Job Description
POSITION SUMMARY
The On-Call Registered Nurse (RN) is responsible for providing after-hours and weekend clinical support to hospice patients and their families in the Denver metro area. Working on a 7-days-on / 7-days-off rotation, this position serves as the primary point of clinical contact during non-business hours, responding to urgent patient needs, providing symptom management guidance, and coordinating with the interdisciplinary team as needed.
This role requires a compassionate, clinically skilled RN who is comfortable working independently and making sound clinical judgments in a home or facility-based hospice setting.
COMPENSATION STRUCTURE
On-Call Availability Pay (flat rate per on-call shift):
- Weekday On-Call (Monday–Friday): $100.00 per day
- Weekend On-Call (Saturday–Sunday): $150.00 per day
- Hourly rate of $48 during active patient visits
Patient Visit Pay:
* All patient visits made during the on-call period are compensated at the applicable hourly rate, in addition to the flat on-call availability pay.
SCHEDULE & ROTATION
- Rotation: 7 consecutive days on-call, followed by 7 consecutive days off
- On-call hours cover evenings, nights, weekends, and holidays as assigned during the active rotation week
- Must be available by phone within 30 minutes and able to respond in person within a clinically appropriate timeframe
- Coordination with the outgoing on-call nurse at shift transitions is expected
ESSENTIAL DUTIES & RESPONSIBILITIES
- Respond to after-hours patient and family calls; triage symptoms and provide clinical guidance, reassurance, and education
- Conduct urgent in-home or facility-based patient visits as clinically indicated
- Assess changes in patient condition and implement or adjust the plan of care within hospice guidelines
- Administer or supervise medications and treatments in accordance with physician orders
- Provide comfort-focused symptom management including pain, dyspnea, anxiety, and other end-of-life symptoms
- Coordinate with the on-call physician for new or updated orders as needed
- Communicate significant changes in patient status to the attending physician, Director of Nursing, and/or appropriate team members
- Provide emotional support and education to patients and families during the on-call period
- Complete accurate, timely clinical documentation in the EMR in accordance with CMS and organizational standards
- Coordinate admissions and pronouncements of death as needed during the on-call period
- Ensure continuity of care by providing detailed hand-off communication at the end of each rotation
- Maintain compliance with all applicable federal, state, and hospice-specific regulations
QUALIFICATIONS & REQUIREMENTS
Education & Licensure:
- Current Registered Nurse (RN) licensure in the State of Colorado, in good standing
- Associate's Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred
Experience:
- Minimum 1 year of RN experience required; hospice, palliative care, home health, or ICU/med-surg experience strongly preferred
- Prior on-call or independent practice experience preferred
Skills & Competencies:
- Strong clinical assessment skills and ability to make independent nursing judgments
- Proficiency in symptom management, pain control, and end-of-life care
- Excellent communication skills with patients, families, and interdisciplinary team members
- Ability to navigate sensitive, emotionally charged situations with compassion and professionalism
- Comfortable working independently in a variety of home and facility environments
- Proficiency with electronic medical records (EMR); Hospice Tools experience a plus
Other Requirements:
- Valid Colorado driver's license and reliable personal transportation
- Auto insurance meeting company minimum requirements
- Ability to pass a background check and drug screening
- CPR/BLS certification required
WORK ENVIRONMENT & PHYSICAL DEMANDS
- Work is performed in patient homes, assisted living facilities, skilled nursing facilities, and other community settings
- Exposure to patients with serious illness; personal protective equipment (PPE) provided and required as appropriate
- Must be able to lift and reposition patients as needed (up to 50 lbs with assistance)
- Requires prolonged standing, walking, bending, and occasional lifting
- Must be able to drive safely in varying weather and road conditions
OUR MISSION
At Ovation Hospice of Denver, we are committed to providing compassionate, high-quality end-of-life care to patients and families in our community. Every member of our team plays a vital role in honoring the dignity and comfort of those we serve.
Job Tags
Hourly pay, Price work, Part time, Monday to Friday, Shift work, Night shift, Afternoon shift, Weekday work