RN Case Manager - Hospice (All Territories)

Conduct hospice admissions, comprehensive assessments, and ongoing patient evaluations while developing and revising individualized plans of care in collaboration with physicians, patients, families, and the interdisciplinary team. Provide skilled nursing care and expert symptom management in patients' homes, assisted living communities, skilled nursing facilities, hospitals, and other care settings. Monitor changes in condition, communicate with physicians and team members, and respond proactively to evolving patient needs. Educate patients and caregivers regarding disease progression, medications, symptom management, comfort measures, and end-of-life care. Provide emotional support, guidance, and compassionate counseling to patients and families throughout the hospice journey. Coordinate care among nurses, social workers, hospice aides, chaplains, volunteers, physicians, and other members of the interdisciplinary team. Participate in Interdisciplinary Group (IDG) meetings and collaborative care planning. Supervise hospice aides and ensure care is delivered in accordance with each patient's plan of care. Maintain accurate, timely clinical documentation that meets Medicare, CHAP, and agency standards. Ensure compliance with all regulatory, infection prevention, HIPAA, and agency policies. Serve as a trusted clinical resource for patients, caregivers, and colleagues. Participate in an on-call rotation to provide support during evenings, weekends, and holidays as scheduled. Mentor and assist with orientation of new staff as appropriate. Represent RVNAhealth with professionalism and compassion throughout the communities we serve.