Registered Nurse Administrator on Call (AOC)

Position Title: Administrator on Call (AOC) / Registered Nurse

Schedule

Saturday & Sunday, 8:00 AM – 6:30 PM

Reports To: Clinical Director

Job description summary

The Administrator on Call (AOC) is a Registered Nurse who coordinates, organizes, and facilitates hospice operational workflows during weekend shifts while providing professional nursing oversight. The AOC maintains high-level operational flow oversight across admissions, regulatory compliance, field staff coverage, quality assurance, and administrative processes to ensure continuous, high-quality palliative care across home and community settings.

Essential job functions & responsibilities

Admissions & Intake Oversight

• Review clinical records for new referrals to determine hospice eligibility, provide clinical guidance for intake operations, and assist with admission workflows to maintain seamless evaluation timelines.

• Oversee intake coordination—including verifying eligibility, sending new referral notifications, uploading EMR documents same-day, and facilitating logistics such as transport, DME, and nurse assignments.

• Ensure post-admit and HOPE Symptom Follow-up Visits (SFV) are assigned and completed in a timely manner across Friday and weekend shifts.

• Support intake during peak volumes or off-hours by assisting with electronic chart creation and operational tasks.

Operational Flow Oversight & Regulatory Compliance

• Maintain high-level visibility across on-call communication channels to ensure overall operational flow runs smoothly.

• Audit real-time nursing visit logs to ensure strict compliance with Title 22 CCR § 74820 (guaranteeing a licensed nurse appears in person 24/7 within two hours of notice for urgent medical or safety needs).

• Support resolution for complex clinical inquiries or operational bottlenecks.

• Coordinate weekend operational plans by hosting a phone huddle or posting daily plan messages on the weekend on-call thread regarding staffing and admission assignments.

Field & Triage Staff Support & Resource Allocation

• Guide, support, and collaborate with the triage nurse, field runners, nurses, and non-clinical staff to assist with clinical decision-making, care escalations, and schedule logistics.

• Secure replacement coverage promptly whenever a team member calls off.

• Monitor clinical productivity and adjust staffing resource allocation to ensure effective coverage and smooth weekend operations.

• Address emergent psychosocial and safety concerns, ensuring prompt mandatory reporting and logging team confirmation entries.

• Coordinate staff duties and handle coverage scheduling within HospiceMD while updating the census sheet in real time for all discharges and admissions.

Quality Assurance & Operations Support

• Facilitate continuous quality monitoring to maintain seamless operational workflows and support exceptional patient care standards.

• Partner with leadership on complex clinical or operational inquiries to ensure consistent, compliant after-hours service.

• Maintain open, proactive communication with patients, families, and care teams to ensure alignment and complete satisfaction with care delivery.

Administrative & Regulatory Compliance

• Approve medications and durable medical equipment (DME), and notify the Director of Operations for any overtime (OT) authorizations.

• Maintain, submit, and review accurate clinical records, pain/symptom management logs, and physician orders within the EMR.

• Support quality assessment and performance improvement (QAPI) initiatives.

Position qualifications

Licensure

Active, unencumbered California Registered Nurse (RN) license required; current CPR certification.

• Education & Experience:

Bachelor of Science in Nursing (BSN) degree from an accredited school of nursing required. Minimum of 3 years of dedicated hospice nursing experience required, with demonstrated experience in case management and/or admissions workflows.

• Core Competencies: Strong clinical assessment, organizational, and team support skills; exceptional composure and ability to stay calm under pressure during acute crises or complex clinical situations; high proficiency in HospiceMD preferred, Google Workspace (Google Docs, Google Sheets), Microsoft Office (Word, Excel), EMR platforms, and digital communication tools (VoIP, team chat); ability to prioritize workload independently under minimal supervision.

• Work Environment

Requirements

Dedicated home office space in California with reliable high-speed internet, telephone access, and secure handling of confidential patient information (HIPAA compliance).

Pay: $52.00 - $56.00 per hour Expected hours: No less than 21.0 per week

Application Question(s)

• Schedule & Availability:

This role covers weekend shifts on Saturday and Sunday from 8:00 AM to 6:30 PM. Are you consistently available to work these exact shift hours?

• Referral & Eligibility Review:

Part of this role involves reviewing clinical records for new referrals to determine hospice eligibility. How comfortable are you reviewing chart records independently to confirm terminal prognosis and eligibility criteria?

• Guiding Triage & Field Staff:

In this role, you will guide and support the triage nurse and field staff on clinical decision-making and care escalations. How do you approach providing supportive clinical direction to colleagues during high-volume shifts?

• Software Proficiency:

Are you proficient in HospiceMD, Google Workspace (Docs, Sheets), and Microsoft Office (Word, Excel) to audit logs, review charts, and coordinate operational plans?

• HospiceMD

• Google Workspace

• MS Office

• Other EMRs: __ __ __ __

• Home Office Environment:

Do you have a dedicated, quiet home office with high-speed internet and phone access where you can maintain strict HIPAA compliance?

• Composure Under Pressure:

When weekend volume spikes, multiple complex clinical inquiries arise, or staff call-offs occur, how do you maintain your composure, adjust staffing resources, and keep operations running smoothly?

License/

Certification

• unencumbered California Registered Nurse license (Required)

Work Location: Remote