Weekend RN On Call Manager

Lifecare Home Health Family•Fort Lauderdale, FL

7d•Remote

About The Position

The Clinical Care Manager serves as the clinical point of contact for a caseload of home care clients, their families, and assigned caregivers. This role combines nursing judgment with hands-on care coordination and is the first line of triage for medical concerns, caregiver performance issues, scheduling conflicts, and interpersonal challenges in the home care setting. The position is intended for a licensed RN who can move between clinical assessment, conflict resolution, and administrative problem-solving. The schedule is weekends and holidays. The role is primarily remote, with potential for occasional in-home visits, and requires availability to respond to urgent client or caregiver issues after normal business hours. It is a fast-paced environment with frequent interruptions and shifting priorities.

Requirements

Active, unencumbered RN license in the state of practice.
Minimum of 2–3 years of clinical nursing experience.
Working knowledge of common geriatric and chronic conditions, including hypertension, UTIs, altered mental status, and skin or wound issues.
Strong triage and clinical decision-making skills, including sound judgment about when to escalate.
Demonstrated ability to de-escalate emotionally charged situations involving patients, families, and staff.
Ability to manage multiple clinical, interpersonal, and logistical issues, follow-ups, and documentation requirements.
Strong empathetic and professional communication, conflict-resolution, organizational, and problem-solving skills.
Comfort learning and troubleshooting scheduling or EVV platforms and supporting caregivers with system issues.

Nice To Haves

Home health, hospice, or care management experience.
Experience with electronic visit verification (EVV) or care management software such as AlayaCare.

Responsibilities

Serve as the first point of contact for clinical calls, triage symptoms, and determine appropriate urgency and response.
Evaluate and respond to reported changes in client condition, including vital-sign abnormalities, altered mental status, suspected infections, rashes, and other new or worsening symptoms.
Provide guidance following incidents such as patient falls, including assessment recommendations, escalation to EMS or a physician when warranted, and documentation.
Answer medical questions from patients and families within nursing scope and escalate issues to an appropriate provider when necessary.
Use nursing judgment to evaluate medication administration decisions against vital signs and prescriber-established parameters, and determine next steps when doses are held or missed.
Ensure medication administration or assistance by home health aides and CNAs complies with applicable Florida laws and regulations, including requirements for delegation, training, competency validation, and restrictions on controlled substances.
Conduct or oversee required RN medication reviews and reconciliation before aides or CNAs assist with routine self-administered medications, and ensure written consent is on file.
Respond to antibiotic administration questions, including timing, missed doses, adverse reactions, and lack of therapeutic response, escalating to the prescriber as needed.
Provide case oversight for medication concerns such as polypharmacy, refill or access issues, and confusion about medication regimens.
Coordinate with providers, dialysis centers, outside agencies, and external stakeholders regarding appointments, treatments, care plans, and authorizations.
Address caregiver performance concerns and help resolve issues involving duties, patient supervision, transportation, or short-notice call-outs.
Help manage last-minute caregiver call-offs by identifying and dispatching replacement coverage when needed.
Investigate and mediate client-caregiver compatibility conflicts, and support transitions when a client requests a caregiver change.
Support caregivers with scheduling and care-delivery challenges, including animal-related concerns in the home.
Train and support caregivers in using AlayaCare or a comparable EVV or scheduling system, and troubleshoot access and documentation issues.
De-escalate difficult interactions with patients and families and use empathetic, professional communication with patients who are resistant to care.
Manage family expectations and maintain clear, timely communication with clients, families, caregivers, providers, and internal staff.
Document clinical assessments, incidents, communications, and care plan changes accurately and promptly in accordance with agency policy and regulations.
Keep care plans current and maintain compliance with HIPAA and applicable state and federal home care regulations.