About this role
BETHESDA AT HOME
HOSPICE RN CASE MANAGER JOB DESCRIPTION
Job Summary: The Hospice RN Case Manager is responsible for providing, coordinating, and monitoring comprehensive end-of-life care for hospice clients in accordance with agency policies and federal/state regulations. Ensures safe, compassionate, and individualized care that supports quality of life, patient dignity, and family involvement.
Job Relationships:
* Reports to: Hospice Director (or designated Hospice Administrator) * Supervisory Responsibilities: Hospice Aides * Internal Relationships: Other Hospice RNs, Scheduler, Social Workers, Chaplains, Volunteers, Medical Director, IDG team * External Contacts: Physicians, Pharmacists, Home Health Agencies, Nursing Homes, Hospital Discharge Planners, Clients, Families, and Community Partners
Hours of Work:
This is currently a part-time position, with flexible scheduling based on client needs. Potential for full-time hours, depending on census and agency needs. Includes rotating on-call and weekend duties as assigned.
Dress Code:
Professional attire or nursing uniform with agency identification badge.
Essential Requirements:
1. Education & Licensure:
* Graduate of an accredited nursing program. * Current Minnesota RN license.
2. Experience:
* Minimum 1 year of nursing experience, preferably in hospice, palliative, oncology, or geriatric care. * Strong clinical assessment and symptom management skills. * Basic computer proficiency.
3. Personal Qualifications:
* Excellent communication (oral/written) and organizational skills. * Compassionate, self-motivated, and team-oriented. * Ability to provide emotional support to families. * Valid driver’s license, insured vehicle.
4. Knowledge Base:
* Understanding of the dying process and hospice philosophy. * Familiarity with CMS Conditions of Participation for Hospice. * Knowledge of pain and symptom control techniques. * Documentation and care planning experience. * Infection control, HIPAA compliance, and quality standards.
Physical Demands:
* Frequent driving, bending, squatting, and lifting (25+ lbs). * Exposure to infections in home and facility settings.
Key Responsibilities:
1. Clinical Care Management:
* Perform initial, comprehensive, and ongoing nursing assessments. * Develop and implement individualized hospice care plans in collaboration with IDG. * Manage and coordinate symptom control (e.g., pain, dyspnea, nausea). * Provide skilled nursing care and guidance to clients and families. * Educate families on care techniques and the dying process. * Facilitate advance care planning and understanding of services.
2. Interdisciplinary Collaboration:
* Participate in IDG meetings, ensuring effective coordination of care. * Communicate timely updates with physicians and care team. * Coordinate services with hospice aides, social workers, chaplains, and volunteers.
3. Supervision & Oversight:
* Supervise hospice aide services with routine home visits. * Provide coaching and feedback to hospice aides. * Ensure aide care plans are up to date and services meet patient needs.
4. Emergency & On-Call Coverage:
* Participate in rotating on-call schedule. * Respond to urgent calls, assess, and intervene as necessary. * Document on-call communications and visits.
5. Documentation & Compliance:
* Maintain timely and accurate documentation in EMR. * Complete all required assessments, care plans, and visit notes. * Ensure compliance with hospice regulations (e.g., HIS, IDG notes, certifications). * Submit documentation to physician and DME/pharmacy providers as needed.
6. Family and Community Support:
* Provide emotional support and grief resources to families. * Serve as a liaison between family, hospice, and other providers. * Support families through active death and post-death care coordination.
7. Education and Growth:
* Attend mandatory in-services and annual competencies. * Participate in agency quality improvement initiatives. * Promote hospice services through professional, compassionate representation.