Afterhours RN Care Manager

Gentiva Hospice • San Antonio, TX

2d • Onsite

About The Position

The Afterhours Care Manager RN 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 schedule is seven days on followed by seven days off, and previous hospice experience is required.

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 calls, live discharges, and other visits assigned under the patient’s plan of care. The RN participates in the Interdisciplinary Group (IDG), coordinating with physicians, families, and the hospice team. The position also supports clinical administration, workflow auditing, survey readiness, quality initiatives, and regulatory compliance.

Gentiva is a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations and clinicians across 38 states. The role is safety-sensitive.

Requirements

• Current, active RN license in the state of employment; meet any state-specific requirements.
• 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.
• In-person CPR certification.
• Valid driver’s license, reliable transportation, and current auto insurance.
• 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 visits 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, 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

• 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, 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 coverage, for full-time associates.

What This Job Offers

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