Afterhours RN Care Manager

Gentiva Hospice•Roanoke, VA

4d•$80,000 - $85,000

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 role assesses and coordinates patient and family needs, maintains primary clinical oversight for assigned patients, and provides visits and care as required by the patient’s plan of care, including routine visits, admissions, death visits, urgent calls, and live discharges. The position is an active member of the Interdisciplinary Group (IDG), coordinating with physicians, families, and the hospice team. It also includes clinical administrative duties, workflow auditing, survey-readiness support, and assistance with quality and regulatory activities. The role provides leadership and guidance to field staff while promoting compassionate, professional, and collaborative care.

Requirements

Current, active 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.
Meet any state-specific requirements.
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 accurately manage administrative, documentation, and compliance responsibilities.
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.

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 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

Medical, dental, and vision insurance.
Wellness programs and resources.
401(k) with company match.
Paid time off and seven paid holidays.
FMLA, ADA, and other federal- and state-required leaves.
Short-term and long-term disability.
Health Savings Account contribution.
Mileage reimbursement or fleet car/vehicle program.
Cell phone reimbursement for eligible roles.
Short-term incentive for eligible roles.
Tuition reimbursement and education support.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.