Overview
Expand Access. Support Families. Elevate After-Hours Care.
Join a team where your expertise provides comfort and guidance when patients and families need it most. As an Afterhours RN Care Manager , you'll deliver compassionate hospice care outside of traditional business hours, ensuring seamless, high-quality support throughout evenings, nights, weekends, and holidays.
If you're an experienced RN who values autonomy, meaningful patient relationships, and a unique work schedule, this role offers the opportunity to make a lasting impact while enjoying an alternative 7 days on / 7 days off schedule.
Schedule
About the Role
As an Afterhours RN Care Manager , you will serve as the primary clinical resource for patients and families during after-hours coverage. You'll assess patient needs, coordinate care, and provide timely interventions to ensure continuity and quality of hospice services.
Responsibilities include:
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Conducting routine nursing visits, admissions, urgent after-hours visits, and death visits.
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Responding to patient and family needs in accordance with each individualized plan of care.
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Collaborating with physicians and the interdisciplinary team (IDG) to ensure coordinated, patient-centered care.
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Providing clinical oversight for assigned patients while maintaining accurate documentation and communication.
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Supporting quality initiatives through clinical workflow reviews, documentation audits, and survey readiness activities.
This is an ideal opportunity for a compassionate RN who thrives in an independent role and is committed to delivering exceptional end-of-life care when it matters most.
Essential Functions
Essential Functions
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Ensure appropriate delivery of hospice services to eligible patients and families.
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Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.
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Conduct initial and ongoing assessments of physical, emotional, psychosocial, and spiritual needs.
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Support the IDG process through chart reviews, plan of care updates, and interdisciplinary communication.
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Develop and revise the Hospice Plan of Care in collaboration with physicians and IDG members.
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Educate patients and families on disease progression, symptom management, medications, and hospice philosophy.
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Communicate significant changes in patient condition promptly to hospice and attending physicians.
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Maintain accurate, timely clinical documentation including assessments, care plans, and notes.
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Assist with rescheduled, missed, or reassigned visit requests based on triage direction.
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Participate in calendar and scheduling modifications, including service codes and clinician assignments.
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Support administrative and compliance activities including workflow audits, survey readiness tasks, and documentation collection.
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Assist with TPE reviews, QAPI efforts, and regulatory compliance.
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Ensure infection control standards and universal precautions are consistently followed.
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Provide leadership and guidance to field staff; conduct supervisory visits when appropriate.
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Participate in required meetings, after-hours updates, and trainings.
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Maintain proficiency in pain and symptom management for hospice and end-of-life care.
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Promote the organization's core values and maintain a culture of compassion, professionalism, and teamwork.
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Perform other duties as assigned.
About You
Education and Experience
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Current RN license in the state of employment
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Graduate of an accredited nursing program
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Minimum one year of RN experience in acute care, oncology, long-term care, hospice, or home health
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Must meet any state-specific requirements
Licenses and Certifications
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Active RN license
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CPR certification (in-person)
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Valid driver's license, reliable transportation, and current auto insurance
Skills and Competencies
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Strong knowledge of hospice principles, Medicare/Medicaid regulations, and best practices
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Ability to conduct thorough patient assessments and develop individualized care plans
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Effective communication with patients, families, physicians, and interdisciplinary team members
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Strong time-management and prioritization skills in a fast-changing environment
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Proficiency with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologies
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Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes
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Leadership skills to support and guide field staff
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Ability to manage administrative, documentation, and compliance responsibilities accurately
Personal Traits
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Sensitivity to end-of-life needs and the emotional realities families face
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Flexibility to shift tasks and respond to urgent needs
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Professionalism, maturity, teamwork, and resilience under pressure
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Ability to communicate effectively with individuals from diverse background
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: $71,450 - $89,335
We Offer
Benefits for All Associates (Full-Time, Part-Time & Per Diem):
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Competitive Pay
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401(k) with Company Match
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Career Advancement Opportunities
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National & Local Recognition Programs
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Teammate Assistance Fund
Additional Full-Time Benefits:
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Medical, Dental, Vision Insurance
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Mileage Reimbursement or Fleet Vehicle Program
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Generous Paid Time Off + 7 Paid Holidays
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Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
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Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
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Free Continuing Education Units (CEUs)
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Company-paid Life & Long-Term Disability Insurance
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Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese
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This is a safety-sensitive position
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Employee must meet minimum requirements to be eligible for benefits
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Where applicable, employee must meet stage specific requirements
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We are proud to be an EEO employer
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We maintain a drug-free workplace
ReqID: 2026-141319
Category: Registered Nurses
Position Type: Full-Time
Company: Heartland Hospice