Weekend RN On Call Manager

Complete Home Care•Fort Lauderdale, FL

6d•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. The role combines nursing judgment with hands-on care coordination and provides first-line triage for medical concerns, caregiver performance issues, scheduling conflicts, and interpersonal challenges in the home care setting. The position is scheduled for weekends and holidays. The role is primarily remote, with potential for occasional in-home visits. It requires availability to respond to urgent client or caregiver issues after normal business hours and involves frequent interruptions and shifting priorities in a fast-paced environment.

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, interruptions, follow-ups, and documentation requirements.
Empathetic and professional communication skills, including maintaining boundaries and professionalism under pressure.
Flexibility and adaptability in responding to changing priorities.
Conflict resolution and mediation skills.
Organizational skills for managing concurrent issues and documentation.
Technology proficiency and comfort learning and troubleshooting scheduling and EVV platforms.

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 the appropriate urgency and response.
Evaluate reported changes in condition, including abnormal vital signs, altered mental status, suspected infections, rashes, and other new or worsening symptoms.
Provide guidance after incidents such as falls, recommend assessments, escalate to EMS or a physician when warranted, and document the incident.
Answer medical questions within nursing scope and escalate concerns outside that scope to a physician, on-call nurse, or appropriate provider.
Use nursing judgment to evaluate medication decisions against vital signs and prescriber-established parameters; determine next steps and notify physicians when doses are held or missed.
Ensure medication administration and assistance by home health aides and CNAs complies with applicable Florida laws and regulations, including delegation, training, competency validation, and restrictions on controlled substances.
Conduct or oversee required registered nurse review and medication 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, or lack of therapeutic response; escalate to the prescribing provider as needed.
Provide case oversight for medication management concerns, including polypharmacy, refills, access issues, and confusion about medication regimens, consistent with each client's plan of care.
Coordinate with providers, dialysis centers, and outside agencies regarding appointments, treatments, and care plan updates.
Communicate and collaborate with tribal case management, insurance case managers, and other external stakeholders regarding client care plans and authorizations.
Address caregiver performance concerns, including missed duties, leaving a patient unattended, refusal to drive, or short-notice call-outs.
Help manage last-minute caregiver call-offs by identifying and dispatching replacement coverage when needed to prevent gaps in care.
Investigate and mediate client-caregiver compatibility conflicts, including animal-related concerns affecting caregiver safety or duties.
Support client requests to remove or replace caregivers while maintaining continuity of care during transitions.
Train and support caregivers in AlayaCare or comparable EVV and scheduling systems; troubleshoot access and documentation issues.
De-escalate interactions with upset or difficult patients and family members, and use empathetic, therapeutic communication with patients who are verbally difficult or resistant to care.
Manage family expectations, including requests for additional support for family members beyond the client.
Maintain clear, professional, and timely verbal and written communication with clients, families, caregivers, providers, and internal staff.
Accurately and promptly document clinical assessments, incidents, communications, and care plan changes in accordance with agency policy and regulatory requirements.
Keep care plans current to reflect changes in client condition, caregiver assignment, or service needs.
Maintain HIPAA compliance and comply with applicable state and federal home care regulations.