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Hospice RN Case Manager 7 On / 7 Off On-Call

Elysian Hospice
San Antonio, TX Full Time
POSTED ON 4/25/2026
AVAILABLE BEFORE 6/25/2026

Location: San Antonio, TX

Job Summary:

The Hospice Registered Nurse (RN) is responsible for providing skilled nursing care to hospice patients in their place of residence and coordinating patient care with the Interdisciplinary Team (IDT), physicians, patients, and families. The RN performs comprehensive assessments, develops and manages hospice plans of care, and ensures quality patient care and regulatory compliance throughout the hospice care process.

This role requires strong clinical assessment skills, care coordination experience, and the ability to work independently in a hospice field setting while collaborating with the interdisciplinary care team.

The RN will also participate in a 7-on/7-off on-call rotation, providing after-hours support, responding to patient needs, triaging calls, and making visits as necessary to ensure continuity of care and timely intervention for hospice patients and families.

Qualifications:

Qualifications:

  • Registered Nurse (RN), licensed per state requirements
  • Hospice experience preferred
  • Home Care Home Base (HCHB) experience preferred
  • Strong clinical assessment, communication, and documentation skills
  • Experience working within an interdisciplinary healthcare team
  • Knowledge of hospice regulations, documentation, and care planning preferred
  • Reliable transportation, valid driver’s license, and current auto liability insurance
  • Ability to read, write, and communicate effectively in English

Essential Functions:

  • Perform initial and ongoing comprehensive nursing assessments for hospice patients
  • Participate in a 7 on / 7 off on-call rotation, providing after-hours coverage for patient needs
  • Develop, implement, and update individualized hospice plans of care to ensure quality and continuity of care
  • Coordinate patient care with the Interdisciplinary Team (IDT), physicians, patients, and families
  • Educate patients and families on disease process, medications, symptom management, and end-of-life care
  • Determine scope and frequency of nursing services based on patient condition and care needs
  • Supervise and provide clinical direction to Hospice Aides and LVN/LPN staff
  • Maintain accurate and timely clinical documentation in the electronic medical record
  • Communicate changes in patient condition to physicians and interdisciplinary team members
  • Ensure compliance with Medicare hospice regulations, documentation standards, and agency policies
  • Participate in case conferences, IDT meetings, and care coordination activities
  • Monitor assigned cases to ensure compliance with third-party payer and hospice requirements
  • Promote hospice philosophy and provide compassionate, patient-centered end-of-life care

 

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

 

Please visit cantexcc.com for more information on this location.

 

#HCBSRN

 

Salary.com Estimation for Hospice RN Case Manager 7 On / 7 Off On-Call in San Antonio, TX
$76,514 to $92,099
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