Afterhours RN Care Manager

Gentiva • Richmond, VA

12d • $80,000 - $90,000

About The Position

The Afterhours RN Care Manager provides high-quality, compassionate hospice care outside standard business hours, ensuring seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on-call hours. The role assesses and coordinates patient and family needs during after-hours shifts and maintains primary clinical oversight for assigned patients. Care may include routine visits, admissions, death visits, urgent after-hours calls, live discharges, and other visits assigned under the patient’s plan of care.

The position is an active member of the Interdisciplinary Group (IDG), coordinating care among physicians, families, and the hospice team. It also includes clinical administrative responsibilities, workflow auditing, compliance support, and survey readiness tasks. The role provides guidance to field staff and promotes a compassionate, professional, and collaborative culture.

Gentiva is a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of clinicians across 38 states. The position is safety-sensitive. Salary range is $80,000–$90,000; compensation may vary based on factors including location, experience, education, skills, licensure, certifications, and internal and department equity.

Requirements

• Current, active RN license in the state of employment; state-specific requirements must also be met.
• Graduate of an accredited nursing program.
• At least one year of RN experience in acute care, oncology, long-term care, hospice, or home health.
• In-person CPR certification.
• Valid driver’s license, reliable transportation, and current auto insurance.
• Knowledge of hospice principles, Medicare and 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.
• Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes.
• Leadership skills to support and guide field staff.
• Ability to accurately manage administrative, documentation, and compliance responsibilities.
• 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.

Nice To Haves

• Proficiency with HomeCare HomeBase; it is the preferred EMR system.
• Proficiency with Microsoft Office and mobile technologies.

Responsibilities

• Ensure appropriate delivery of hospice services to eligible patients and families.
• Provide in-person 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 patients’ physical, emotional, psychosocial, and spiritual needs.
• Support the IDG process through chart reviews, plan-of-care updates, and interdisciplinary communication.
• Develop and revise Hospice Plans of Care in collaboration with physicians and IDG members.
• Educate patients and families about disease progression, symptom management, medications, and hospice philosophy.
• Promptly communicate significant changes in patient condition to hospice and attending physicians.
• Maintain accurate and 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 workflow audits, survey readiness, and documentation collection.
• Assist with TPE reviews, QAPI efforts, and regulatory compliance.
• Follow infection-control standards and universal precautions.
• Provide leadership and guidance to field staff and conduct supervisory visits when appropriate.
• Participate in required meetings, after-hours updates, and trainings.
• Maintain proficiency in hospice and end-of-life pain and symptom management.
• Promote the organization’s core values and a culture of compassion, professionalism, and teamwork.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision insurance.
• Wellness programs and resources, including telemedicine, diabetes management, and joint and spine concierge care.
• 401(k) with company match.
• Paid time off and seven paid holidays for full-time associates.
• FMLA, ADA, and other federally and state-required leaves.
• Short-term and long-term disability; company-paid life and long-term disability insurance is also listed among full-time benefits.
• Health Savings Account (HSA) contribution.
• Mileage reimbursement or fleet vehicle program.
• Cell phone reimbursement for eligible roles.
• Short-term incentive for eligible roles.
• Tuition reimbursement and education support, including ASN-to-BSN and BSN-to-MSN assistance.
• Free continuing education units (CEUs).
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
• Career advancement opportunities.
• National and local recognition programs.
• Teammate Assistance Fund.
• Competitive pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed