Afterhours Care Manager, RN - Full Time

Overview

Expand Access. Support Families. Elevate After-Hours Care.

Join a team where your expertise provides comfort and guidance when patients and families need it most. As an Afterhours RN Care Manager , you'll deliver compassionate hospice care outside of traditional business hours, ensuring seamless, high-quality support throughout evenings, nights, weekends, and holidays.

If you're an experienced RN who values autonomy, meaningful patient relationships, and a unique work schedule, this role offers the opportunity to make a lasting impact while enjoying an alternative 7 days on / 7 days off schedule.

Schedule

• 7 days on / 7 days off
• On-call coverage for evenings, overnight hours, weekends, and holidays
  
  

About The Role

As an Afterhours RN Care Manager , you will serve as the primary clinical resource for patients and families during after-hours coverage. You'll assess patient needs, coordinate care, and provide timely interventions to ensure continuity and quality of hospice services.

Responsibilities Include

• Conducting routine nursing visits, admissions, urgent after-hours visits, and death visits.
• Responding to patient and family needs in accordance with each individualized plan of care.
• Collaborating with physicians and the interdisciplinary team (IDG) to ensure coordinated, patient-centered care.
• Providing clinical oversight for assigned patients while maintaining accurate documentation and communication.
• Supporting quality initiatives through clinical workflow reviews, documentation audits, and survey readiness activities.
  
  

This is an ideal opportunity for a compassionate RN who thrives in an independent role and is committed to delivering exceptional end-of-life care when it matters most.

Essential Functions

Essential Functions

• Ensure appropriate delivery of hospice services to eligible patients and families.
• Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.
• Conduct initial and ongoing assessments of physical, emotional, psychosocial, and spiritual needs.
• Support the IDG process through chart reviews, plan of care updates, and interdisciplinary communication.
• Develop and revise the Hospice Plan of Care in collaboration with physicians and IDG members.
• Educate patients and families on disease progression, symptom management, medications, and hospice philosophy.
• Communicate significant changes in patient condition promptly to hospice and attending physicians.
• Maintain accurate, timely clinical documentation including assessments, care plans, and notes.
• Assist with rescheduled, missed, or reassigned visit requests based on triage direction.
• Participate in calendar and scheduling modifications, including service codes and clinician assignments.
• Support administrative and compliance activities including workflow audits, survey readiness tasks, and documentation collection.
• Assist with TPE reviews, QAPI efforts, and regulatory compliance.
• Ensure infection control standards and universal precautions are consistently followed.
• Provide leadership and guidance to field staff; conduct supervisory visits when appropriate.
• Participate in required meetings, after-hours updates, and trainings.
• Maintain proficiency in pain and symptom management for hospice and end-of-life care.
• Promote the organization’s core values and maintain a culture of compassion, professionalism, and teamwork.
• Perform other duties as assigned.
  
  

About You

Education and Experience

• Current RN license in the state of employment
• Graduate of an accredited nursing program
• Minimum one year of RN experience in acute care, oncology, long-term care, hospice, or home health
• Must meet any state-specific requirements
  
  

Licenses and Certifications

• Active RN license
• CPR certification (in-person)
• Valid driver’s license, reliable transportation, and current auto insurance
  
  

Skills And Competencies

• Strong knowledge of hospice principles, Medicare/Medicaid regulations, and best practices
• Ability to conduct thorough patient assessments and develop individualized care plans
• Effective communication with patients, families, physicians, and interdisciplinary team members
• Strong time-management and prioritization skills in a fast-changing environment
• Proficiency with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologies
• Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes
• Leadership skills to support and guide field staff
• Ability to manage administrative, documentation, and compliance responsibilities accurately
  
  

Personal Traits

• Sensitivity to end-of-life needs and the emotional realities families face
• Flexibility to shift tasks and respond to urgent needs
• Professionalism, maturity, teamwork, and resilience under pressure
• Ability to communicate effectively with individuals from diverse background
  
  

Compensation may vary within the salary range provided based on several factors including but not limited to a candidate’s location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece.

Salary Range: $71,450 - $89,335

We Offer

Benefits For All Associates (Full-Time, Part-Time & Per Diem)

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

Additional 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)
  
  

Legalese

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet stage specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace
  
  

ReqID: 2026-141319

Category: Registered Nurses

Position Type: Full-Time

Company: Heartland Hospice