The Afterhours RN Care Manager provides high-quality, compassionate hospice care and clinical oversight during nights, weekends, and on-call hours. Responsibilities include conducting patient assessments, coordinating with the interdisciplinary team, and ensuring seamless continuity of care for patients and families.
Requirements summary
Candidates must hold a current RN license and have at least one year of nursing experience in acute care, oncology, long-term care, hospice, or home health. A valid driver's license, reliable transportation, and CPR certification are also required.
We are seeking a dedicated Afterhours RN Care Manager to provide high-quality, compassionate hospice care outside standard business hours.
This role ensures seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on-call hours.
About the RoleThe Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients.
This includes routine visits, admissions, death visits, urgent after-hours calls, and any visit assigned per the patient’s plan of care.
This role serves as an active member of the Interdisciplinary Group (IDG) to ensure coordination between physicians, families, and the hospice team.
Clinical administrative responsibilities, workflow auditing, and survey readiness support are also part of this role.
This role will involve providing visits and administrative support after hours.
We are open to availability and have an option to work Monday, Tuesday one week and then Wednesday, Thursday the next week with every other weekend.
Weeknight schedule is 5pm-8am and weekend is Friday 5pm - Monday 8am.
Tell us your availability and we will see if works!
Full-Times salaried position with excellent work life balance.
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.
Benefits
Dental insurance
Vision insurance
Medical insurance
Paid holidays
401(k) with company match
Paid time off
Life insurance
Mileage reimbursement
Tuition assistance
Long-term disability insurance
Telemedicine
Pet insurance
Wellness programs
Accident insurance
Critical illness insurance
Education support
Long-term care insurance
Continuing education units
Diabetes management
Fleet vehicle program
Joint & spine concierge care
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 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 Location Gentiva Hospice Our Company At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home.
We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.
