Afterhours RN Care Manager

$85,000 - $95,000 / year

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.

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.

Compensation may vary within the salary range provided based on several factors including but not limited to a candidate’s location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece.

Salary Range – $85-95k/year

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: 2026-144270
Category: Registered Nurses
Position Type: Full-Time
Company: Gentiva Hospice

Share this job

Related Jobs

Full-time

2 weeks ago

Registered Nurse - ER

Madison Health London, OH

$34 - $52.70 / hour

SIGN ON BONUS -up to $15,000.00 LOOKING FOR RN'S TO JOIN OUR TEAM Are all hospitals the same? Not on your life. Hospitals are as different as the people who work in them. At Madison Health, our staff members know that kindness and compassion have a healing power all their own. They recognize that they each play a special role in creating a caring environment for our patients. We are always looking for caring healthcare professionals to join our family of caregivers. Our associates are empowered to help improve the lives of others and the quality of care our patients receive. Why London, Ohio? London is a growing community just 25 minutes west of Columbus, OH. London offers a small town feel while still being close to metropolitan areas where you have easy access to a blend of entertainment and cultural experiences. About the position: As a Registered Nurse at Madison Health, you will be r esponsible for providing direct and indirect patient care in the department setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition. Responds quickly and accurately to changes in patient condition or response to treatment. Additionally, is able to safely, accurately and rapidly triage patients that enter the Emergency Department with minimal supervision. This is a full - time Night Shift position 7pm - 7am with a weekend and holiday rotation. Key job qualities/duties: Triage patients that enter the Emergency Department. Performs age related patient assessments and reassessments as per department policy. This includes neonates, pediatric, geriatric and the general patient population. Able to assess and reassess pain. Utilizes appropriate pain management techniques. Recognizes, interprets, documents and communicates significant information (Situation, Background, Assessment, and Recommendation) necessary for quality patient care and related patient information. Collects relevant patient history data. Documents patient assessment, clinical interventions and responses following current policies and procedures. Collaborates with the patient, family and other health team members to provide humane, caring nursing care that promotes healing. Administers medications and treatments as ordered following the five medication rights. Reduces the potential for errors. Identifies individualized, expected outcomes for the patient. Creates plans of care that prescribe interventions to attain expected outcomes and that are appropriate to the age and development level of the patient. Formulates a teaching plan based on the plan of care. Educates the patient and family regarding the plan of care, expected outcomes, and identified learning needs. Maintain knowledge of the laws and rules regulating nursing. Perform nursing practice within the legal scope of nursing practice to the level of licensure. Treats patients and significant others with dignity and respect, ensures confidentiality of patient records. Interacts professionally with patients and significant others, providing explanations when necessary. Minimum Qualifications: Current Registered Nurse licensure in State of Ohio required. BLS certification within 30 days of employment required. ACLS certification within 6 months of employment required. PALS certification within 6 months of employment required.

Per Diem

1 month ago

Registered Nurse - PRN (WEEKENDS)

