**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