Registered Nurse On Call PRN

Everwind Hospice; Billings (MT); On-site; USD 60,000 - 85,000; Part time

Benefits offered by this job

On-call stipend

Mileage reimbursement

Additional pay per hour for calls/visI

Mileage reimbursement

Job summary

Everwind Hospice is seeking a PRN On-Call Hospice RN in Billings, MT to provide after-hours nursing support for patients and families. You will respond to urgent needs, manage symptoms, and coordinate care per the hospice plan of care.

The role requires a Montana RN license, 1–2 years of nursing experience (hospice/home health or acute care preferred), and the ability to work independently. On-call shifts evenings, nights, weekends, and holidays are included.

Qualifications

• Current, unencumbered RN license in Montana.
• 1–2 years nursing experience; hospice/home health/acute care preferred.
• Ability to work independently and make clinical decisions.

Responsibilities

• Responds to patient/family calls during on-call hours.
• Provides telephonic triage and clinical guidance.
• Performs urgent visits as needed.
• Assess 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.
• Coordinates with physician or nurse practitioner as needed.
• Documents assessments, interventions, patient response, and follow-up plan.

Skills

Telephonic triage

Clinical decision making

Pain management

Family communication

Independence

Education

Registered Nurse license - Montana

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

• 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