Afterhours RN Care Manager

Gentiva Hospice•San Antonio, TX

About The Position

The Afterhours RN Care Manager provides compassionate hospice care and clinical oversight outside standard business hours, supporting continuity of care for patients and families. The schedule is seven days on and seven days off. The role includes assessing and coordinating patient and family needs, providing direct care during on-call, weekend, and after-hours shifts, and maintaining primary clinical oversight for assigned patients. Visits may include admissions, routine visits, death visits, live discharges, urgent calls, and other visits assigned under the patient’s plan of care. The position also supports the Interdisciplinary Group (IDG), clinical administration, workflow auditing, survey readiness, and regulatory compliance.

Requirements

Current RN license in the state of employment.
Graduate of an accredited nursing program.
At least one year of RN experience in acute care, oncology, long-term care, hospice, or home health.
Previous hospice experience.
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.
Proficiency with EMR systems, 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.
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

Experience with HomeCare HomeBase EMR.

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 the Hospice Plan 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 hospice and end-of-life pain and symptom management.
Promote organizational values and a culture of compassion, professionalism, and teamwork.
Perform other duties as assigned.

Benefits

Competitive pay.
401(k) with company match.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
Medical, dental, and vision insurance for full-time associates.
Mileage reimbursement or fleet vehicle program for full-time associates.
Generous paid time off and seven paid holidays for full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for full-time associates.
Education support and tuition assistance (ASN to BSN, BSN to MSN) for full-time associates.
Free continuing education units (CEUs) for full-time associates.
Company-paid life and long-term disability insurance for full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.