Hospice RN Case Manager

About the role

Bring your nursing expertise to one of healthcare's most meaningful specialties. As a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's final chapter, helping ensure comfort, dignity, and quality of life. This role is perfect for a registered nurse who wants to practice the full scope of nursing while building deep, meaningful relationships with patients and families. You'll have the autonomy to coordinate comprehensive care for your caseload while working collaboratively with our interdisciplinary team to address the physical, emotional, and spiritual needs of those in your care.

Responsibilities

• Provide Expert Hospice Nursing Care
• Conduct initial evaluations and ongoing assessments of patients' nursing needs
• Deliver skilled nursing services requiring specialized expertise
• Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)
• Manage complex symptoms and provide comfort-focused interventions
• Safely and effectively use durable medical equipment and medical devices
• Coordinate Comprehensive Care
• Assume primary responsibility for your caseload, including assessment, planning, implementation, and evaluation
• Develop and maintain individualized plans of care in collaboration with physicians and the interdisciplinary team
• Coordinate services required for hospital discharges to home or facility settings
• Supervise and document home health aide and LPN care delivery
• Facilitate smooth transitions and ensure continuity of care across all settings
• Collaborate with the Interdisciplinary Team
• Participate actively in IDG meetings, offering clinical insights and recommendations
• Attend and contribute to nursing facility care conferences
• Communicate regularly with physicians, facilities, team members, and the Hospice Medical Director
• Coordinate with social workers, chaplains, aides, and other team members to address holistic patient needs
• Support Patients and Families
• Build rapport and communicate effectively with patients, families, and caregivers
• Assess home safety, environment appropriateness, and support system capacity
• Provide education about symptom management, medications, and end-of-life care
• Offer appropriate support at time of death and conduct bereavement assessments when requested
• Respond with sensitivity to family emotional stress and respect diverse lifestyles
• Maintain Excellence in Documentation and Compliance
• Complete all documentation within 24 hours of visits
• Document medication regimens and update profiles according to procedures
• Ensure clinical notes reflect ongoing communication and care coordination
• Maintain compliance with Conditions of Participation and third-party payor requirements
• Identify and report potential payment or coverage issues promptly

Requirements

• Required Qualifications
• Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing
• Current State License as a Registered Nurse
• Minimum 1 year of nursing experience in a clinical care setting
• Reliable transportation with valid automobile insurance
• Willingness to travel extensively within service area daily
• Bachelor of Science in Nursing (BSN)
• Experience in hospice or home health environment
• Essential Skills and Competencies
• Advanced nursing assessment and clinical judgment skills
• Proficiency in phlebotomy with proper implementation of universal precautions
• Ability to assess patients in varied home and facility environments
• Strong time management skills with ability to handle multiple priorities and deadlines
• Excellent communication and rappo

Benefits

Additional Information

Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle Program for field roles Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability Company paid Life Insurance 401(k) with Employer Match Mileage Reimbursement Pet Insurance ID and Fraud Protection And more...

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