Afterhours RN Care Manager (7 on/7 off)

Gentiva Hospice • Pensacola, FL

12d

About The Position

The Afterhours RN Care Manager provides high-quality hospice care outside standard business hours, ensuring continuity of care and clinical oversight for assigned patients and their families 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 according to the plan of care. The Care Manager coordinates with physicians, families, and the hospice team as an active member of the Interdisciplinary Group (IDG).

The position also supports clinical administration and compliance, including chart reviews, plan-of-care updates, documentation, workflow audits, survey readiness, TPE reviews, and QAPI activities. It requires maintaining accurate clinical records, following infection control standards, supporting field staff, and participating in meetings and training. The schedule is 7 days on and 7 days off, and the position is salaried.

Requirements

• Current 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.
• Active RN license.
• 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 skills 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 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

• Experience with the HomeCare HomeBase EMR system.

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 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

• 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.
• Generous paid time off and 7 paid holidays.
• Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care.
• Education support and tuition assistance for ASN to BSN and BSN to MSN.
• 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.

What This Job Offers

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