On Call Registered Nurse (RN) 7 on / 7 off

Gentiva; Fremont Township (MI); On-site; USD 75,000 - 98,000; Full time

Job summary

Heartland Hospice seeks an Afterhours RN Care Manager to provide high-quality, compassionate hospice care outside standard business hours. You will ensure seamless coverage, clinical oversight, and coordination with physicians and the IDG during nights, weekends, and on-call hours.

You will assess needs, develop care plans, educate families, and maintain thorough documentation while leading field staff and ensuring regulatory compliance.

Qualifications

• 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.

Responsibilities

• Provide direct in-person care during after-hours shifts.
• Assess physical, emotional, psychosocial, and spiritual needs.
• Coordinate with IDG and physicians.
• Develop and revise the Plan of Care with IDG.
• Educate patients and families on disease progression and hospice care.
• Maintain accurate clinical documentation.
• Assist with scheduling and triage visits.
• Support regulatory compliance and survey readiness.
• Lead field staff guidance and supervisory visits.

Skills

Hospice principles

Patient assessments

Interdisciplinary team

EMR systems

Time management

Communication

Documentation

Leadership

Infection control

Education

RN license

Nursing degree

Tools

HomeCare HomeBase

Microsoft Office

Mobile technologies

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

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

• Competitive Pay

• 401(k) 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: 2026-141412
Category: Registered Nurses
Position Type: Full-Time
Company: Heartland Hospice