| Location | Henderson, NC |
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.
Monday to Thursday 5pm - 8am
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 patients 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 organizations 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 drivers license reliable transportation and current auto insurance
Skills and Competencies
Strong knowledge of hospice principles MedicareMedicaid 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
401k 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 2026-135242
Category Registered Nurse
Position Type Full-Time
Company Gentiva Hospice