Hospice Registered Nurse On Call PRN

Home&Care; Billings (MT); On-site; USD 50,000 - 78,000; Part time

Benefits offered by this job

Mileage reimbursement

On-call stipend

Flexible scheduling

Job summary

Home&Care in Billings, MT is seeking a PRN On-Call Hospice RN to provide after-hours nursing support to hospice patients and families, respond to urgent needs, perform triage, and coordinate care per the hospice plan of care. This role requires Montana RN license, 1–2 years hospice/home health/acute care experience, valid driver's license, and the ability to work independently.

On-call shifts include evenings, nights, weekends, and holidays; compensation includes on-call stipend and mileage

Qualifications

• Current, unencumbered RN license – Montana.
• Minimum 1–2 years nursing experience (hospice/home health or acute care preferred).
• Valid driver’s license and reliable transportation.
• Ability to work independently and make clinical decisions.

Responsibilities

• Responds to patient/family calls during on-call hours.
• Provides telephonic triage and clinical guidance.
• Determines need for and performs urgent visits.
• Assesses condition and changes in status; manages pain and symptoms.
• Administers medications per hospice plan of care.
• Documents assessments, interventions, and follow-up.
• Educates families on symptom management and expectations.
• Coordinates with physicians, pharmacies, and vendors.

Skills

Clinical assessment

Telephonic triage

Patient education

Independent work

Documentation

Education

RN license - Montana

Tools

EMR/EHR

Job description

The PRN On-Call Hospice RN provides after-hours nursing support to hospice patients and families, ensuring timely response to urgent needs, symptom management, and coordination of care consistent with the hospice plan of care.

Employment Status

• PRN / As Needed
• Non-exempt or exempt based on agency structure
• On-call shifts (evenings, nights, weekends, holidays)

Primary Responsibilities

• Responds to patient/family calls during assigned on-call hours
• Provides telephonic triage and clinical guidance
• Determines need for and performs urgent visits

• Assesses patient condition and changes in status
• Implements interventions for pain and symptom control
• Administers medications and treatments per hospice plan of care
• Provides end-of-life care and support

• Manages acute symptom crises (e.g., pain, dyspnea, agitation)
• Provides education and reassurance to families during end-of-life transitions
• Coordinates with physician or nurse practitioner as needed

• Communicates with hospice physician/NP regarding changes in condition
• Updates plan of care as appropriate
• Coordinates with pharmacies, DME providers, and other vendors

• Completes timely, accurate documentation of all calls and visits
• Documents assessments, interventions, patient response, and follow-up plan

• Educates on symptom management, medication use, and what to expect
• Reinforces hospice philosophy and goals of care

Qualifications

Required

• Current, unencumbered Registered Nurse (RN) license - Montana
• Minimum 1-2 years nursing experience (hospice, home health, or acute care preferred)
• Valid driver's license and reliable transportation
• Ability to work independently and make clinical decisions

Scheduling Expectations

• Assigned on-call shifts (e.g., evenings 5pm-8am, weekends, holidays)
• Minimum of one weekend per month

Performance Expectations

• Timely response to calls and visits
• Accurate and compliant documentation
• Effective symptom management
• Professional and compassionate patient/family interactions

Compensation Structure

• On-call stipend per shift
• Additional pay per hour for response to calls, visits, etc.
• Mileage reimbursement