Afterhours RN Care Manager

Gentiva Hospice•Little Rock, AR

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 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, and other visits required by the patient’s plan of care. The role 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, survey-readiness support, compliance activities, and guidance for field staff.

Requirements

Current active 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.
CPR certification obtained in person.
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 direct 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.
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 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 for ASN-to-BSN and BSN-to-MSN programs 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.