Afterhours RN Care Manager- Weekday On Call

Overview

Expand Access. Support Families. Elevate After-Hours Care.

We are seeking a dedicated Afterhours RN Care Manager to provide high-quality, compassionate hospice care outside standard business hours. This role ensures seamless coverage, continuity of care, and strong clinical management for patients and families during nights, weekends, and on-call hours.

Primary territory will be Bristol, Roan Mountain, Mountain City and Elizabethton area.

About the Role

The Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. This includes routine visits, admissions, death visits, urgent after-hours calls, and any visit assigned per the patient’s plan of care. This role serves as an active member of the Interdisciplinary Group (IDG) to ensure coordination between physicians, families, and the hospice team. Clinical administrative responsibilities, workflow auditing, and survey readiness support are also part of this role.

Essential Functions

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 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.
Communicate significant changes in patient condition promptly to hospice and attending physicians.
Maintain accurate, 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; 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 maintain a culture of compassion, professionalism, and teamwork.
Perform other duties as assigned.

About You

Education and Experience

Current RN license in the state of employment
Graduate of an accredited nursing program
Minimum one year of RN experience in acute care, oncology, long-term care, hospice, or home health
Must meet any state-specific requirements

Licenses and Certifications

Active RN license
CPR certification (in-person)
Valid driver’s license, reliable transportation, and current auto insurance

Skills and Competencies

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
Proficiency with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologies
Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes
Leadership skills to support and guide field staff
Ability to manage administrative, documentation, and compliance responsibilities accurately

Personal Traits

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 background

We Offer

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

Competitive Pay
401(k) with Company Match
Career Advancement Opportunities
National & Local Recognition Programs
Teammate Assistance Fund

Additional Full-Time Benefits:

Medical, Dental, Vision Insurance
Mileage Reimbursement or Fleet Vehicle Program
Generous Paid Time Off + 7 Paid Holidays
Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
Free Continuing Education Units (CEUs)
Company-paid Life & Long-Term Disability Insurance
Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Legalese

This is a safety-sensitive position
Employee must meet minimum requirements to be eligible for benefits
Where applicable, employee must meet stage specific requirements
We are proud to be an EEO employer
We maintain a drug-free workplace

ReqID: 2026-142789
Category: Registered Nurses
Position Type: Full-Time
Company: Gentiva Hospice

Share this job

Related Jobs

Hospice

Full-time

3 months ago

Registered Nurse, RN

NHC Big Stone Gap, VA

$70,000 - $73,000 / year

Position: Registered Nurse, RN Pay: $70000 - $73000 Depending On Experience Caris Healthcare RN provides nursing care to patients per the physician’s orders. The hallmarks of this position are assessing, planning, implementing, and evaluating total patient care and nursing care plans for each patient. Caris Healthcare’s mission is to provide hospice care with grace. Serving patients throughout the Southeast region, we support our team members, patients and their families with compassion, accountability, respect, integrity and service. If you are ready for a rewarding career with a company that offers employees a culture of integrity and excellence, consider joining the Caris Healthcare team At Caris, you will have a career, not just a job. Our mission driven culture is evident by our current employees and the impact made on patients and families. All Caris team members commit to The Better Way, a list of promises we make to each other and our customers. The Better Way commitment is reflected in the benefits we provide. Benefits include: Competitive Salary Bonus Eligibility Eligible for benefits within 60 days Health Benefits (Medical, Dental, Vision); health savings account Earned Time Off 401 (K) plan with company match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible Scheduling Career Advancement Opportunities Responsibilities Assess, monitor, and document patient’s symptoms using required software symptoms Collaborate with patient, family, partners, and interdisciplinary team to develop individualized plans of care for patients Serve as patient advocate, providing information on patient rights, grievance procedures, reimbursement procedures, and patient/family responsibilities Observe and evaluate patient’s physical and emotional status, safety factors, and family dynamics to determine education needs for caregivers Supervise, evaluate, and direct aides and licensed practical nurses in accordance with guidelines and regulations. Participate in on-call rotating schedule and provide back-up assistance as requested Qualifications Must be a Registered Nurse licensed in the state of operation. Nursing experience required, with experience in Hospice or Home Health preferred. Must possess a sound knowledge of nursing principles, procedures and elements of patient family teaching. If you see yourself a good fit and want to join our team apply today! Caris is an affiliate of NHC. Caris / NHC is an Equal Opportunity Employer.

