On-Call Registered Nurse (After Hours)

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. This weekend schedule is Friday at 5pm until Monday at 8am.  About the RoleThe 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 FunctionsEnsure 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. About You: Education and ExperienceCurrent RN license in the state of employmentGraduate of an accredited nursing programMinimum one year of RN experience in acute care, oncology, long-term care, hospice, or home healthMust meet any state-specific requirements Licenses and CertificationsActive RN licenseCPR certification (in-person)Valid driver’s license, reliable transportation, and current auto insurance Skills and CompetenciesStrong knowledge of hospice principles, Medicare/Medicaid regulations, and best practicesAbility to conduct thorough patient assessments and develop individualized care plansEffective communication with patients, families, physicians, and interdisciplinary team membersStrong time-management and prioritization skills in a fast-changing environmentProficiency with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologiesAbility to maintain confidentiality, demonstrate integrity, and support quality outcomesLeadership skills to support and guide field staffAbility to manage administrative, documentation, and compliance responsibilities accurately Personal TraitsSensitivity to end-of-life needs and the emotional realities families faceFlexibility to shift tasks and respond to urgent needsProfessionalism, maturity, teamwork, and resilience under pressureAbility to communicate effectively with individuals from diverse background We Offer: Benefits for All Associates (Full-Time, Part-Time & Per Diem):Competitive Pay401(k) with Company MatchCareer Advancement OpportunitiesNational & Local Recognition ProgramsTeammate Assistance Fund Additional Full-Time Benefits:Medical, Dental, Vision InsuranceMileage Reimbursement or Fleet Vehicle ProgramGenerous Paid Time Off + 7 Paid HolidaysWellness 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 InsuranceVoluntary Benefits (Pet, Critical Illness, Accident, LTC) Legalese: This is a safety-sensitive positionEmployee must meet minimum requirements to be eligible for benefitsWhere applicable, employee must meet stage specific requirementsWe are proud to be an EEO employerWe maintain a drug-free workplace Location: New Century Hospice Our Company:  At New Century Hospice, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include:Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New BeaconPalliative care: Empatia Palliative Care, Emerald Coast Palliative CareHome health care: Heartland Home HealthAdvanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.