Hospice Case Manager After Hours

Advocate Health•Rome, GA

6d•$36 - $53

About The Position

The Hospice After-Hours/On-Call Registered Nurse provides skilled nursing care and clinical support to hospice patients and families during evenings, nights, weekends, and other designated after-hours periods. The RN responds to patient and caregiver concerns, evaluates changes in condition, provides symptom-management interventions, makes home or facility visits when clinically indicated, and facilitates after-hours hospice admissions. The role supports continuity of care and helps patients remain comfortable and supported when the primary hospice team is not routinely available. This is a full-time, salaried, on-call position providing after-hours coverage in Floyd, Chattooga, Gordon, Polk, and Bartow counties. The schedule is Monday through Thursday, 5:00 PM to 8:30 AM, with responsibility for after-hours calls and admissions during the coverage period.

Requirements

Graduate of an accredited school of professional nursing.
Current unrestricted Registered Nurse license appropriate to the state or states of practice.
Current driver's license, automobile insurance, and reliable transportation when patient visits are required.
Current BLS certification, if required by organizational policy.
Clinical nursing experience with demonstrated assessment and critical-thinking skills.
Strong independent nursing assessment and clinical judgment.
Ability to prioritize multiple patient needs appropriately.
Knowledge of end-of-life symptom management.
Strong communication and caregiver-education skills.
Ability to remain calm and supportive during emotionally difficult situations.
Effective time-management and organizational skills.
Ability to work independently and communicate effectively with the interdisciplinary hospice team.
Accurate and timely clinical documentation.
Professionalism, compassion, reliability, and respect for patient and family preferences.
Ability to travel to patient residences and care facilities during assigned coverage periods and perform physical functions necessary to provide direct nursing care, consistent with organizational requirements and approved job-demand standards.

Nice To Haves

Hospice, palliative care, home health, oncology, acute care, emergency, or other relevant clinical nursing experience.
Experience caring for patients at end of life.
Experience with symptom management and family or caregiver education.
Experience working independently in home or community-based settings.

Responsibilities

Respond promptly and professionally to after-hours calls from hospice patients, families, caregivers, facilities, and healthcare team members.
Perform nursing assessments and triage to determine the appropriate clinical response to patient or caregiver needs.
Make in-person visits when clinically indicated by a patient's condition and care needs.
Assess and manage hospice symptoms, including pain, dyspnea, agitation, nausea or vomiting, secretions, and anxiety.
Provide education, reassurance, and emotional support to patients and caregivers during changes in condition and end-of-life situations.
Coordinate care with hospice physicians, nurse practitioners, pharmacies, durable medical equipment providers, facility staff, and other appropriate interdisciplinary team members.
Complete assigned after-hours hospice admissions, including nursing assessments and required documentation.
Respond to patient deaths and complete appropriate hospice nursing responsibilities and notifications in accordance with organizational policy.
Communicate and coordinate medication, supply, and durable medical equipment needs identified after hours.
Document telephone encounters, assessments, visits, interventions, patient responses, physician communications, and plan-of-care changes accurately and promptly in the electronic medical record.
Provide handoffs to the daytime hospice team about patient changes, visits, new orders, admissions, deaths, caregiver concerns, and matters requiring follow-up.
Maintain effective communication with patients, families, facilities, and hospice interdisciplinary team members.
Follow Medicare Conditions of Participation, state nursing requirements, organizational policies, infection-prevention practices, and patient-safety standards.
Participate in required education, competencies, meetings, and quality-improvement activities.
Perform other duties consistent with the RN scope of practice and hospice program needs.

Benefits

Paid Time Off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible Spending Accounts for eligible health care and dependent care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Premium pay such as shift and on-call pay, based on position.
Incentive pay for select positions.
Opportunity for annual increases based on performance.
Career development and well-being programs.