Madison Health London, OH

$34 - $52.70 / hour

Are all hospitals the same? Not on your life. Hospitals are as different as the people who work in them. At Madison Health, our staff members know that kindness and compassion have a healing power all their own. They recognize that they each play a special role in creating a caring environment for our patients. We are always looking for caring healthcare professionals to join our family of caregivers. Our associates are empowered to help improve the lives of others and the quality of care our patients receive. What we offer: Competitive compensation and benefits packages including medical, dental and vision coverage Paid Time Off Tuition/Professional Development reimbursement Hospital paid life insurance, short and long-term disability insurance Retirement savings account with employer match Employee wellness program Why London, Ohio? London is a growing community just 25 minutes west of Columbus, OH. London offers a small town feel while still being close to metropolitan areas where you have easy access to a blend of entertainment and cultural experiences. As a Registered Nurse at Madison Health, you will be responsible for providing direct and indirect patient care in the department setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition. Responds quickly and accurately to changes in patient condition or response to treatment. This is a PRN Position for Weekends on Day Shift. Key job qualities/duties: Performs age related patient assessments and reassessments as per department policy. This includes neonates, pediatric, geriatric and the general patient population. Able to assess and reassess pain. Utilizes appropriate pain management techniques. Recognizes, interprets, documents and communicates significant information (Situation, Background, Assessment, and Recommendation) necessary for quality patient care and related patient information. Collects relevant patient history data. Documents patient assessment, clinical interventions and responses following current policies and procedures. Collaborates with the patient, family and other health team members to provide humane, caring nursing care that promotes healing. Administers medications and treatments as ordered following the five medication rights. Reduces the potential for errors. Identifies individualized, expected outcomes for the patient. Creates plans of care that prescribe interventions to attain expected outcomes and that are appropriate to the age and development level of the patient. Formulates a teaching plan based on the plan of care. Educates the patient and family regarding the plan of care, expected outcomes, and identified learning needs. Maintain knowledge of the laws and rules regulating nursing. Perform nursing practice within the legal scope of nursing practice to the level of licensure. What qualifications are we looking for? Current Registered Nurse licensure in State of Ohio required BLS certification within 30 days of employment required. ACLS certification within 6 months of employment required. PALS certification within 6 months of employment required. CEN, NRP, TNCC certifications preferred.

1 month ago

Registered Nurse - Float (Nights)

Madison Health London, OH

$34 - $52.70 / hour

Are all hospitals the same? Not on your life. Hospitals are as different as the people who work in them. At Madison Health, our staff members know that kindness and compassion have a healing power all their own. They recognize that they each play a special role in creating a caring environment for our patients. We are always looking for caring healthcare professionals to join our family of caregivers. Our associates are empowered to help improve the lives of others and the quality of care our patients receive. What we offer: Competitive compensation and benefits packages including medical, dental and vision coverage Paid Time Off Tuition/Professional Development reimbursement Hospital paid life insurance, short and long-term disability insurance Retirement savings account with employer match Employee wellness program Why London, Ohio? London is a growing community just 25 minutes west of Columbus, OH. London offers a small town feel while still being close to metropolitan areas where you have easy access to a blend of entertainment and cultural experiences. As a Registered Nurse at Madison Health, you will be responsible for providing direct and indirect patient care in the department setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition. Responds quickly and accurately to changes in patient condition or response to treatment. This is Part -Time Night Shift (7PM - 7AM) position. Key job qualities/duties: Performs age related patient assessments and reassessments as per department policy. This includes neonates, pediatric, geriatric and the general patient population. Able to assess and reassess pain. Utilizes appropriate pain management techniques. Recognizes, interprets, documents and communicates significant information (Situation, Background, Assessment, and Recommendation) necessary for quality patient care and related patient information. Collects relevant patient history data. Documents patient assessment, clinical interventions and responses following current policies and procedures. Collaborates with the patient, family and other health team members to provide humane, caring nursing care that promotes healing. Administers medications and treatments as ordered following the five medication rights. Reduces the potential for errors. Identifies individualized, expected outcomes for the patient. Creates plans of care that prescribe interventions to attain expected outcomes and that are appropriate to the age and development level of the patient. Formulates a teaching plan based on the plan of care. Educates the patient and family regarding the plan of care, expected outcomes, and identified learning needs. Maintain knowledge of the laws and rules regulating nursing. Perform nursing practice within the legal scope of nursing practice to the level of licensure. What qualifications are we looking for? Current Registered Nurse licensure in State of Ohio required BLS certification within 30 days of employment required. ACLS certification within 6 months of employment required. PALS certification within 6 months of employment required. CEN, NRP, TNCC certifications preferred.

Full-time

2 weeks ago

Staff RN Operating Room w/call

OhioHealth Delaware, OH

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position has call requirements of a 30-minute response time. This time includes driving, parking, walking into the facility, changing, and reporting to the Charge RN all with in 30 minutes. Candidates must have at least 1 year of previous OR RN experience in a hospital setting. Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365). The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing. The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. According to department policies and nursing care standards, provides professional nursing care services to patients. Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time Minimum Qualifications: Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: MINIMUM QUALIFICATIONS Current Registered Nurse license from the State of Ohio and/or current Registered Nurse license in good standing with a multi-state compact state. BLS certification BSN required at 5 years of employment This position has call requirements of a 30-minute response time. This time includes driving, parking, walking into the facility, changing, and reporting to the Charge RN all with in 30 minutes. Candidates must have at least 2 years of previous OR RN experience in a hospital setting. Work Shift: Day Scheduled Weekly Hours : 40 Department Surgery Main Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Other

