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
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