RN Case Manager

Key Responsibilities

Leadership & Team Oversight – Supervise, mentor, and ensure the competency of your assigned hospice care team, maintaining high standards of care.

Patient & Family Coordination – Serve as the team leader, providing direction and oversight to interdisciplinary team members.

Case Management – Oversee care plans, ensuring accurate evaluations, appropriate treatments, and optimal patient outcomes.

Clinical Oversight – Monitor and review patient care, ensuring compliance with Medicare and hospice regulatory standards.

Documentation & Compliance – Review and approve care plans within the Electronic Medical Records (EMR) system, ensuring accuracy and adherence to Medicare Conditions of Participation.

Quality Improvement – Participate in agency quality assurance initiatives, reviewing outcome data and driving performance improvements.

Interdisciplinary Team Meetings – Lead and coordinate team meetings with hospice clinicians and the medical director to ensure exceptional patient care.

Educational & Mentorship – Provide ongoing training, guidance, and documentation support for hospice team members, assisting with orientation and performance feedback.

Regulatory Readiness – Assist the Director of Clinical Services (DCS) in maintaining compliance and survey readiness.

On-Call Leadership – Participate in an on-call rotation, ensuring 24/7 oversight of patient care and agency operations.

What to Expect in This Role

Extensive Travel & Home-Based Care – Be prepared to travel several hours per day, covering multiple locations (1-10 home visits daily).

Travel Areas – Travel areas may vary and are subject to change based on patient needs.

Deliver Compassionate, Hands-On Care – Deliver compassionate, hands-on care in diverse and unpredictable home environments.

Navigate Weather Conditions – Work in varied weather conditions, including rain, snow, and ice—navigating stairs, different housing structures, and unique living conditions.

Utilize Technology – Utilize a tablet or laptop for real-time medical record documentation during each patient visit.

Management & Decision-Making

Apply Clinical Expertise – Make sound decisions that impact patient care.

Solve Complex Problems – Solve moderately complex problems using experience, precedent, and sound judgment.

Collaborate Effectively – Collaborate effectively with interdisciplinary team members to improve patient outcomes.

Knowledge & Skills You’ll Use Daily

• Extensive hospice and palliative care nursing knowledge.
• Ability to manage patient needs and interdisciplinary team functions.
• Proficiency in Microsoft Word, Excel, and EMR systems.
• Strong interpersonal skills to communicate with patients, families, and caregivers in a compassionate and professional manner.
• Sensitivity to patient privacy, HIPAA compliance, and ethical care practices.
• Ability to adapt to the unique needs of each patient and family, ensuring they feel supported and valued.

Qualifications & Requirements

Education & Experience:

• Bachelor’s degree (or higher) in a health-related field
• Minimum of 3 years of clinical RN experience (hospice experience required).
• At least 1 year of supervisory or management experience in a hospice setting.
• Strong knowledge of Medicare Conditions of Participation, Local Coverage Determinations, and regulatory standards (JCAHO knowledge preferred).
• Proficiency with Outlook, Word, and Excel.

Licenses & Certifications:

• Valid RN license in the state of practice.
• Certified Hospice and Palliative Care Nurse (CHPN)
• Active BLS certification (American Heart Association or Red Cross).
• Valid driver’s license and auto liability insurance for home visits.