🌟 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.

Qualifications:

🎯 Required Skills & Abilities

The RN Home Care Case Manager must demonstrate exceptional clinical expertise, communication skills, and compassionate leadership while delivering high-quality hospice care to patients and families. This role requires strong critical thinking, effective care coordination, and a deep commitment to the hospice philosophy of comfort, dignity, and quality of life. 💙🕊️

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🗣️ Communication & Relationship Building

✅ Excellent verbal and written communication skills

✅ Strong interpersonal skills with the ability to establish and maintain positive relationships with patients, families, physicians, referral sources, and interdisciplinary team members

✅ Effective negotiation and conflict-resolution abilities

✅ Ability to communicate clearly, professionally, and compassionately in English

✅ Exceptional customer service skills and a patient-centered approach

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📋 Organization & Critical Thinking

✅ Excellent organizational skills and attention to detail

✅ Strong analytical, assessment, and problem-solving abilities

✅ Ability to prioritize multiple responsibilities effectively in a fast-paced environment

✅ Ability to delegate tasks appropriately while maintaining continuity and quality of patient care

✅ Demonstrates sound clinical judgment and decision-making skills

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🔒 Professionalism & Accountability

✅ Maintains the highest standards of integrity, professionalism, and confidentiality

✅ Demonstrates accountability for patient outcomes and quality care delivery

✅ Adheres to all organizational policies, regulatory requirements, and ethical standards

✅ Acts as a patient advocate while fostering a culture of respect and collaboration

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💻 Technical Skills

✅ Proficiency in Microsoft Office Suite and related software applications

✅ Ability to efficiently utilize Electronic Medical Records (EMR) systems and mobile technology

✅ Strong documentation and computer skills

✅ Ability to manage electronic communication and clinical documentation accurately and timely

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💙 Emotional Resilience & Field Readiness

✅ Ability to manage the physical demands and emotional challenges associated with caring for terminally ill patients and their families

✅ Demonstrates compassion, empathy, and professionalism during difficult and emotionally sensitive situations

✅ Ability to work independently in home, facility, hospital, and community settings

✅ Adaptable and responsive to changing patient needs and priorities

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🚗 Transportation Requirements

✅ Valid Florida Driver’s License

✅ Current automobile insurance meeting organizational requirements

✅ Reliable transportation

✅ Ability to travel throughout the assigned service area to provide patient care

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🌟 Big Bend Hospice Core Values

Every RN Case Manager is expected to exemplify the values and principles that define the mission of Big Bend Hospice.

💙 Integrity
We demonstrate integrity in everything we do.

💙 Accountability
We hold ourselves accountable to the highest professional and ethical standards.

💙 Respect
We demonstrate respect for one another and those we serve.

💙 Stewardship
We are responsible stewards of our resources.

💙 Excellence
We continuously strive for excellence in our clinical expertise and business practices.

💙 Knowledge
We pursue lifelong learning and professional growth across all disciplines.

💙 Innovation
We continually explore innovative ways to fulfill our mission and values while enhancing patient care.

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🎓 Education & Experience

Required Qualifications

✅ Current, active, and unrestricted Florida Registered Nurse (RN) License

✅ Minimum of one (1) year of inpatient nursing experience or previous experience in:

• Hospice Care 🕊️
• Home Health 🏡
• Long-Term Care 🏥

✅ Working knowledge of hospice philosophy and patient-centered end-of-life care

Preferred Qualifications

⭐ Previous hospice case management experience

⭐ Experience coordinating interdisciplinary plans of care

⭐ Strong knowledge of pain and symptom management

⭐ Experience working within Electronic Medical Record (EMR) systems

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💪 Physical Requirements

This position requires frequent movement, travel, and direct patient care activities.

🚶 Standing: 66-100% of the shift

🚶‍♀️ Walking: 66-100% of the shift

🪑 Sitting: 0-33% of the shift

🏋️ Lifting: Up to 50 lbs. as needed

📦 Carrying: Up to 25 lbs. as needed

🛏️ Pushing: Up to 250 lbs. on wheels with assistance as needed

🛏️ Pulling: Up to 250 lbs. on wheels with assistance as needed

🪜 Climbing: 1-5 flights of stairs as necessary

↘️ Bending: As required during patient care activities

🦵 Squatting: As necessary while providing patient care

🔄 Rotating: Shoulder and upper body movement as needed

🧎 Kneeling: As necessary while providing patient care

🪜 Reaching: Overhead and extended reaching during patient care

🐾 Crawling: If necessary to safely perform job duties

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👀 Sensory Requirements

✅ Visual acuity sufficient to:

• Assess patients safely and effectively
• Review and complete clinical documentation
• Utilize computers, tablets, and mobile devices

✅ Hearing ability sufficient to:

• Communicate effectively with patients, families, and team members
• Utilize telephones and communication devices
• Respond appropriately to patient needs and environmental conditions

✅ Ability to complete detailed documentation and paperwork accurately and efficiently

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📌 Important Notice

If you have questions or uncertainties regarding your job duties, responsibilities, or scope of practice, please discuss them with your supervisor.

📋 Job descriptions are reviewed periodically and may be updated to reflect changes in patient care needs, regulatory requirements, organizational priorities, or operational demands.

While this document outlines the primary responsibilities of the position, it is not intended to be all-inclusive. Big Bend Hospice reserves the right to add, remove, or modify duties and responsibilities as necessary to meet patient care and business needs. Any such changes will be reasonable in nature and communicated appropriately.

💙 Together, we are committed to providing compassionate care, comfort, dignity, and support to patients and families throughout life's most important journey. 🕊️✨