Weekend Float RN Case Manager

Full-Time Hospice Registered NurseWeekend Coverage | Field-Based Clinical Role

Schedule: Saturday, Sunday and Monday 7:00am-7:30pm; one major and one minor or three minor holidays per year

This position is primarily conducted in the field, providing care to patients wherever they call home, including private residences, assisted living communities, skilled nursing facilities, and other care settings throughout our service area.

Unlike a traditional hospital or clinic-based nursing position, this role requires daily travel between patient locations, independent clinical decision-making, and the ability to build meaningful relationships with patients and families in their own environments.

If you thrive working independently, enjoy being on the move throughout the day, and value one-on-one patient care, this role offers the opportunity to practice nursing in its most personal and impactful setting.

Bring Your Expertise Where It's Needed Most

Some nurses thrive on variety. Others excel when faced with complex clinical situations that require confidence, adaptability, and leadership.

As a Weekend Float RN Case Manager, you'll have the opportunity to do both.

At Transitions LifeCare, we believe every individual deserves the quality of life they want when facing a serious illness or near life's end. Our mission is to care for individuals and families with compassion, support, and expertise as they navigate life-changing illness and end-of-life journeys. This role is critical to ensuring patients receive exceptional hospice care whenever and wherever they need it.

We're seeking an experienced Registered Nurse who can confidently provide field visits, support admissions, manage urgent patient needs, and step into the Case Manager role when census demands or staffing coverage requires it.

If you're a highly skilled clinician who enjoys autonomy, variety, and making a meaningful impact, we invite you to join our team.

Why Join Transitions LifeCare?

As one of North Carolina's most respected nonprofit hospice and palliative care organizations, we're committed to supporting our team members both personally and professionally.

What You'll Do

Deliver Expert Hospice Nursing Care

• Conduct scheduled and PRN hospice visits throughout the community
• Assess patient needs and provide skilled nursing care aligned with the hospice plan of care
• Monitor patient conditions and implement appropriate interventions to maximize comfort and quality of life
• Deliver compassionate support to patients and families navigating serious illness and end-of-life care

Provide Clinical Leadership

• Utilize advanced clinical judgment to assess patients and develop individualized care plans
• Conduct elective, urgent, and emergent admissions
• Analyze complex clinical information to determine appropriate levels of care and interventions
• Initiate Crisis Care in accordance with agency protocols and Medicare regulations

Serve as a Flexible Care Team Leader

• Provide coverage for RN Case Managers during PTO, leaves of absence, and periods of increased census
• Function as the RN Case Manager when assigned
• Coordinate all disciplines involved in a patient's care plan
• Delegate and supervise LPNs and Certified Nursing Assistants in accordance with regulatory requirements

Collaborate Across the Organization

• Work closely with physicians, social workers, chaplains, hospice aides, and community partners
• Coordinate medical equipment, medications, supplies, and contracted services
• Participate in quality improvement initiatives and clinical excellence programs
• Assist with onboarding and mentoring new employees

Who Thrives in This Role

Our most successful Weekend Float RNs are:

• Expert clinical decision-makers
• Adaptable and comfortable with change
• Strong communicators who build trust quickly
• Independent professionals who thrive in field-based care
• Organized and highly accountable
• Compassionate advocates for patients and families
• Team-oriented leaders who enjoy supporting colleagues

This role is ideal for experienced hospice nurses who enjoy variety and appreciate the opportunity to use their full clinical skillset.

Required Qualifications

• Current Registered Nurse (RN) license in North Carolina
• Minimum two years of recent clinical nursing experience
• Expert understanding of medical terminology and clinical data interpretation
• Current CPR certification
• Reliable transportation
• Strong assessment, documentation, and care planning skills
• Ability to travel throughout the service area and provide care in homes and facilities
• Ability to lift and/or carry up to 50 pounds
• Ability to independently locate resources and collaborate across disciplines
• Strong communication and patient education skills
• Competent computer and technology skills

Preferred Qualifications

• BSN
• Hospice experience
• Home health experience
• Skilled nursing or long-term care experience
• Certified Hospice and Palliative Nurse (CHPN)
• Experience with hospice admissions and case management
• Knowledge of Medicare regulations, accreditation standards, reimbursement requirements, and hospice compliance

Why This Role Matters

Hospice patients and families deserve exceptional care every day of the week, especially during times of transition, crisis, or unexpected need.

As a Weekend Float RN Case Manager, you'll bring stability, expertise, and compassionate leadership to patients and care teams when they need it most. Your ability to adapt quickly, make sound clinical decisions, and build meaningful relationships directly impacts the quality of care and experience of every patient you serve.

The work is challenging. The impact is extraordinary.

Join a Team That Leads with Compassion

If you're an experienced hospice nurse looking for a role that combines clinical autonomy, leadership opportunities, and meaningful patient relationships, we encourage you to apply today.

Help us deliver comfort, dignity, and expert care to patients and families throughout our community, one visit at a time.