Afterhours RN Care Manager

SouthernCare•Bloomington, IN

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 position follows a 7-on, 7-off schedule and provides primary clinical oversight for assigned patients while assessing and coordinating patient and family needs during after-hours shifts. The role includes in-person care such as assessments, admissions, routine visits, death visits, live discharges, urgent calls, and visits assigned under a patient’s plan of care. The nurse participates in the Interdisciplinary Group (IDG), coordinating with physicians, families, and hospice team members. The position also supports clinical administration, workflow auditing, survey readiness, documentation collection, TPE reviews, QAPI, and regulatory compliance. The role is safety-sensitive.

Requirements

  • 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.
  • Meet any state-specific requirements.
  • Active RN license.
  • CPR certification completed in person.
  • 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 HomeCare HomeBase; it 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 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 Hospice Plans of Care in collaboration with physicians and IDG members.
  • Educate patients and families on 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.
  • Ensure infection control standards and universal precautions are followed.
  • 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

  • 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 7 paid holidays for full-time associates.
  • Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care, for full-time associates.
  • Education support and tuition assistance, including ASN to BSN and 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 benefits, for full-time associates.
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