employee Benefits

• Medical, Dental & Vision

• Wellness Program & Resources

• 401(k) with Company Match

• Paid Time Off (PTO)

• FMLA, ADA, and other federal and state-required leaves

• Short-Term & Long-Term Disability

• Health Savings Account (HSA) Contribution

• Mileage Reimbursement or Fleet Car Program

• Cell Phone Reimbursement (eligible roles)

• Short-Term Incentive (eligible roles)

• Tuition Reimbursement

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.

Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive Total Rewards package, of which base pay is just one component.

Salary Range: $85,000-90,000

Full-Time Employee Benefits

• Medical, Dental & Vision

• Wellness Program & Resources

• 401(k) with Company Match

• Paid Time Off (PTO)

• FMLA, ADA, and other federal and state-required leaves

• Short-Term & Long-Term Disability

• Health Savings Account (HSA) Contribution

• Mileage Reimbursement or Fleet Car Program

• Cell Phone Reimbursement (eligible roles)

• Short-Term Incentive (eligible roles)

• Tuition Reimbursement

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: 2026-143398
Category: Registered Nurses
Position Type: Full-Time
Company: Gentiva Hospice