Registered Nurse On Call PRN

Home&Care; Casper (WY); On-site; USD 50,000 - 80,000; Full time

Job summary

Home&Care is seeking an RN to join our hospice team for on-call coverage across Wyoming. You will respond to calls after hours, provide triage guidance, and perform urgent visits as needed.

Responsibilities include assessing patients, managing pain and symptoms, administering hospice-approved treatments, and coordinating with physicians. Independent decision-making and reliable transportation are required.

Qualifications

• Current, unencumbered RN license in Wyoming.
• 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 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 (pain, dyspnea, agitation).
• Educates families on symptom management and what to expect.
• Coordinates with physician/NP and other vendors.
• Documents assessments, interventions, patient response, and follow-up plan.

Skills

On-call nursing

Hospice care

Pain management

Symptom management

Patient education

Education

Registered Nurse (RN) license - Wyoming

Job description

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 - Wyoming
• 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