On Call Registered Nurse (RN) Sign on available

Alliance for Care at Home; Missouri; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive Pay

401(k) with company match

Career advancement opportunities

Recognition programs (national & local

Teammate assistance fund

Medical, dental, vision insurance

Mileage reimbursement or fleet vehicle

Paid time off & holidays

Wellness programs & CEUs

Job summary

Gentiva Hospice is seeking an After Hours/On-Call Hospice RN to respond to patient needs during evenings, nights, weekends, and holidays, ensuring compassionate care in home or facility settings. You’ll work with a multidisciplinary team, provide direct patient care, and document clinical visits while maintaining high-quality continuity of care.

Required is an active RN license, 1+ year nursing experience, CPR, and reliable transportation.

Qualifications

• Current RN license in the state of employment.
• 1+ years of nursing experience.
• Hospice mindset: compassionate, calm under pressure.
• Strong clinical judgment for urgent care situations.
• Comfort with home-based care environments.
• Valid driver’s license and reliable transportation.
• CPR certification current.

Responsibilities

• Provide direct patient care after normal business hours.
• Serve as primary liaison between patients, families, physicians and hospice team.
• Respond promptly to urgent calls, visits and symptom management needs.
• Evaluate patient and family needs to guide clinical decisions.
• Document visits and communications in the EMR.
• Collaborate with interdisciplinary team to ensure continuity of care.

Skills

Nursing experience

Compassionate care

Clinical judgment

Home health care

EMR documentation

Education

RN license (state-listed)

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.

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)

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

Location: Gentiva Hospice Our Company:

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.