Hospice RN Case Manager Full Time
Description
- 401(k)
- Health insurance
- Paid time off
Are You a Leader in the Field?
The Role: Total Case Management
Your Responsibilities as Case Manager:
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The Clinical Director of Your Team: You lead and coordinate the care provided by your MSW, Spiritual Counselor (SC), and CHHA. You are responsible for ensuring their interventions align with your overall clinical strategy. - Direct Physician Collaboration: You work hand-in-hand with the MD. You don’t just report symptoms; you provide clinical assessments, suggest interventions, and secure medication orders and treatment plans immediately.
- Comprehensive Assessment: Perform full-body physical and psychosocial assessments at every visit. You are responsible for identifying changes in status before they become crises.
- The Plan of Care (POC): You own the POC. You develop, update, and maintain a compliant, individualized plan that reflects the patient’s goals and regulatory requirements.
- Medication Management: You are responsible for the entire medication profile, including reconciliation, pharmacy coordination, and symptom management (GIP/Continuous Care triggers).
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IDG Leadership: You lead the discussion for your patients during IDG meetings, providing the team with clear, concise, and professional updates that meet all CMS and Title 22 standards.
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Complete comprehensive nursing assessments and develop individualized plans of care in collaboration with patients and families. - Provide direct hospice nursing care to maintain the highest level of comfort and quality of life.
- Manage and update care plans as patient needs change.
- Communicate with physicians to obtain appropriate orders and report changes in patient condition.
- Initiate interventions and evaluate outcomes to ensure optimal symptom management.
- Educate patients, families, and caregivers about hospice care, medications, and symptom recognition.
- Accurately document patient care and communicate updates to the interdisciplinary team (IDG).
- Coordinate with external service providers as needed to meet patient and family needs.
- Ensure availability of necessary medical equipment and supplies.
- Assign and supervise Home Health Aides, completing supervisory visits every 14 days.
- Serve as IDG coordinator, collaborating with all team members to ensure holistic care.
- Participate in on-call rotation to provide 24/7 hospice coverage and support.
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Graduate of an accredited school of nursing. - Current California RN license (BSN preferred).
- Certification in Hospice and Palliative Nursing desired.
- Minimum of one year of professional nursing experience within the last three years, or a BSN degree.
- Strong clinical judgment, communication, and documentation skills.
- Compassionate and supportive attitude toward patients and families facing end-of-life care.
- Ability to maintain patient confidentiality and professionalism at all times.
- Proficiency in computer use and electronic medical record (EMR) documentation.
- Reliable, well-maintained personal vehicle with valid California driver’s license, acceptable driving record, and proof of auto insurance.
- Spanish speaking a plus!
- Licensure: Current, unencumbered California Registered Nurse (RN) license.
- Hospice Mastery: Minimum 1–2 years of Hospice Case Management experience is required. You must know the "Hospice Benefit" inside and out.
- Regulatory Knowledge: Deep understanding of CMS Conditions of Participation (CoPs) and California Title 22. Or willingness to learn!
- Triage Skills: Expert ability to prioritize acuity and manage a field schedule effectively.
- Documentation Excellence: Proficiency in EMR (e.g., HospiceMD, KanTime, MatrixCare) with an emphasis on "gold-standard" clinical narratives.
- Communication: Must be able to speak professionally with physicians and compassionately with families.
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Full-Time: Monday to Friday, 8:30 AM – 5:00 PM - On-Call: 2 weekend shifts per month (as needed)
- Holidays: 2 shifts per year (as needed)
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Pay Range: $50 – $54 per hour (based on experience)
- Field-based: Serving patients across Riverside and Northern San Diego Counties
- In-person visits required
Why Join Us?
You will report directly to a DPCS who values clinical integrity over "census numbers." We provide a supportive environment for nurses who are serious about the profession of hospice.
Competitive Salary & Mileage Reimbursement- Comprehensive Benefits Package
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Clinical Support & Mentorship
*Living location is not required but employee must be willing and able to access patients in requested coverage areas in a timely manner.