Afterhours RN Care Manager

About the Role

The After‑hours RN Care Manager provides high‑quality, compassionate hospice care outside standard business hours, ensuring seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on‑call periods. The role includes routine visits, admissions, death visits, urgent after‑hours calls, and any visit assigned per the patient’s plan of care, and serves as an active member of the Interdisciplinary Group (IDG) to coordinate physicians, families, and the hospice team.

Essential Functions

• Deliver 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 such as 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.

Qualifications

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

Compensation

Salary Range: $85,000 – $95,000 (may vary based on geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity).

Benefits

• Medical, Dental & Vision insurance
• Wellness Program & Resources
• 401(k) with Company Match
• Paid Time Off (PTO) and 7 Paid Holidays
• FMLA, ADA, and other federal and state‑required leaves
• Short‑Term & Long‑Term Disability
• Health Savings Account (HSA) Contribution
• Mileage Reimbursement or Fleet Car Program
• Cell Phone Reimbursement (eligible roles)
• Short‑Term Incentive (eligible roles)
• Tuition Reimbursement and Education Support (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)
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund