Hospice RN Case Manager

Mon-Fri 8-5p, and 1 weekend a month. no on call.

Covering Fresno

$10,000 Sign on bonus

The Hospice RN Case Manager is responsible for delivering comprehensive, patient-centered nursing care to hospice clients. This role serves as the primary coordinator of care, ensuring patients receive appropriate symptom management, emotional support, and end-of-life care aligned with physician orders and hospice plans.

Key Responsibilities

Clinical Care & Case Management

• Perform patient assessments, develop and update individualized care plans
• Manage overall patient care, serving as the designated case manager
• Monitor patient condition and communicate changes to physicians and care team
• Provide symptom management using evidence-based hospice/palliative practices
• Deliver education to patients and families on disease progression, self-care, and end-of-life expectations

Care Coordination

• Collaborate with interdisciplinary team (IDT/IDG), including physicians, aides, and other clinicians
• Coordinate referrals and services to ensure timely, efficient care
• Lead case conferences and contribute to care planning discussions

Supervision & Leadership

• Provide functional supervision to LPNs and Hospice Aides
• Conduct supervisory visits (bi-weekly for aides, monthly for LPNs)
• Delegate tasks appropriately based on skill level
• Participate in training, orientation, and mentoring of staff

Documentation & Compliance

• Maintain accurate, timely clinical documentation (assessments, care plans, visits, physician communications)
• Ensure compliance with federal/state regulations, hospice standards, and agency policies
• Uphold confidentiality and HIPAA standards

Patient & Family Support

• Address grief, loss, and emotional needs of patients and caregivers
• Provide anticipatory guidance around the dying process
• Promote dignity, comfort, and quality of life

Minimum Qualifications

• RN license in state of practice
• Graduate of accredited nursing program
• CPR certification
• Minimum 1 year acute care nursing experience
• Hospice/home health experience preferred
• Strong communication skills, especially around grief/loss
• Valid driver’s license and reliable transportation

(California-specific: 1 year professional nursing experience required)

Core Competencies

• Clinical judgment and critical thinking
• Compassion and emotional intelligence
• Strong communication and teaching ability
• Team collaboration and leadership
• Time management and adaptability

Work Environment & Physical Requirements

• Travel to patient homes required
• Frequent standing/walking and occasional lifting (up to 35 lbs)
• Ability to multitask and manage frequent interruptions