Hospice

Part-time

1 month ago

Case Manager Registered Nurse- Part-time or PRN

NHC Johnson City, TN

$70,000 - $73,000 / year

Position: Registered Nurse, RN Pay: $70,000 - $73,000 yearly Depending on Experience Caris Healthcare RN Case Manager provides nursing care to patients per the physician’s orders. The hallmarks of this position are assessing, planning, implementing, and evaluating total patient care and nursing care plans for each patient. As an RN Case Manager, you are responsible for managing the total plan of care for each patient on your caseload. Caris Healthcare’s mission is to provide hospice care with grace. Serving patients throughout the Southeast region, we support our team members, patients and their families with compassion, accountability, respect, integrity and service. If you are ready for a rewarding career with a company that offers employees a culture of integrity and excellence, consider joining the Caris Healthcare team At Caris, you will have a career, not just a job. Our mission driven culture is evident by our current employees and the impact made on patients and families. All Caris team members commit to The Better Way, a list of promises we make to each other and our customers. The Better Way commitment is reflected in the benefits we provide. Benefits include: Competitive Salary Bonus Eligibility Eligible for benefits within 60 days Health Benefits (Medical, Dental, Vision); health savings account Earned Time Off 401 (K) plan with company match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible Scheduling Career Advancement Opportunities Responsibilities Assess, monitor, and document patient’s symptoms using required software symptoms Collaborate with patient, family, partners, and interdisciplinary team to develop individualized plans of care for patients Serve as patient advocate, providing information on patient rights, grievance procedures, reimbursement procedures, and patient/family responsibilities Observe and evaluate patient’s physical and emotional status, safety factors, and family dynamics to determine education needs for caregivers Supervise, evaluate, and direct aides and licensed practical nurses in accordance with guidelines and regulations. Participate in on-call rotating schedule and provide back-up assistance as requested Qualifications Must be a Registered Nurse licensed in the state of operation. Nursing experience required, with experience in Hospice or Home Health preferred. Must possess a sound knowledge of nursing principles, procedures and elements of patient family teaching. If you see yourself a good fit and want to join our team apply today! Caris HealthCare is an affiliate of NHC. EOE

Hospice Patient Care RN Manager

Gentiva Johnson City, TN

Overview Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams. We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery of high-quality, compliant hospice services. This leadership role involves managing clinical operations, coordinating care, and developing staff to uphold the highest standards of patient care and regulatory compliance. As a Hospice Patient Care Manager, You Will: Oversee and direct patient care services to ensure the delivery of high-quality hospice care Manage visit scheduling, including reassigned, missed, declined, or rescheduled visits—making decisions based on clinical judgment and priority Triage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner Lead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating care plans, and documenting minutes Serve as a mentor, trainer, and clinical support to associates, supporting development, performance, and compliance Ensure all care delivery meets federal, state, and local regulatory standards, as well as company policies and procedures Support performance improvement initiatives, quality assessments, and operational efficiencies within your location About You Qualifications – What You’ll Bring: Current RN license in the state of employment Graduate of an accredited nursing program Minimum of 3 years of direct patient care experience, including 2 years in a hospice or home-based care setting Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid, JCAHO, ACHC) Knowledge and compassion for terminally ill patients and their families Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds Strong interpersonal, organizational, and leadership skills Competency in clinical documentation and technology systems Preferred Qualifications (Not Required): Bachelor of Science in Nursing (BSN) Previous leadership, team management, or supervisory experience in hospice or home health Familiarity with EMR systems and telehealth platforms Certification in Hospice and Palliative Nursing (CHPN) We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply today and help us lead the way in delivering hospice care that truly matters. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-144897 Category: Single Site Ops and Clinical Leadership Position Type: Full-Time Company: Gentiva Hospice

Full-time

1 month ago

Director of Nursing/Wellness Director-Johnson City

American House Senior Living Communities Johnson City, TN

: Director of Nursing/ Wellness Director Position Summary: The Wellness Director plays an integral role in upholding American House’s mission to enrich the lives of those we serve. Our Wellness Directors supervise, educate, direct and support all Wellness team members. This is a leadership position within the community and serves as manager on duty in the absence of the Executive Director. Duties/Responsibilities: Overall implementation, delivery, and coordination of resident services at the community. Carry out supervisory responsibilities of all wellness team members in accordance with American House's policies and procedures. These responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Coordinate, along with the Executive Director, family/resident care conferences and serve as a direct liaison between residents, families, and staff. Assess/evaluate potential residents for Assisted Living/Memory Care level of care utilizing assessment tool. This may involve assessing/evaluating potential residents in their home or another healthcare setting. Ensure compliance with all state regulatory requirements including mandatory reporting to State Regulatory Body. Ensure that all incident reports are completed, filed, and that follow-up is conducted appropriately. Completing investigations as needed for all complaints, grievances, and incidents, and working with the Executive Director concerning appropriate responses and corrective actions. Ensure that all staff follows established safety regulations, including fire protection, infection control, blood borne pathogens, hazardous waste, and quality assurance programs. Maintain compliance with state regulations and policies for medication administration including oversite of medication management, validation of timeliness and completeness of medication records, completing required responsibilities for Medication Aide programs via supervision, delegation, training, and ongoing competency checks, where applicable. Provide marketing support within the community by participating in tours and discussions with potential residents and their families about wellness offerings and clinical needs of the prospect. Maintain high level confidentiality of all information related to the role Create positive employee relations through staff appreciation programs, recognition of excellent performance, and retention through regular feedback systems and promotional incentive programs. Monitor licensure and certification compliance for all Wellness staff. Provide written and oral reports to the Executive Director and Regional Wellness Director concerning the operation of the Wellness Department. Lead coordination of health care services with other third-party providers to ensure continuity of care. Collaborate with the Executive Director for budget, equipment, and supplies needs. Required Skills/Abilities: 3 years of management experience in healthcare or service-related setting Physiological and psychological knowledge related to gerontology Ability to have reliable transportation to perform offsite assessments and evaluations for prospective residents Preferred Skill/Abilities: Experience working with older adults and individual with memory loss Bachelor of Science in Nursing (BSN) Degree preferred Education and Requirements: Licensed Practical Nurse or Registered Nurse Must pass a pre-employment background check, drug screen, TB test and physical Physical and Mental Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Provide 24/7 on-call clinical support Ability to regularly stand, talk, bend, stretch, pull or push and lift items Ability to help others with daily activities including but not limited to; bathing, dressing/undressing, dining, exercising, etc. Ability to frequently communicate with residents, families, co-workers, etc. Must be able to exchange accurate information in given situations. Specific vision abilities required by this job include close vision, depth perception, and the ability to adjust focus. Company Overview: Founded in 1979, American House Senior Living Communities’ vision is to provide high-quality housing for senior at a price affordable for retirees and their families. That vision of excellence has endured for nearly 40 years and expanded to serve residents at a number of senior housing communities. Our mission is to enrich the lives of those we serve, providing an environment that fosters meaningful relationships. Our vision is to be an innovative senior housing company that created sustainable excellence and stakeholder value, with an unparalleled commitment to passionate care provided by compassionate people.

