Position Summary

is seeking a compassionate, experienced, and clinically skilled On-Call Overnight Registered Nurse (RN) to provide remote after-hours triage and support for hospice patients and families across multiple states, including Oregon and Nevada. This fully remote position serves as the primary overnight clinical resource, responding to patient and caregiver concerns, performing telephonic assessments, coordinating interventions, and supporting field clinicians to ensure exceptional end-of-life care.

The ideal candidate is an experienced hospice nurse who can work independently, make sound clinical decisions, and provide calm, compassionate guidance during urgent and emotionally sensitive situations.

Essential Duties and Responsibilities

• Serve as the primary overnight clinical contact for hospice patients, families, caregivers, facilities, and referral sources.
• Perform comprehensive telephonic triage assessments and determine appropriate interventions based on patient needs.
• Provide symptom management guidance and education related to pain, respiratory distress, anxiety, nausea, agitation, and other end-of-life conditions.
• Collaborate with field nurses, hospice physicians, nurse practitioners, and interdisciplinary team members to coordinate patient care.
• Determine the need for and coordinate emergent or routine nursing visits when appropriate.
• Document all patient interactions, assessments, recommendations, and interventions accurately and timely within the electronic medical record (EMR).
• Support and advise field staff who are providing in-person care during overnight hours.
• Ensure compliance with hospice regulations, organizational policies, and standards of practice across multiple states.
• Participate in clinical handoff communication to ensure continuity of care between overnight and daytime teams.
• Maintain patient confidentiality and comply with HIPAA requirements.

Qualifications Required

• Current, unrestricted Registered Nurse (RN) license.
• Ability to obtain and maintain licensure in Oregon, Nevada, and potentially more states in the future.
• Minimum of 2 years of hospice, palliative care, home health, or related nursing experience.
• Strong clinical assessment and critical-thinking skills.
• Experience conducting telephonic or remote patient triage.
• Excellent communication, documentation, and customer service skills.
• Proficiency with electronic medical records and Microsoft Office applications.
• Reliable high-speed internet connection and dedicated remote workspace.

Preferred

• Multi-state nursing licensure or eligibility.
• Compact nursing license (NLC) where applicable.
• Previous after-hours or on-call hospice experience.
• Knowledge of hospice regulations and standards in multiple states.
• Experience supporting geographically dispersed clinical teams.

Work Schedule

• Overnight on-call coverage on Friday-Monday or Monday-Thurs.
• Fully remote position.
• May include weekdays, weekends, and holidays as assigned.
• Must be available to respond promptly to calls and clinical concerns throughout scheduled shifts.

Physical Requirements

• Prolonged periods of sitting and working on a computer.
• Ability to communicate effectively by telephone and video conferencing platforms.
• Ability to manage multiple priorities and maintain focus in a fast-paced environment.

What We Offer

• Fully remote work environment.
• Opportunity to make a meaningful impact on patients and families during critical moments of care.
• Collaborative interdisciplinary team culture.
• Competitive compensation and benefits package (if applicable).