On Call Registered Nurse (RN) 7 on / 7 off- Sign on!

Gentiva; Adrian (MO); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive Pay

401(k) with Company Match

Career Advancement Opportunities

Recognition Programs

Teammate Assistance Fund

Mileage Reimbursement

Job summary

Heartland Hospice is seeking an After Hours Hospice RN to respond to patient needs during evenings, nights, weekends, and holidays, delivering compassionate care and peace of mind.

You will work as the primary liaison among patients, families, physicians, and the hospice team, provide direct care after hours, document visits, and support a multidisciplinary team while ensuring continuity of care.

Qualifications

• Current RN license in Missouri or eligibility to obtain.
• 1+ years of nursing experience.
• Hospice heart: compassionate, calm, and dependable in urgent care.
• Excellent clinical judgment and ability to support in emotional settings.
• Comfort providing care in patients' homes or other settings.
• Valid driver’s license, auto insurance, and reliable transportation.
• Current CPR certification.

Responsibilities

• Respond to patient needs during evenings, nights, weekends and holidays.
• Provide direct patient care and support after normal business hours.
• Serve as liaison between patients, families, physicians and hospice team.
• Respond promptly to urgent calls, visits and symptom management needs.
• Evaluate needs and implement the plan of care.
• Collaborate with LPNs/LVNs, CNAs and other staff.
• Document clinical visits and communications.
• Participate in quality assessment and performance improvement.
• Work independently while coordinating with daytime care team.

Skills

Compassionate care

Calm under pressure

Excellent clinical judgment

Independent work style

EMR documentation skills

Strong communication

Valid driver's license

CPR certification

Education

Registered Nurse license (Missouri)

Tools

EMR systems

Job description

Overview

$7,500 Sign On BONUS offered!

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

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?

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: 2026-135558
Category: Registered Nurses
Position Type: Full-Time
Company: Heartland Hospice