Afterhours RN Care Manager

Gentiva Hospice • Murfreesboro, TN

3d

About The Position

We are seeking a dedicated Afterhours RN Care Manager to provide high-quality, compassionate hospice care outside standard business hours. This role ensures seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on-call hours.
The Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. This includes routine visits, admissions, death visits, urgent after-hours calls, and any visit assigned per the patient’s plan of care. This role serves as an active member of the Interdisciplinary Group (IDG) to ensure coordination between physicians, families, and the hospice team. Clinical administrative responsibilities, workflow auditing, and survey readiness support are also part of this role.
This role will involve providing after hours coverage for visits and administrative duties as needed. Preferably it will involve working every weekend from Friday 5pm - Monday 8am but may be open to weekday evening availability, 5pm-8am as well. Tell us your availability and we will see if it works.
We offer a supportive team, excellent work life balance, competitive salary, mileage reimbursement and comprehensive benefit package.

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
• Must meet any state-specific requirements
• Active RN license
• CPR certification (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
• Proficiency with EMR systems (HomeCare HomeBase preferred), 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 background

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 the Hospice Plan of Care in collaboration with physicians and IDG members.
• Educate patients and families on disease progression, symptom management, medications, and hospice philosophy.
• Communicate significant changes in patient condition promptly to hospice and attending physicians.
• Maintain accurate, 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 consistently followed.
• Provide leadership and guidance to field staff; 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 maintain a culture of compassion, professionalism, and teamwork.
• Perform other duties as assigned.

Benefits

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

What This Job Offers

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