Afterhours RN Care Manager

Gentiva • Richmond, VA

10d

About The Position

The Afterhours RN Care Manager provides high-quality, compassionate hospice care outside standard business hours, ensuring coverage, continuity of care, and 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 while maintaining primary clinical oversight for assigned patients. Care may include routine visits, admissions, death visits, urgent calls, live discharges, and other visits assigned under the patient’s plan of care.

As an active member of the Interdisciplinary Group (IDG), the nurse coordinates care among physicians, families, and the hospice team; develops and updates plans of care; educates patients and families; and communicates changes in condition. The position also includes clinical documentation, scheduling support, workflow auditing, survey readiness, TPE reviews, QAPI efforts, and regulatory compliance. The role provides guidance to field staff and supports a culture of compassion, professionalism, and teamwork.

This is a safety-sensitive, full-time position. The stated salary range is $80,000–$90,000. Compensation may vary based on factors including geographic location, experience, education, skills, licensure, certifications, and internal and department equity. The position requires an active RN license, CPR certification, a valid driver’s license, reliable transportation, and current auto insurance. At least one year of RN experience in acute care, oncology, long-term care, hospice, or home health is required.

Requirements

• Current RN license in the state of employment.
• Graduation from an accredited nursing program.
• At least one year of RN experience in acute care, oncology, long-term care, hospice, or home health.
• Meet any state-specific requirements.
• Active RN license.
• In-person CPR certification.
• Valid driver’s license, reliable transportation, and current auto insurance.
• 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.
• Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes.
• Ability to manage administrative, documentation, and compliance responsibilities accurately.
• 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 EMR systems; HomeCare HomeBase is preferred.
• Proficiency with Microsoft Office and mobile technologies.
• Leadership skills to support and guide field staff.

Responsibilities

• Ensure appropriate delivery of hospice services to eligible patients and families.
• Provide 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 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 administrative and compliance activities, including workflow audits, survey readiness tasks, 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 pain and symptom management for hospice and end-of-life care.
• 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 program and resources.
• 401(k) with company match.
• Paid time off (PTO), including generous paid time off and seven paid holidays for full-time associates.
• FMLA, ADA, and other federal and state-required leaves.
• Short-term and long-term disability.
• Health Savings Account (HSA) contribution.
• Mileage reimbursement or fleet car/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.
• Career advancement opportunities.
• National and local recognition programs.
• Teammate Assistance Fund.
• Free continuing education units (CEUs).
• Company-paid life insurance and long-term disability insurance.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree