Afterhours RN Care Manager (7 on/7 off)

About the role

The Afterhours Care Manager RN provides high-quality, compassionate hospice care outside standard business hours. Key responsibilities include:

• Assessing and coordinating patient and family needs during after-hours shifts.
• Maintaining primary clinical oversight for assigned patients.
• Serving as an active member of the Interdisciplinary Group (IDG) to ensure coordination between physicians, families, and the hospice team.
• Developing and revising the Hospice Plan of Care in collaboration with physicians and IDG members.
• Educating patients and families on disease progression, symptom management, medications, and hospice philosophy.
• Communicating significant changes in patient condition promptly to hospice and attending physicians.
• Maintaining accurate, timely clinical documentation including assessments, care plans, and notes.
• Assisting with rescheduled, missed, or reassigned visit requests based on triage direction.
• Participating in calendar and scheduling modifications, including service codes and clinician assignments.
• Supporting administrative and compliance activities including workflow audits, survey readiness tasks, and documentation collection.
• Ensuring infection control standards and universal precautions are consistently followed.
• Providing leadership and guidance to field staff; conducting supervisory visits when appropriate.
• Participating in required meetings, after-hours updates, and trainings.
• Promoting the organization's core values and maintaining a culture of compassion, professionalism, and teamwork.
• Performing other duties as assigned.

Responsibilities

The Afterhours Care Manager RN is responsible for:

• Ensuring appropriate delivery of hospice services to eligible patients and families.
• Providing direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.
• Supporting the IDG process through chart reviews, plan of care updates, and interdisciplinary communication.
• Developing and revising the Hospice Plan of Care in collaboration with physicians and IDG members.
• Educating patients and families on disease progression, symptom management, medications, and hospice philosophy.
• Communicating significant changes in patient condition promptly to hospice and attending physicians.
• Maintaining accurate, timely clinical documentation including assessments, care plans, and notes.
• Assisting with rescheduled, missed, or reassigned visit requests based on triage direction.
• Participating in calendar and scheduling modifications, including service codes and clinician assignments.
• Supporting administrative and compliance activities including workflow audits, survey readiness tasks, and documentation collection.
• Ensuring infection control standards and universal precautions are consistently followed.
• Providing leadership and guidance to field staff; conducting supervisory visits when appropriate.
• Participating in required meetings, after-hours updates, and trainings.
• Promoting the organization's core values and maintaining a culture of compassion, professionalism, and teamwork.
• Performing other duties as assigned.

Requirements

Requirements include:

• A current RN license in the state of employment.
• A graduate of an accredited nursing program.
• At least one year of RN experience in acute care, oncology, long-term care, hospice, or home health.
• Meeting any state-specific requirements.
• An active RN license.
• CPR certification (in-person).
• A valid driver’s license, reliable transportation, and current auto insurance.

Skills and Competencies

Key skills and competencies are:

• 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

Desired personal traits include:

• 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 backgrounds.

We Offer

• 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)