Afterhours RN Care Manager
Company: Heartland Hospice
Location: Lothian
Posted on: February 10, 2026
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Job Description:
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. 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 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 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 organization’s 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 driver’s license, reliable transportation, and current auto
insurance Skills and Competencies 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 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: 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 – $84,490 - $99,340 Full
Time Employee Benefits: Medical, Dental, Vision Wellness Program
and Resources 401k match PTO FMLA, ADA and other federal and state
required leaves Short/Long Term Disability HSA Contribution Mileage
or Fleet Car Program Cell Phone Reimbursement (for eligible roles)
Short Term Incentive (for eligible roles) Tuition Reimbursement
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 Location:
Heartland Hospice Our Company: At Heartland 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 Beacon Palliative care: Empatia Palliative Care, Emerald Coast
Palliative Care Home health care: Heartland Home Health Advanced
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.
Keywords: Heartland Hospice, Bethesda , Afterhours RN Care Manager, Healthcare , Lothian, Maryland
