On-Call RN, Full-Time

Job Summary

This is a full-time professional position. This position provides the after hours nursing coverage for patients on assigned weekends, holidays and week nights to provide after hours nursing support to patients and families who have questions, concerns or emergencies. This position requires staff to make visits to patients’ homes to provide symptom relief and or support at the time of a patient’s death. This position collaborates with the manager on call and the weekend on call triage nurse. The schedule for this position is 4p-12a every Fri, every other weekend, other days during the week vary to total 40 hours/week. 

Responsibilities what you do

• Plan, provide, supervise and document safe, competent, and compassionate hospice nursing care for patients in accordance with physician orders and established policies and procedures.


• Provide after hours clinical and emotional support for patients and families in crisis.

• Assist the triage nurse, when needed, in determining and completing appropriate coverage of after-hours phone calls from patients and families.


• Responsible for current knowledge of nursing practices.


• Responsible for providing, and documenting, appropriate and relevant end of life information and education to patients and their families in compliance with current Centers for Medicare and Medicaid Services CMS Conditions of Participation (CoPs).


• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.

• Responsible for professionally managing time, people and technology.


• Monitors and manages the appropriate use of patients’ medical equipment, supplies and medications.


• Collaborates with other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services.


• Actively participates in the orientation and training of new employees of all disciplines.


• Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals.


• Delegate tasks and supervises the activities of LPNs and Hospice Aides, as needed.


• Perform other duties as assigned by supervisor

Expectations how you do it

• Model professionalism and empathy by consistently demonstrating compassion, respect, teamwork, and dedication in all interactions with coworkers, customers, and partners.


• Adhere to all TL policies, procedures, and organizational guidelines, ensuring compliance in daily work and decision‑making.


• Deliver care and services in accordance with ACHC Standards and Medicare Conditions of Participation when applicable to your role.


• Comply with all relevant state and federal laws, regulations, and professional standards within your defined scope of responsibility.


• Promptly communicate concerns, issues, or potential risks to your immediate supervisor or another member of the management team to support a safe and effective work environment

Requirements what you need

• Registered Nurse with current NC license; BSN preferred.


• Minimum 3 years recent clinical experience.  Hospice and/or home health or nursing home experience or equivalent preferred.


• CHPN Certification preferred.


• Knowledgeable about reimbursement sources, Medicare regulations, licensing laws, and accreditation standards.


• Competent computer skills 


• Current CPR certification.


• Must have and maintain a valid North Carolina Driver’s License, maintain automobile insurance coverage and have access to reliable transportation. 


• Must be able to travel to, enter and function in the homes/facility of any patient/family in the service area to assess and provide care to all patients.


• May be required to lift and/or carry items up to 50 pounds.


• Must have sensory abilities to complete physical assessment, communicate with patient/family care providers and physician and to complete the reporting and follow-up documentation responsibilities of the job.


• Must be available to work on or around holidays as scheduled and potentially on a rotating basis.


• Must attend at least 4 team meetings per year.