Hospice Case Manager Registered Nurse

Trinity Health • Fresno, CA

4d • Hybrid

About The Position

The Hospice RN Case Manager is responsible for delivering comprehensive, patient-centered nursing care to hospice clients. This role serves as the primary coordinator of care, ensuring patients receive appropriate symptom management, emotional support, and end-of-life care aligned with physician orders and hospice plans.

Requirements

• RN license in state of practice
• Graduate of accredited nursing program
• CPR certification
• 1 year acute care nursing experience
• Valid driver’s license and reliable transportation
• 1 year professional nursing experience required (California-specific)

Nice To Haves

• Hospice/home health experience preferred
• Strong communication skills, especially around grief/loss

Responsibilities

• Perform patient assessments, develop and update individualized care plans
• Manage overall patient care, serving as the designated case manager
• Monitor patient condition and communicate changes to physicians and care team
• Provide symptom management using evidence-based hospice/palliative practices
• Deliver education to patients and families on disease progression, self-care, and end-of-life expectations
• Collaborate with interdisciplinary team (IDT/IDG), including physicians, aides, and other clinicians
• Coordinate referrals and services to ensure timely, efficient care
• Lead case conferences and contribute to care planning discussions
• Provide functional supervision to LPNs and Hospice Aides
• Conduct supervisory visits (bi-weekly for aides, monthly for LPNs)
• Delegate tasks appropriately based on skill level
• Participate in training, orientation, and mentoring of staff
• Maintain accurate, timely clinical documentation (assessments, care plans, visits, physician communications)
• Ensure compliance with federal/state regulations, hospice standards, and agency policies
• Uphold confidentiality and HIPAA standards
• Address grief, loss, and emotional needs of patients and caregivers
• Provide anticipatory guidance around the dying process
• Promote dignity, comfort, and quality of life

Benefits

• Equal Opportunity Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree