Hospice RN Case Manager

About the Role:

The Hospice Field Registered Nurse (RN) plays a critical role in delivering compassionate, patient-centered care to individuals facing life-limiting illnesses in their homes or other care settings. This position focuses on managing and coordinating comprehensive nursing care plans that address physical, emotional, and psychosocial needs, ensuring comfort and dignity for patients and support for their families. The Hospice Field RN collaborates closely with interdisciplinary teams, including physicians, social workers, and chaplains, to provide holistic care tailored to each patient’s unique situation. This role requires strong clinical expertise, excellent communication skills, and the ability to make independent decisions in dynamic environments. Ultimately, the Hospice Field RN contributes significantly to improving quality of life and facilitating a peaceful end-of-life experience for patients and their loved ones.

• Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs as evidenced by documentation, clinical record, case conference, team report, evaluations, and ADLs, (i.e., risk for grief, cultural and spiritual, verbal and non-verbal).
• Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
• Implement/develop/document the plan of care to ensure quality and continuity of care and recommend revisions to the plan as necessary.
• Consult with and educate the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition and dietary needs. Prioritize any needs with the members of the IDG. Provide training to other staff as needed.
• Determine scope and frequency of services needed based on acuity and patient/family needs. Assess the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care.
• Provide clinical directions to the Hospice Aide and LPN/LVN to ensure quality and continuity of service provided.
• Prepare clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate documentation.
• Inform physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care.
• Perform on-call responsibilities and provide on-call service to patients and families as assigned.

• Current RN License
• CPR Certification
• Valid Driver’s License
• Valid Auto Insurance
• At least 2 years of Hospice RN experience preferred

• HomeCare HomeBase experience preferred

• Medical, Dental, Vision Insurance
• 401k You’re eligible after 3 months of service/The plan is 100% fully vested immediately/Choice Health At Home contributes 100% of the first 3% you contribute each pay period
  
• Health Savings Account
• Life Insurance
• Short & Long Term Disability Insurance
• Paid Time Off and Paid Holidays
• Company vehicle upon availability after 90 days of full time employment and all the terms and conditions set by the Fleet Car team are met.