Hospice Case Manager After Hours

Monday- Thursday, 4 days per week, 5p-8:30a, for after-hours coverage of patient needs, visits, admissions, etc. On-call, salaried position.

• Weeknight position: Monday through Thursday, 5:00 PM–8:30 AM.
• The assigned nurse is responsible for after-hours calls and admissions during the coverage period. 

The Hospice After-Hours/On-Call Registered Nurse provides skilled nursing care and clinical support to hospice patients and families during evenings, nights, weekends, and other designated after-hours periods. The RN responds to patient and caregiver concerns, evaluates changes in condition, provides symptom-management interventions, makes home or facility visits when clinically indicated, and facilitates after-hours hospice admissions.

This position plays an important role in maintaining continuity of care and helping patients remain comfortable and supported during times when the primary hospice team is not routinely available.

• →Respond promptly and professionally to after-hours calls from hospice patients, families, caregivers, facilities, and other members of the healthcare team.
• →Perform nursing assessment and triage to determine the appropriate clinical response to patient or caregiver needs.
• →Make in-person visits when clinically indicated based on the patient's condition and care needs.
• →Assess and manage symptoms commonly encountered in hospice care, including pain, dyspnea, agitation, nausea/vomiting, secretions, anxiety, and other changes in condition.
• →Provide education, reassurance, and emotional support to patients and caregivers during changes in condition and end-of-life situations.
• →Communicate with the hospice physician, nurse practitioner, pharmacy, DME provider, facility staff, or other appropriate members of the interdisciplinary team when necessary to coordinate care.
• →Complete after-hours hospice admissions as assigned, including nursing assessment and required admission documentation.
• →Respond to patient deaths and complete appropriate hospice nursing responsibilities and notifications in accordance with organizational policy.
• →Ensure medications, supplies, and durable medical equipment needs identified after hours are communicated and coordinated appropriately.
• →Document telephone encounters, assessments, visits, interventions, patient response, physician communication, and changes in the plan of care accurately and timely in the electronic medical record.
• →Provide appropriate handoff to the daytime hospice team regarding patient changes, visits, new orders, admissions, deaths, caregiver concerns, and issues requiring follow-up.
• →Maintain effective communication with patients, families, facilities, and hospice interdisciplinary team members.
• →Follow applicable Medicare Conditions of Participation, state nursing requirements, organizational policies, infection-prevention practices, and patient-safety standards.
• →Participate in required education, competencies, meetings, and quality-improvement activities.
• →Perform other duties consistent with the RN scope of practice and hospice program needs.

• Graduate of an accredited school of professional nursing.
• Current unrestricted Registered Nurse license appropriate to the state(s) of practice.
• Current driver's license, automobile insurance, and reliable transportation when the position requires patient visits.
• Current BLS certification, if required by organizational policy.
• Clinical nursing experience with demonstrated assessment and critical-thinking skills.

• Hospice, palliative care, home health, oncology, acute care, emergency, or other relevant clinical nursing experience.
• Experience caring for patients at end of life.
• Experience with symptom management and family/caregiver education.
• Experience working independently in home or community-based settings.

The RN must be able to travel to patient residences and care facilities during assigned coverage periods and perform the physical functions necessary to provide direct nursing care, consistent with organizational requirements and approved job-demand standards.

• Strong independent nursing assessment and clinical judgment.
• Ability to prioritize multiple patient needs appropriately.
• Knowledge of end-of-life symptom management.
• Strong communication and caregiver-education skills.
• Ability to remain calm and supportive during emotionally difficult situations.
• Effective time management and organization.
• Ability to work independently while communicating effectively with the interdisciplinary hospice team.
• Accurate and timely clinical documentation.
• Professionalism, compassion, reliability, and respect for patient and family preferences.

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.