Registered Nurse - RN On-Call (7 On/7 Off)

Registered Nurse - On-Call - 7on/7off

Partners In Home Care is seeking a skilled and dedicated On-Call Nurse to provide clinical support after-hours and weekends for patients, families, caregivers, and facility partners.

Why You’ll Love Working With Us

• • Flexible scheduling and generous paid time off to support work-life balance!
  • Comprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance -Beginning the first of the month following your start date. No months of waiting!
  • 401(k) with company match up to 5%
  • Company-paid life insurance
  • Tuition reimbursement and annual training budget
  • Employee Assistance Program (EAP)
  • Additional perks including legal services, ID protection, pet insurance, and financial wellness programs
  • Deliver care where it matters most—at home
  • Enjoy professional autonomy with the support of a collaborative interdisciplinary team

Department: Home Health / Hospice
Location: Missoula, MT and surrounding areas
Status: Full-Time (Rotating Schedule)

Schedule: Rotating 7 days on / 7 days off. Coverage includes evenings, nights, weekends, and holidays occurring during scheduled weeks. Available by phone at all times during the assigned on-call week. Required to make home visits as needed based on triage assessment.

Position Summary

The On-Call Nurse role ensures timely triage, intervention, and coordination of care during non-business hours. The nurse functions autonomously, prioritizing urgent issues, making home visits when necessary, and supporting continuity of care for patients in the community. The schedule follows a 7-days-on / 7-days-off rotation.

Essential Duties & Responsibilities

Patient Care & Triage

• Provide telephone triage for urgent clinical needs, symptom changes, caregiver concerns, and equipment issues.
• Assess patient status via phone and/or in-person visits using clinical judgment and agency protocols.
• Perform home visits for urgent issues such as pain crisis, respiratory distress, falls, wound complications, or other acute changes.
• Deliver skilled nursing interventions, including medication administration, wound care, assessments, and stabilization.
• Ensure patient safety and support caregivers with teaching, reassurance, and guidance.

Care Coordination

• Communicate significant changes to the primary nurse, interdisciplinary team, and physician as needed.
• Coordinate with the on-call provider, hospice physician, or NP for urgent orders or guidance.
• Document all triage calls, assessments, interventions, and visits in the EMR in a timely manner.
• Arrange after-hours equipment needs (e.g., oxygen, supplies) through approved vendors or internal DME when applicable.

Compliance & Quality

• Adhere to agency policies, ACHC standards, and CMS Home Health/Hospice CoPs.
• Participate in performance improvement activities.
• Maintain accurate and complete clinical documentation.
• Escalate concerns about patient safety, abuse/neglect, or environmental risks promptly.

Qualifications

Education & Licensure (Required)

• Current RN license in the state of MT in good standing.
• CPR certification.
• Valid driver’s license, reliable transportation, and proof of auto insurance.

Experience (Preferred) 

• Minimum 1–2 years of nursing experience in Home Health, Hospice, ER, ICU, Med/Surg, or similar setting.
• Strong clinical assessment and triage skills required.
• Experience with EMR documentation preferred.

 Partners In Home Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.