After Care Manager, RN

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 After hours 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.

• 7 days on / 7 days off
• On-call coverage for evenings, overnight hours, weekends, and holidays

As an After hours 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:

• Conducting routine nursing visits, admissions, urgent after-hours visits, and death visits.
• Responding to patient and family needs in accordance with each individualized plan of care.
• Collaborating with physicians and the interdisciplinary team (IDG) to ensure coordinated, patient-centered care.
• Providing clinical oversight for assigned patients while maintaining accurate documentation and communication.
• 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.

• 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.

• 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

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

• 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…