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

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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: 2026-139253 Category: Registered Nurse Position Type: Full-Time Company: Gentiva Hospice