Enrich the lives of older adults through community, choice, and continuing care in the RN Case Manager, Hospice role. The RN Case Manager is responsible for coordinating and managing the comprehensive care of hospice patients and their families. This position serves as the primary clinical leader for an assigned caseload, ensuring the delivery of high-quality, compassionate end-of-life care that supports comfort, dignity, patient goals, and family needs.
The RN Case Manager collaborates with physicians, social workers, spiritual care providers, hospice aides, volunteers, therapists, and other interdisciplinary team members to develop, implement, and evaluate individualized plans of care in accordance with federal and state regulations, hospice Conditions of Participation, and organizational standards. This role is central to coordinating hospice services, communicating with patients and families, and ensuring excellent clinical outcomes and patient experiences.
Must be available to work weekends and after-hours. This role is specific to a scheduling pattern covering 5pm to 8am on weekdays and all hours on weekends. It is a 7-on, 7-off scheduling pattern.
Find your sense of belonging at Wesley!You will provide continuing care through these responsibilities. Essential functions of this position include the following.
Patient Assessment & Care Planning- Conduct comprehensive initial and ongoing assessments of patients with terminal illnesses
- Develop, implement, and revise individualized hospice plans of care based on patient goals, disease progression, and symptom management needs
- Identify physical, emotional, psychosocial, spiritual, and environmental factors affecting patient care
- Coordinate physician orders and ensure care is provided in accordance with established plans of care
- Evaluate patient response to treatments and interventions, modifying care plans as appropriate
Case Management & Care Coordination- Manage an assigned caseload of hospice patients across homes, assisted living communities, adult family homes, and other care settings
- Serve as the primary clinical contact for patients, families, physicians, and referral sources
- Coordinate services among the interdisciplinary group (IDG) to ensure continuity and effectiveness of care
- Facilitate communication among all care team members regarding patient status, goals, and care plans
- Participate actively in interdisciplinary team meetings and care conferences
Symptom Management & Clinical Care- Assess and manage pain and other distressing symptoms associated with terminal illness
- Provide skilled nursing services including medication management, wound care, catheter care, infusion therapy, and other hospice-related clinical interventions
- Monitor changes in patient condition and communicate significant findings promptly to physicians and the interdisciplinary team
- Ensure timely interventions to maximize comfort and quality of life
Patient & Family Education- Educate patients and families regarding disease progression, symptom management, medications, hospice services, and end-of-life expectations
- Provide emotional support and counseling within scope of practice
- Assist families in understanding available community resources and support services
- Support patients and families through care transitions and end-of-life decision-making
Documentation & Compliance- Complete all required documentation accurately and within established timeframes
- Maintain compliance with Medicare, Medicaid, accrediting body, and state hospice regulations
- Ensure physician orders, certifications, recertifications, and care plans are current and complete
- Utilize electronic medical records (EMR) effectively and maintain patient confidentiality in accordance with HIPAA requirements
Quality & Professional Practice- Promote and maintain quality standards and evidence-based hospice practices
- Participate in quality improvement initiatives and performance improvement activities
- Maintain current clinical competence and knowledge of hospice and palliative care principles
- Participate in surveys, audits, and regulatory reviews as required
Team Collaboration- Work collaboratively with hospice aides, social workers, chaplains, volunteers, therapists, physicians, and other providers
- Provide clinical guidance and direction to hospice aides and other support personnel
- Foster a culture of compassion, respect, accountability, and excellence
Other Duties- Participate in on-call rotations as assigned
- Attend required meetings, training sessions, and continuing education programs
- Perform other duties and special projects as assigned
Our requirements and qualifications for successRequired Qualifications- Graduate of an accredited nursing program
- Active Registered Nurse (RN) License in Washington State or out-of-state MSL
- Follow the Washington Nurse Practice Act
- If MSL, complete Suicide Prevention Training in advance of hire per state regulations
- If MSL, Washington State Board of Nursing (WABON) MSL demographic survey
- Minimum of one (1) year of nursing experience
- Current CPR certification
- Demonstrated assessment, communication, and care coordination skills
- Ability to work independently while effectively collaborating with interdisciplinary teams
- Driving is an essential function and/or a legitimate business purpose for this position; therefore, a valid driver's license is required as a condition of employment
Preferred Qualifications- One (1) or more years of hospice, palliative care, home health, oncology, geriatrics, or case management experience
- CHPN (Certified Hospice and Palliative Nurse) certification or willingness to obtain
- Experience utilizing electronic medical record systems
- Knowledge of Medicare Hospice Conditions of Participation and hospice reimbursement requirements
Knowledge, Skills & Abilities- Strong understanding of hospice and palliative care principles
- Excellent clinical judgment and critical thinking abilities
- Demonstrated ability to conduct comprehensive patient assessments
- Exceptional interpersonal and communication skills
- Ability to manage multiple priorities and maintain accurate documentation
- Compassionate approach to supporting patients and families during serious illness and end-of-life care
- Ability to maintain confidentiality and exercise discretion
Physical, environmental, and mental requirements- Ability to sit, stand, walk, bend, twist, and reach throughout the workday
- Ability to lift and move up to thirty-five pounds
- Ability to travel locally throughout the service area
- Ability to provide care in a variety of home and community settings
- Near and far vision acuity sufficient to assess patients and complete documentation
Salary Range: $93,730 to $142,105.39 per year
REQ Code: #AZL0930
