Hospice Case Manager After Hours

Advocate Health and Hospitals Corporation•Rome, GA

About The Position

The Hospice After-Hours/On-Call Registered Nurse provides skilled nursing care and clinical support to hospice patients and families during designated after-hours periods. The nurse responds to patient and caregiver concerns, assesses changes in condition, provides symptom-management interventions, makes home or facility visits when clinically indicated, and facilitates after-hours hospice admissions. The position 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 covering Monday through Thursday, 5:00 PM to 8:30 AM, for 40 hours per week. The assigned nurse covers after-hours calls, admissions, and patient needs across Floyd, Chattooga, Gordon, Polk, and Bartow counties. Compensation is listed as $35.50–$53.25 per hour, with actual base compensation depending on qualifications, skills, relevant experience, and/or training. The role requires travel to patient residences and care facilities during assigned coverage periods and the physical functions necessary to provide direct nursing care, consistent with organizational requirements and approved job-demand standards. Advocate Health offers a comprehensive Total Rewards program, including compensation and benefits that may depend on employment status or FTE.

Requirements

Graduate of an accredited school of professional nursing.
Current unrestricted Registered Nurse license appropriate to the state(s) 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 organization.
Ability to work independently while communicating 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 the physical functions needed to provide direct nursing care.

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/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 assessment and triage to determine the appropriate clinical response to patient or caregiver needs.
Make in-person visits when clinically indicated by the patient's condition and care needs.
Assess and manage hospice symptoms, including pain, dyspnea, agitation, nausea or vomiting, secretions, anxiety, and other changes in condition.
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 hospice nursing responsibilities and notifications according to organizational policy.
Communicate and coordinate medication, supply, and durable medical equipment needs identified after hours.
Accurately and promptly document telephone encounters, assessments, visits, interventions, patient responses, physician communications, and plan-of-care changes in the electronic medical record.
Provide handoff to the daytime hospice team about patient changes, visits, new orders, admissions, deaths, caregiver concerns, and issues 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.