Afterhours RN Care Manager

Gentiva Hospice•Roanoke, VA

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 and maintains primary clinical oversight for assigned patients. Care may include routine visits, admissions, death visits, urgent after-hours calls, live discharges, and other visits assigned under the patient’s plan of care. The position is an active member of the Interdisciplinary Group (IDG), coordinating care among physicians, families, and the hospice team. It also supports clinical administration, workflow auditing, survey readiness, documentation collection, TPE reviews, QAPI efforts, and regulatory compliance. The role includes providing guidance to field staff and conducting supervisory visits when appropriate.

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.
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 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 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.
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 consistently 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 program and resources.
401(k) with company match.
Paid time off (PTO) and seven paid holidays.
FMLA, ADA, and other federal and state-required leaves.
Short-term and long-term disability coverage.
Health Savings Account (HSA) 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, including ASN-to-BSN and BSN-to-MSN assistance.
Career advancement opportunities.
National and local recognition programs.
Teammate Assistance Fund.
Telemedicine, diabetes management, and joint and spine concierge care.
Free continuing education units (CEUs).
Company-paid life insurance.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.