Afterhours RN Care Manager

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.
• Working 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.
• 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.
• Conducting initial and ongoing assessments of physical, emotional, psychosocial, and spiritual needs.
• 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.
• Supporting the IDG process through chart reviews, plan of care updates, and interdisciplinary communication.
• 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 for the Afterhours Care Manager RN 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

The ideal candidate should possess:

• A strong knowledge of hospice principles, Medicare/Medicaid regulations, and best practices.
• Effective communication skills 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.
• Leadership skills to support and guide field staff.
• Ability to manage administrative, documentation, and compliance responsibilities accurately.

Personal Traits

The Afterhours Care Manager RN should exhibit:

• 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

Benefits for all associates (full-time, part-time, and per diem) include:

• Competitive pay.
• 401(k) with company match.
• Career advancement opportunities.
• National & local recognition programs.
• Teammate assistance fund.
• Additional full-time benefits such as medical, dental, vision insurance, mileage reimbursement or fleet vehicle program, generous paid time off, and seven 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).