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.

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

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

• 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.

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

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)