Job Title/Position:
Registered Nurse Case Manager
Classification: Non-Exempt
Reports
To: Director of Nursing and Executive Director/Administrator

Job Description Summary

The Registered Nurse Case Manager is
responsible for coordinating and delivering hospice care to patients and
families in their homes and community settings. This role includes conducting
hospice admissions, comprehensive assessment, care planning, case management,
patient and family education, and collaboration with the interdisciplinary
hospice team to ensure high-quality, compassionate, and compliant end-of-life
care.

Essential Job Functions/Responsibilities

• 
  Conduct comprehensive assessments of patients
  and families to identify hospice needs, including physical assessments, symptom
  evaluation, and review of medical history.
• 
  Perform hospice admissions and start-of-care
  visits, including comprehensive assessments, verification of hospice
  eligibility, patient and family education, and completion of all required
  admission documentation in compliance with regulatory standards.
• 
  Develop, implement, and regularly update
  individualized plans of care based on nursing assessments, patient goals, and
  physician orders.
• 
  Serve as the primary Case Manager for
  assigned patients, coordinating services and ensuring continuity of care across
  the interdisciplinary team.
• 
  Administer medications and treatments as
  prescribed and evaluate patient response to interventions.
• 
  Provide ongoing pain and symptom management
  and adjust interventions in collaboration with the physician and hospice team.
• 
  Provide education to patients and families
  regarding disease progression, medications, symptom management, safety, and
  care techniques.
• 
  Maintain accurate, timely, and thorough
  clinical documentation that reflects patient status, care provided, and
  outcomes.
• 
  Communicate changes in patient condition
  promptly to physicians and interdisciplinary team members.
• 
  Promote and maintain a safe care environment
  for patients and families.
• 
  Provide emotional support and counseling to
  patients and caregivers throughout the hospice journey.
• 
  Collaborate with social workers, chaplains,
  hospice aides, and other interdisciplinary team members to address patient and
  family needs.
• 
  Arrange for necessary medical equipment,
  supplies, and services to support patient care.
• 
  Supervise and delegate appropriate tasks to
  hospice aides and ancillary personnel.
• 
  Participate in on-call rotation in accordance
  with organizational policy.
• 
  Demonstrate the ability to work independently
  while effectively managing assigned caseload responsibilities.
• 
  Participate in quality assessment and
  performance improvement activities.
• 
  Engage in continuing education, in-service
  training, and ongoing professional development.
• 
  Perform other job-related duties as assigned
  to meet patient care and organizational needs.

Position Qualifications

• 
  Graduate of an accredited nursing program.
• 
  Current, unrestricted Registered Nurse (RN)
  license in good standing.
• 
  Minimum of two (2) years of nursing
  experience; hospice, home health, or community health experience preferred.
• 
  Current CPR certification.
• 
  Valid driver’s license and access to an
  insured, reliable vehicle.
• 
  Strong assessment, critical-thinking,
  communication, and organizational skills.
• 
  Ability to work independently, prioritize
  workload, and manage time effectively.
• 
  Knowledge of hospice philosophy,
  interdisciplinary care models, and end-of-life practices.

Working Conditions &
Expectations

• 
  Works primarily in patient homes, assisted
  living facilities, skilled nursing facilities, and community-based settings,
  with occasional in-office responsibilities.
• 
  Requires reliable transportation, a valid
  driver’s license, and active auto insurance.
• 
  Requires flexibility in scheduling to meet
  patient needs, including urgent visits or changes in condition.
• 
  Participates in on-call rotation and
  after-hours support as assigned.
• 
  Works in a fast-paced, emotionally sensitive
  environment requiring professionalism, compassion, and adaptability.
• 
  Expected to uphold hospice philosophy,
  professional boundaries, and patient confidentiality at all times.

Physical Requirements

• 
  Ability
  to travel throughout the service area and safely enter a variety of patient
  residences.
• 
  Ability
  to sit, stand, walk, bend, kneel, reach, and assist with patient-care
  activities as required.
• 
  Ability
  to lift and transport supplies and equipment.
• 
  Visual
  acuity and hearing sufficient to perform nursing assessments and interventions.
• 
  Ability
  to use electronic devices (laptop, tablet, mobile phone) for documentation and
  communication in community settings.
• 
  Ability
  to manage the physical and emotional demands associated with hospice and
  end-of-life care.