Full-time

2 months ago

Director of Nursing/Wellness Director-Johnson City

American House Senior Living Communities Johnson City, TN

: Director of Nursing/ Wellness Director Position Summary: The Wellness Director plays an integral role in upholding American House’s mission to enrich the lives of those we serve. Our Wellness Directors supervise, educate, direct and support all Wellness team members. This is a leadership position within the community and serves as manager on duty in the absence of the Executive Director. Duties/Responsibilities: Overall implementation, delivery, and coordination of resident services at the community. Carry out supervisory responsibilities of all wellness team members in accordance with American House's policies and procedures. These responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Coordinate, along with the Executive Director, family/resident care conferences and serve as a direct liaison between residents, families, and staff. Assess/evaluate potential residents for Assisted Living/Memory Care level of care utilizing assessment tool. This may involve assessing/evaluating potential residents in their home or another healthcare setting. Ensure compliance with all state regulatory requirements including mandatory reporting to State Regulatory Body. Ensure that all incident reports are completed, filed, and that follow-up is conducted appropriately. Completing investigations as needed for all complaints, grievances, and incidents, and working with the Executive Director concerning appropriate responses and corrective actions. Ensure that all staff follows established safety regulations, including fire protection, infection control, blood borne pathogens, hazardous waste, and quality assurance programs. Maintain compliance with state regulations and policies for medication administration including oversite of medication management, validation of timeliness and completeness of medication records, completing required responsibilities for Medication Aide programs via supervision, delegation, training, and ongoing competency checks, where applicable. Provide marketing support within the community by participating in tours and discussions with potential residents and their families about wellness offerings and clinical needs of the prospect. Maintain high level confidentiality of all information related to the role Create positive employee relations through staff appreciation programs, recognition of excellent performance, and retention through regular feedback systems and promotional incentive programs. Monitor licensure and certification compliance for all Wellness staff. Provide written and oral reports to the Executive Director and Regional Wellness Director concerning the operation of the Wellness Department. Lead coordination of health care services with other third-party providers to ensure continuity of care. Collaborate with the Executive Director for budget, equipment, and supplies needs. Required Skills/Abilities: 3 years of management experience in healthcare or service-related setting Physiological and psychological knowledge related to gerontology Ability to have reliable transportation to perform offsite assessments and evaluations for prospective residents Preferred Skill/Abilities: Experience working with older adults and individual with memory loss Bachelor of Science in Nursing (BSN) Degree preferred Education and Requirements: Licensed Practical Nurse or Registered Nurse Must pass a pre-employment background check, drug screen, TB test and physical Physical and Mental Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Provide 24/7 on-call clinical support Ability to regularly stand, talk, bend, stretch, pull or push and lift items Ability to help others with daily activities including but not limited to; bathing, dressing/undressing, dining, exercising, etc. Ability to frequently communicate with residents, families, co-workers, etc. Must be able to exchange accurate information in given situations. Specific vision abilities required by this job include close vision, depth perception, and the ability to adjust focus. #INDHP Company Overview: Founded in 1979, American House Senior Living Communities’ vision is to provide high-quality housing for senior at a price affordable for retirees and their families. That vision of excellence has endured for nearly 40 years and expanded to serve residents at a number of senior housing communities. Our mission is to enrich the lives of those we serve, providing an environment that fosters meaningful relationships. Our vision is to be an innovative senior housing company that created sustainable excellence and stakeholder value, with an unparalleled commitment to passionate care provided by compassionate people.