Afterhours Registered Nurse Care Coordinator in Talihina, OK

Enhance Patient Access. Provide Family Support. Elevate After-Hours Care. We are excited to welcome a compassionate Afterhours Registered Nurse Care Coordinator dedicated to providing exceptional hospice care during non-standard hours. In this vital role, you will ensure continuous quality care and clinical oversight for patients and families after hours, including nights and weekends. Role Overview The Afterhours Care Coordinator RN will assess and coordinate the needs of patients and their families during after-hours shifts, while ensuring primary clinical oversight for designated patients. Your responsibilities include conducting routine visits, managing admissions, handling urgent calls, and fulfilling care plans tailored to each patient's needs. You will actively contribute to the Interdisciplinary Group (IDG) to promote coordination among physicians, families, and the hospice team, while also taking on administrative tasks to maintain efficient workflow and compliance. Key Responsibilities • Deliver high-quality hospice services to patients and families who qualify. • Provide in-person patient care during on-call, weekend, and after-hours shifts, which may involve assessments, admissions, and patient discharges. • Evaluate patients' physical, emotional, psychosocial, and spiritual needs through initial and ongoing assessments. • Facilitate the IDG process with effective chart reviews and updates to care plans. • Develop and modify the Hospice Plan of Care in partnership with physicians and team members. • Guide patients and families through information on disease progression, symptom management, medications, and hospice principles. • Communicate significant changes in patient conditions swiftly to relevant healthcare professionals. • Ensure accurate documentation of clinical activities, including assessments and care plans. • Handle visit requests based on triage recommendations, including rescheduling and reassignment. • Assist in scheduling adjustments, service codes, and clinician assignments. • Support compliance and administrative tasks including workflow audits and documentation preparation for surveys. • Participate in Quality Assurance Performance Improvement (QAPI) initiatives. • Adhere strictly to infection control standards and safety protocols. • Offer leadership to field staff and conduct supervisory visits as necessary. • Engage in meetings, after-hours communication updates, and training sessions. • Maintain expertise in pain and symptom management for hospice and end-of-life care. • Foster a culture of compassion and teamwork while upholding organizational values. • Perform additional duties as required. Qualifications • Current RN license in the respective state. • Graduate of an accredited nursing program. • At least one year of experience as an RN in acute care, oncology, long-term care, hospice, or home health. • Compliance with state-specific requirements. Required Licenses and Certifications • Active RN license. • CPR certification (in-person). • Valid driver's license, reliable transportation, and current auto insurance. Essential Skills and Competencies • In-depth knowledge of hospice care principles, Medicare/Medicaid regulations, and best practices. • Ability to conduct comprehensive patient assessments and tailor care plans accordingly. • Strong communication skills with patients, families, medical staff, and team members. • Excellent time management and prioritization abilities in a dynamic environment. • Familiarity with EMR systems (HomeCare HomeBase preferred), Microsoft Office, and mobile technology. • Commitment to maintaining confidentiality and achieving quality outcomes. • Leadership capabilities to motivate and guide field staff. • Ability to accurately manage documentation and compliance tasks. Personal Characteristics • Empathy for end-of-life concerns and understanding of the emotional contexts for families. • Flexibility to adapt and respond to urgent situations. • Professionalism, resilience, and teamwork in stressful circumstances. • Ability to engage effectively with individuals from diverse backgrounds. We Offer: • Competitive Salary • 401(k) with Company Match • Opportunities for Career Growth • National & Local Recognition Programs • Teammate Assistance Fund Comprehensive Benefits for Full-Time Employees: • Medical, Dental, and Vision Insurance • Mileage Reimbursement or Fleet Vehicle Program • Generous Paid Time Off along with 7 Paid Holidays • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) • Access to Free Continuing Education Units (CEUs) • Company-paid Life & Long-Term Disability Insurance • Voluntary Benefits (e.g. Pet Insurance, Critical Illness, Accident, LTC) This position is safety-sensitive Employees must meet minimum requirements to qualify for benefits Applicable state-specific requirements must be fulfilled by employees We proudly abide by Equal Employment Opportunity standards Our commitment is to maintain a drug-free workplace Location: Heartland Hospice About Us: At Heartland Hospice, part of Gentiva, we are honored to provide compassionate care in the setting where our patients feel most comfortable. As a leading provider of hospice, palliative, home health care, and advanced illness management, we operate nearly 600 locations with thousands of dedicated clinicians in 38 states. Our mission is to stand by those in need, offering support for recovery following illness, injury, or surgery, and guiding patients and their families through the challenges posed by serious illnesses or terminal diagnoses. Headquartered in Atlanta, Georgia, our organization prides itself on recognizing and celebrating inspiring achievements in a collaborative environment where kindness is a fundamental value.