About This Position
Expand Access. Support Families. Elevate After-Hours Care.
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 Role
The 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.
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
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 Role
The 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.
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
