Communication

A caregiver called off. How do I cover the shift?

Call your backup list first, starting with caregivers who already know the client. Offer the shift to nearby staff, then tell the family the new plan before they ask. Keep a short on-call list and write down the order you call in, so a call-out does not start from scratch each time.

Call-outs will happen. What matters is whether you have a plan ready before the phone rings.

  1. Keep a backup list for each client: two or three caregivers who have met the client or can be introduced quickly.
  2. Start with people who know the client. A familiar face makes the day easier for the client and the family.
  3. Offer the shift by text or call, to a few people at once, so you are not waiting on one answer.
  4. Check overtime before you say yes. Hours over 40 in a week can change what you owe.
  5. Tell the family who is coming and when, before they have to ask.
  6. Make sure the new caregiver has the care plan and knows what is expected, and checks in through EVV.
  7. Write down the reason for the call-out and how it was covered.

Owners in trade press say agencies that focus on caregiver satisfaction often see fewer call-outs. AARP also advises agencies to keep backup caregivers on call so that families are not left without help.

How CareBravo® helps

A call-out is covered under rules the owner set once, and the owner finds out at breakfast.

Sources

Reviewed by Beth Bledsoe, Care Business Advisor®, 28 Oct 2026. Rules change. Confirm with your state Medicaid agency before you act.

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