Hospice RN Nurse Case Manager

About the role

We are seeking a Registered Nurse to serve patients throughout the Sumter, SC area as a Nurse Case Manager. This role is a critical part of the patient’s care team, visiting patients in their homes, long-term care facilities, and other settings to evaluate needs and initiate telemedicine visits. Travel is required daily, and reliable transportation is mandatory.

Schedule

• Track Schedule 7 on 7 off Pittman Schedule (2 on, 2 off, 3 on)
• 8-hour shifts Monday–Friday (8:00 am–5:00 pm)

Responsibilities

• Facilitate receiving and review of all medical records from the patient’s primary provider and specialists.
• Complete consents with patients and enroll eligible patients in Care Management.
• Initiate Care Management Plan of Care for eligible patients.
• Capture all diagnoses at the highest specificity by creating gaps and ensuring acceptance.
• Complete Annual Wellness Visits (AWVs) for provider review.
• Perform cognitive impairment screenings and Social Determinants of Health (SDoH) assessments.
• Complete Advance Care Planning (ACP) discussions for provider review.
• Evaluate patients for home health, hospice, palliative care, or specialty consults.
• Evaluate for Remote Patient Monitoring (RPM) devices and tools to improve quality of life.
• Reconcile prescribed and over-the-counter medications, vitamins, supplements, herbal remedies, and other treatments.
• Provide post-discharge education and evaluate for adaptive equipment and Durable Medical Equipment (DME).
• Assess for safe environment and evaluate acute conditions or follow-up needs.
• Accurately document and log Care Management activities.
• Work with the care team to keep patient Care Management plans up to date.
• Coordinate with healthcare providers, therapists, home health or hospice representatives, and others involved in the patient’s care plan.
• Facilitate visits with appropriate providers or entities and coordinate telehealth visits when necessary.
• Participate in Interdisciplinary Group (IDG) meetings as needed.

Qualifications

• Must be a Registered Nurse with an active, in-good-standing license.
• A minimum of three (3) years of clinical experience preferred.
• Experience in community settings preferred.
• Proven ability to communicate and collaborate effectively with interdisciplinary care teams, patients, and caregivers.
• Strong written and verbal communication skills and basic computer proficiency.
• Ability to manage multiple responsibilities, demonstrate sound judgment, and foster a cooperative work environment.
• Must be able to work flexible hours and travel between offices and facilities.
• Must be a licensed driver with an insured vehicle in good working order.

Benefits

• Competitive compensation package with bonus opportunities.
• Employer-matched 401(k).
• Free visit and prescriptive services with High Deductible Health Plan (HDHP) insurance.
• Employer-matched Health Savings Account (HSA).
• Generous Paid Time Off (PTO) package.
• Career development and growth opportunities.
• Vehicle allowance.