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On-Call Registered Nurse (RN) - Flexible Schedule

Heartland Hospice · Remus, MI

FULL-TIME AND PART-TIME Posted Sep 21, 2026

Job Description

Join Our Passionate Team: Expand Access and Elevate After-Hours Care!

We are looking for a compassionate and dedicated Afterhours RN Care Manager to deliver high-quality hospice care during nights, weekends, and on-call hours. This role is vital in ensuring seamless coverage and continuity of care for our patients and their families when they need it most.

About the Position
As an Afterhours Care Manager RN, you will assess and coordinate the needs of patients and families during after-hours shifts. You will maintain primary clinical oversight for assigned patients, perform routine visits, handle admissions, death visits, manage urgent after-hours calls, and deliver care as per the patient's plan of care. You will play a crucial role as an active member of our Interdisciplinary Group (IDG) to facilitate coordination among physicians, families, and the hospice team while ensuring compliance and quality in care delivery.

Key Responsibilities:
• Deliver compassionate hospice services to eligible patients and families.
• Provide hands-on patient care including assessments, admissions, routine visits, death visits, and live discharges during on-call and after-hour shifts.
• Conduct comprehensive assessments of physical, emotional, psychosocial, and spiritual needs.
• Support the IDG process with chart reviews and effective communication.
• Collaborate with IDG members to create and update the Hospice Plan of Care.
• Educate patients and families on disease progression, symptom management, medications, and the hospice philosophy.
• Promptly communicate any significant changes in patient conditions to the appropriate physicians.
• Maintain accurate and timely clinical documentation of care provided.
• Assist with rescheduling or reassignment of visit requests based on triage needs.
• Participate in scheduling modifications and manage service codes and clinician assignments efficiently.
• Support administrative tasks, including workflow audits and documentation collection for compliance.
• Engage in TPE reviews, QAPI endeavors, and regulatory compliance efforts.
• Uphold infection control standards and universal precautions in all care practices.
• Provide guidance and leadership to field staff and conduct supervisory visits as necessary.
• Engage in required meetings, after-hours updates, and continuous training.
• Show proficiency in pain and symptom management for hospice and end-of-life care.
• Promote core values 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.
• A minimum of one year of RN experience in acute care, oncology, long-term care, hospice, or home health.
• Compliance with state-specific requirements.

Licenses and Certifications:
• Active RN license.
• CPR certification (in-person required).
• Valid driver's license and reliable transportation with current auto insurance.

Skills and Competencies:
• In-depth understanding of hospice principles and Medicare/Medicaid regulations.
• Ability to perform thorough patient assessments and create tailored care plans.
• Strong communication skills with patients, families, physicians, and interdisciplinary team members.
• Excellent time-management and prioritization abilities in fast-paced settings.
• Proficient in EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technologies.
• Commitment to confidentiality, integrity, and quality outcomes.
• Effective leadership skills to support field staff.
• Ability to adeptly manage administrative, documentation, and compliance responsibilities.

Personal Traits:
• Empathetic towards end-of-life needs and family emotional challenges.
• Adaptable with a readiness to respond to urgent situations.
• Demonstrates professionalism, maturity, teamwork, and resilience in high-pressure scenarios.
• Skilled in effective communication with diverse individuals.

What 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)

Legal Note:
• This is a safety-sensitive position.
• Employees must meet minimum requirements for eligibility in benefits.
• Employees must comply with state-specific qualifications as applicable.
• We are proud to be an EEO employer.
• We maintain a drug-free workplace.

Location: Heartland Hospice

About Our Company:
At Heartland Hospice, part of Gentiva, we pride ourselves on delivering compassionate care in the comfort of our patients' homes. As a national leader in hospice, palliative, and home health care, we support thousands of patients and families across 38 states. Our collective mission is to support individuals through recovery or guide them through serious illnesses and terminal diagnoses with empathy and respect.

With corporate headquarters in Atlanta, Georgia, we offer rewarding careers in a collaborative environment where your inspiring contributions and kindness are recognized.

Benefits

  • Dental insurance
  • Health insurance
  • Paid time off

Additional Details

City
Remus
State
Michigan
Country
US
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