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On-Call Registered Nurse for Hospice Care. Job in Iowa City TopStateCareers

Heartland Hospice · Iowa City, IA

FULL-TIME Posted Nov 9, 2026

Job Description

Lead with Heart. Make a Difference. Provide Compassionate Care After Hours.

As an On-Call Hospice RN, you'll address patient needs during evenings, nights, weekends, and holidays, offering peace of mind and compassionate care in critical moments.

Your Role as an On-Call Hospice RN:
• Report to the Administrator, Executive Director, or Senior Patient Care Manager.
• Deliver direct patient care and support during off-hours.
• Act as the primary contact between patients, families, physicians, and the hospice team during your shifts.
• Promptly and compassionately respond to urgent calls, patient visits, and manage symptoms.
• Assess patient and family needs to guide clinical decisions and implement care plans.
• Collaborate with an interdisciplinary team including LPNs/LVNs, CNAs, and other support staff.
• Document clinical visits and communications accurately.
• Engage in quality assessment and performance improvement programs.
• Work independently while ensuring seamless care coordination with daytime teams.

Key Responsibilities:
• Ensure high-quality care is provided following the Plan of Care.
• Conduct initial and ongoing patient assessments.
• Help develop and implement the Hospice Plan of Care as directed by the physician.
• Educate patients, families, and caregivers on care needs and medication management.
• Work closely with the Interdisciplinary Group to offer comprehensive physical, psychosocial, educational, emotional, and spiritual support.
• Maintain professional management of each patient and continuous communication with the care team.
• Report any changes in patient condition to both the Attending Physician and Hospice Physician.
• Keep in close contact with patients' families to provide information and support.
• Maintain accurate medical records, including assessments and care plans.
• Monitor and maintain TeleMed mobile application access for prompt communication and task management.
• Review patient clinical records to ensure compliance with standards and quality service.
• Implement infection control measures and standard precautions.
• Oversee scheduling and perform routine supervisory visits with team members.
• Stay informed on pain management and symptom control during end-of-life care.
• Participate in Quality Assessment and Performance Improvement Programs.
• May conduct routine visits during regular business hours.
• Attend staff meetings and perform additional assigned activities.
• Consistently uphold the company’s core values.
• Complete required annual training.

Qualifications - What We Seek:
• Current RN license in the state of employment (or eligibility to obtain).
• At least 1 year of nursing experience.
• A compassionate and dependable demeanor in urgent care situations.
• Excellent clinical judgment for providing care in emotionally charged environments.
• Comfortable providing care in diverse settings, including patient homes and facilities.
• Valid driver's license, automobile insurance, and reliable transportation.
• Current CPR certification.

Preferred Qualifications (Not Required):
• 1+ years of experience in hospice, home health, oncology, or palliative care.
• Familiarity with symptom management, triage, and after-hours home-based care.
• Experience in on-call or overnight nursing roles.
• Strong documentation and electronic medical record (EMR) skills.

Benefits Overview:
• Competitive Pay.
• 401(k) with Company Match.
• Career Advancement Opportunities.
• National & Local Recognition Programs.
• Teammate Assistance Fund.

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).

Are You Ready to Make a Difference?

Apply now to offer comfort, expertise, and reassurance to patients and families when it matters most – after hours.

This position is safety-sensitive, and employees must meet minimum requirements to be eligible for benefits. We are proud to be an EEO employer and maintain a drug-free workplace.

Location: Heartland Hospice.

At Heartland Hospice, part of Gentiva, we provide compassionate care wherever patients call home. We are recognized as a leader in hospice and palliative care with nearly 600 locations across 38 states. If you're looking for a rewarding career in a collaborative environment, we welcome you to join us.

Benefits

  • Dental insurance
  • Health insurance
  • Paid time off

Additional Details

City
Iowa City
State
Iowa
Country
US
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