3 days ago

Registered Nurse

Ohio Living Delaware, OH

It's fun to work in a company where people truly BELIEVE in what they're doing! Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job. Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care. The Charge Nurse - RN supervises the day-to-day nursing activities of the Certified Nursing Assistant (CNA) in accordance with company standards and federal, state, and local standards, guidelines, and regulations to ensure that the highest degree of quality care is maintained at all times. Essential Activities and Tasks Operations Management and Administration - 70% Directs the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the facility, including the making of work assignments to Nursing Assistants. Assists in implementing methods for coordinating nursing services to ensure continuity of residents care. Administers medications and treatments in accordance with physician orders and nursing standards of practice. Represents the nursing department during Interdisciplinary Care Plan meetings. Is able to answer questions related to the plan of care and delivery of services. Participates in various committee meetings. Makes work assignments and meets with Nursing Assistants regularly to assist in identifying and correcting problem areas, and the improvement of care and services. Provides direct nursing care as needed. Consults with the residents’ physicians in planning resident care, treatment, rehabilitation, etc. as needed. Notifies residents’ physicians and families when there is a change in the resident’s condition. Authorizes and monitors the use of restraints when necessary and in accordance with the facility policies and procedures. Admits, transfers and discharges patients as necessary. Works with Unit Manager to help reduce hospital readmissions. Attends all-employee and departmental meetings and in-service training as scheduled or as directed. Quality and Compliance, and Risk Management - 20% Ensures that nursing procedures are followed by nursing service personnel, and that they reflect the day-to-day nursing care procedures used by the facility. Participates in the maintenance, and implementation of the facility’s quality assurance program. Ensures the procedures for the administration, storage and control of medications and supplies are being followed by nursing staff. Ensures that resident rooms, treatment areas, work areas and equipment are maintained in a clean, sanitary, and safe manner. People Management and Development - 10% Supervises CNAs. Fosters a positive work environment that attracts, retains, and motivates employees. Interviews, selects, and orients new direct reports. Defines, establishes, and promotes performance expectations so direct reports understand and demonstrate excellence through high quality and consistent performance. Evaluates job performance of direct reports in accordance with the company policy and procedure and provides developmental guidance to staff for improved performance and growth. Monitors accountability with organization requirements prescribed by the Employee Handbook. Documents and engages employees who are routinely not observing these requirements in an effort to achieve compliance. Works with Human Resources when circumstances arise that necessitate further documentation and intervention. Participates in the development, planning, scheduling, conducting, and monitoring of in-service training programs, on-the-job training, and orientation programs for departmental staff. Ensures that there is a reasonable and sufficient plan for staffing should a direct report be absent or a direct reporting position be vacant. Responds timely and thoughtfully to questions, requests, and work product from departmental staff that has been provided for review and approval. All other duties as assigned. Qualifications Education Nursing degree from an accredited college, university or vocational school required. Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN). Experience One year of clinical experience in a hospital, long term care facility, or other related health care facility preferred. Supervisory experience in a long-term care, hospital, or other related healthcare setting preferred. Proficiency with electronic medical records (EMR) preferred. Other Requirements Must be able to read, write, speak, and understand the English language. Working Conditions and Special Requirements Sitting - Up to 4 hours/day Standing - Up to 8 hours/day Walking - Up to 6 hours/day Lifting, transferring, pushing or pulling residents/patients or equipment/supplies - Up to 50 pounds Driving - Up to 6 hours/day Travel % / Overnight Travel - Occasional Work weekends, evenings, and holidays - As needed On-call availability - 24/7 for emergencies Subject to falls, burns from equipment, odors, and cuts - Work day Subject to residents/patients with various disease processes - Occasional May be exposed to infectious waste, disease, conditions, etc. including exposure to the AIDS and Hepatitis B viruses - Work day Risk Category for Exposure to Bloodborne Diseases - I