On-Call Registered Nurse

Serengeti Care; Missoula (MT); On-site; USD 70,000 - 100,000; Full time

Job summary

Serengeti Care is seeking an On-Call Registered Nurse to provide nursing support and clinical guidance after hours, weekends, and during staff absences. This role ensures continuity of care in alignment with company standards and regulations.

The RN will perform triage and nursing assessment by phone or in person, coordinate with providers, families, and caregivers, and document care accurately while escalating urgent issues as needed.

Qualifications

• Current and unrestricted Registered Nurse license in the applicable state.
• Graduate of an accredited nursing program.
• Current CPR certification, if required for assigned duties.
• Ability to perform triage and nursing assessment with sound clinical judgment.

Responsibilities

• Provide nursing support and clinical guidance after hours, on weekends, and during staff absences.
• Perform nursing triage and assessment by phone and/or in person as applicable.
• Coordinate care with providers, caregivers, and family members; document accurately.
• Escalate urgent concerns per policy and maintain regulatory compliance.

Skills

Nursing assessment

Care coordination

Clinical guidance

Independent work

Education

RN license

Accredited nursing program

Tools

Electronic documentation systems

Job description

The On-Call Registered Nurse (RN) provides nursing support and clinical guidance on an as-needed basis to support patient care operations after hours, on weekends, during staff absences, and at other times as assigned. This position responds to patient care issues, provides triage and nursing assessment within scope, supports caregivers and field staff, coordinates with providers and family members as appropriate, and helps ensure continuity of care consistent with company standards and applicable regulations.

Essential Duties and Responsibilities

To perform this job successfully, an individual will possess the skills, aptitudes, and abilities to perform each function proficiently. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

Mission, Vision, and Values Alignment

• Maintain Serengeti Care Partner's Mission, Vision, and Values by establishing and maintaining trusting partnerships with stakeholders, providing enhanced support services, and embracing the organization's guiding principles.
• Respond to after-hours and on-call patient care needs in a timely, professional, and clinically appropriate manner.
• Provide nursing triage, assessment, and guidance by phone and/or in person, as applicable.
• Review patient concerns, evaluate urgent clinical issues, and determine appropriate escalation steps.
• Communicate with physicians, advanced practice providers, caregivers, patients, family members, and internal staff as needed regarding changes in condition and care needs.
• Complete nursing documentation, incident reporting, and clinical notes accurately and timely.
• Support coordination of care, including recommendations for follow-up, emergency intervention, or other appropriate services.
• Maintain compliance with state nurse practice standards, company policies, confidentiality requirements, and patient care documentation standards.
• Participate in case communication and handoff to branch or clinical leadership for follow-up as needed.

Other Duties

Perform other job-related duties consistent with the role and within professional licensure and training, as assigned by leadership, to support the company's overall goals.

• Organizational Mastery: Demonstrates exceptional organizational skills, attention to detail, and problem-solving with an aptitude for meticulous planning and multitasking in a fast-paced environment.
• Effective Communication: Proficiently engages with individuals from diverse cultural and socioeconomic backgrounds, demonstrating active listening, clear articulation, and skilled utilization of non-verbal cues. Resolves conflicts with empathy and maintains emotional composure in challenging situations, ensuring effective communication.
• Adaptability: Demonstrates the ability to swiftly adjust priorities in response to organizational needs and unexpected changes while maintaining high-quality care standards.
• Prioritization and Time Management: Demonstrates exceptional time management skills by prioritizing tasks, allocating resources, and ensuring duties and deadlines are completed on time without compromising quality or accuracy.

Qualifications

• Current and unrestricted Registered Nurse (RN) license in the applicable state.
• Graduate of an accredited nursing program.
• Current CPR certification, if required for assigned duties.
• Valid driver’s license, reliable transportation, and proof of current auto insurance, if travel is required.
• Ability to make sound clinical judgments and respond calmly in urgent situations.
• Strong verbal and written communication skills.
• Ability to work independently and collaboratively with interdisciplinary teams.
• Home health, hospice, home care, case management, or triage experience preferred.

Knowledge, Skills, and Abilities

• Knowledge of nursing principles, patient assessment, and care coordination.
• Ability to recognize changes in patient condition and escalating concerns appropriately.
• Skill in documentation, time management, and professional communication.
• Ability to maintain confidentiality and handle sensitive information appropriately.
• Working knowledge of electronic documentation systems and communication platforms.

Schedule

Hours may fluctuate depending on organizational needs. Corporate office hours are Monday-Friday. Occasional overtime (OT) may be required.

Working Environment and Physical Requirements

The work environment characteristics described represent those an employee may encounter while performing the essential functions of this job. Work is performed in a fast-paced office environment, with exposure to fluctuating temperatures, moderate noise levels, cleaning chemicals, airborne particles, and occasional outside fluctuating weather conditions.

• Ability to lift/carry up to 50 lbs.
• Bend, kneel, squat, and reach above shoulders; assist with transfers and push wheelchairs.
• Ability to stand, walk, climb stairs/ladders, sit, twist, and turn for extended periods.
• Must be able to see, hear, and respond to individuals’ needs.