Afterhours RN Care Manager

Gentiva Hospice • Franklin, TN

3h • Onsite

About The Position

Expand Access. Support Families. Elevate After-Hours Care. No Weekends!! 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. This is a role assisting with visits and administrative support Monday-Thursday 5pm-8am. We offer a supportive team, great work life balance, competitive salary, mileage reimbursement/fleet vehicle and full 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