Weekend Float RN Case Manager

Job Category: Community-based Hospice Nurse

Full-Time Hospice Registered Nurse
Weekend Coverage | Field-Based Clinical Role

Schedule:Saturday, Sunday and Monday 7:00am-7:30pm; one major and one minor or three minor holidays per year

This position is primarily conducted in the field, providing care to patients wherever they call home, including private residences, assisted living communities, skilled nursing facilities, and other care settings throughout our service area.

Unlike a traditional hospital or clinic-based nursing position, this role requires daily travel between patient locations, independent clinical decision-making, and the ability to build meaningful relationships with patients and families in their own environments.

If you thrive working independently, enjoy being on the move throughout the day, and value one-on-one patient care, this role offers the opportunity to practice nursing in its most personal and impactful setting.

Some nurses thrive on variety. Others excel when faced with complex clinical situations that require confidence, adaptability, and leadership.

As a Weekend Float RN Case Manager
, you'll have the opportunity to do both.

At Transitions Life Care, we believe every individual deserves the quality of life they want when facing a serious illness or near life's end. Our mission is to care for individuals and families with compassion, support, and expertise as they navigate life-changing illness and end-of-life journeys. This role is critical to ensuring patients receive exceptional hospice care whenever and wherever they need it.

We're seeking an experienced Registered Nurse who can confidently provide field visits, support admissions, manage urgent patient needs, and step into the Case Manager role when census demands or staffing coverage requires it.

If you're a highly skilled clinician who enjoys autonomy, variety, and making a meaningful impact, we invite you to join our team.

As one of North Carolina's most respected nonprofit hospice and palliative care organizations, we're committed to supporting our team members both personally and professionally.

• Conduct scheduled and PRN hospice visits throughout the community
• Assess patient needs and provide skilled nursing care aligned with the hospice plan of care
• Monitor patient conditions and implement appropriate interventions to maximize comfort and quality of life
• Deliver compassionate support to patients and families navigating serious illness and end-of-life care

• Utilize advanced clinical judgment to assess patients and develop individualized care plans
• Conduct elective, urgent, and emergent admissions
• Analyze complex clinical information to determine appropriate levels of care and interventions
• Initiate Crisis Care in accordance with agency protocols and Medicare regulations

• Provide coverage for RN Case Managers during PTO, leaves of absence, and periods of increased census
• Function as the RN Case Manager when assigned
• Coordinate all disciplines involved in a patient's care plan
• Delegate and supervise LPNs and Certified Nursing Assistants in accordance with regulatory requirements

• Work closely with physicians, social workers, chaplains, hospice aides, and community partners
• Coordinate medical equipment, medications, supplies, and contracted services
• Participate in quality improvement initiatives and clinical excellence programs
• Assist with onboarding and mentoring new employees

• Adaptable and comfortable with change
• Strong communicators who build trust quickly
• Independent professionals who thrive in field-based care
• Organized and highly accountable
• Compassionate advocates for patients and families
• Team-oriented leaders who enjoy supporting colleagues

This role is ideal for experienced hospice nurses who enjoy variety and appreciate the opportunity to use their full clinical skillset.

• Current Registered Nurse (RN) license in North Carolina
• Minimum two years of recent clinical…