🌟 Registered Nurse Case Manager (RNCM)

🩺 Position Summary

The RN Home Care Case Manager serves as the primary coordinator of care for assigned hospice patients and families, ensuring the highest possible quality of life through compassionate, patient-centered care. 💙

This role is responsible for developing, coordinating, and implementing the Interdisciplinary Team (IDT) Plan of Care, providing skilled nursing services, managing symptoms, supporting patients and families, and ensuring compliance with hospice regulations, nursing standards of practice, and Big Bend Hospice (BBH) policies and procedures.

The RN Case Manager is also a key member of the care team, serving as an educator, advocate, mentor, and clinical resource while promoting excellence in end-of-life care. 🕊️

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👩‍⚕️ Leadership & Supervisory Responsibilities

✅ Supervises Hospice Aides (HAs) and initiates the Hospice Aide Plan of Care

✅ Supervises Licensed Practical Nurses (LPNs) and initiates the LPN Plan of Care

✅ Provides guidance, support, and clinical oversight to team members involved in patient care

✅ Promotes collaboration and communication across the interdisciplinary team

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📋 Essential Duties & Responsibilities

💙 Case Management & Patient Care

✅ Provides comprehensive case management services to hospice patients and their families*

✅ Oversees and coordinates all care delivered by interdisciplinary team members for assigned patients*

✅ Manages an assigned caseload consistent with BBH productivity and staffing standards*

✅ Develops, implements, evaluates, and updates individualized IDT Plans of Care*

✅ Collaborates with physicians, team members, patients, and families to establish meaningful goals and interventions*

✅ Ensures care plans accurately reflect the evolving needs of patients and families*

✅ Maintains timely communication with attending physicians and interdisciplinary team members*

✅ Delivers compassionate, holistic care focused on comfort, dignity, and quality of life 🕊️

✅ Demonstrates expertise in:

• Pain management 💊
• Symptom management 🌿
• End-of-life care ❤️
• Patient and family support 🤝

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🩺 Clinical Practice & Skilled Nursing Care

✅ Performs comprehensive patient assessments and reassessments*

✅ Applies current evidence-based nursing practices and hospice standards of care*

✅ Demonstrates strong clinical judgment and decision-making skills*

✅ Provides skilled nursing interventions and patient-specific care plans*

✅ Supports patients through disease progression while promoting comfort and quality of life*

✅ Ensures all nursing care aligns with organizational policies, procedures, and regulatory standards*

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🖥️ Documentation & Regulatory Compliance

✅ Maintains accurate, thorough, and timely documentation within the Electronic Medical Record (EMR)*

✅ Completes all required physical assessments and clinical documentation*

✅ Ensures documentation reflects:

• Direct patient care time ⏰
• Nursing interventions 📝
• Pain and symptom management 💊
• Care plan updates 📋

✅ Completes and verifies all patient visits within agency timeframes*

✅ Meets all organizational documentation standards and compliance requirements*

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📥 Hospice Admissions & Intake

✅ Demonstrates competency in all aspects of the Hospice Intake and Admission process*

✅ Completes admission assessments according to BBH standards*

✅ Assists patients and families in understanding hospice services and care expectations*

✅ Ensures smooth transitions into hospice services*

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🎓 Education & Community Outreach

✅ Identifies educational needs of patients, families, caregivers, and community partners*

✅ Provides ongoing education regarding:

• Hospice philosophy 💙
• Disease processes 🩺
• Symptom management 🌿
• End-of-life care 🕊️

✅ Serves as a knowledgeable resource and advocate for hospice services

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🤝 Professional Collaboration & Customer Service

✅ Represents Big Bend Hospice in a positive, professional, and compassionate manner*

✅ Builds strong relationships with:

• Patients ❤️
• Families 👨‍👩‍👧‍👦
• Facility staff 🏥
• Physicians 👨‍⚕️
• Referral partners 🤝
• Community organizations 🌎

✅ Demonstrates exceptional customer service and communication skills*

✅ Promotes teamwork and collaboration throughout the organization*

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🌱 Mentorship & Professional Development

✅ Assists with orientation and training of:

• New employees 👩‍⚕️
• Nursing students 📚
• Medical students 🩺
• Family Practice Residents 👨‍⚕️
• Volunteers 🤝

✅ Supports a culture of learning, growth, and continuous improvement

✅ Establishes and evaluates professional goals regularly

✅ Pursues continuing education opportunities, conferences, certifications, and professional development activities

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📊 Quality Improvement & Organizational Excellence

✅ Participates in Quality Assurance (QA) and Performance Improvement initiatives

✅ Attends and contributes to Quality Assurance meetings

✅ Participates actively in facility-based Interdisciplinary Team (IDT) meetings

✅ Supports organizational goals related to quality, compliance, and patient outcomes

✅ Practices responsible stewardship of resources, supplies, equipment, medications, and therapies 💡

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📈 Caseload Management

✅ Maintains an active caseload of approximately 18-25 patients

✅ Prioritizes visits and patient needs effectively

✅ Demonstrates strong organizational and time-management skills

✅ Balances patient care responsibilities while maintaining documentation compliance

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🔄 Additional Responsibilities

✅ Fulfills responsibilities as assigned by:

• Team Manager
• Clinical Director
• Chief Nursing Officer

✅ Performs additional duties as assigned*

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⭐ Key Competencies

The RN Case Manager consistently demonstrates:

💙 Compassionate End-of-Life Care

🩺 Advanced Clinical Assessment Skills

💊 Pain & Symptom Management Expertise

📋 Case Management Excellence

🤝 Interdisciplinary Collaboration

🗣️ Effective Communication

🎓 Patient & Family Education

📚 Mentorship & Professional Development

⚖️ Regulatory Compliance Knowledge

🖥️ EMR Documentation Proficiency

🎯 Critical Thinking & Clinical Judgment

🌟 Customer Service Excellence

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🌈 Why This Role Matters

As an RN Home Care Case Manager, you serve as the central point of coordination and support for patients and families during one of life's most important journeys. Through expert clinical care, compassionate guidance, and strong interdisciplinary collaboration, you help ensure every patient receives comfort, dignity, and peace while honoring the mission and values of Big Bend Hospice. 💙🕊️✨

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📌 Essential Functions

Items marked with an asterisk (*) designate essential functions of the position.