Hospice RN Case Manager Full Time

Aveanna Healthcare•Duluth, GA

23h

About The Position

The Hospice RN Case Manager provides pain management and symptom control to hospice patients according to the plan of care established by the hospice team and attending physician. The role ensures timely delivery of hospice services and coordinates comprehensive care for patients and their families in collaboration with the interdisciplinary team, attending physician, Hospice Medical Director, and other providers. The position covers Gwinnett and Dekalb Counties and follows a Monday–Friday schedule with a shared on-call rotation. The RN assesses patients’ and families’ needs during scheduled and after-hours home visits, documents assessments and care outcomes, contributes to the development and revision of care plans, and supports continuity of care across providers and care settings. The RN also educates patients and caregivers about hospice care, supervises Hospice Aides and Licensed Practical Nurses, coordinates services for patients in long-term care facilities, participates in on-call coverage, and monitors continued eligibility for hospice services.

Requirements

Active RN license in the state of application.
Valid CPR.

Nice To Haves

At least one year of experience in a hospice setting.

Responsibilities

Ensure timely and adequate delivery of hospice services to terminally ill patients and their families according to the plan of care.
Assess patient and family needs during regularly scheduled and after-hours home visits; document assessments, problems, nursing interventions, goals, and outcomes.
Coordinate patient and family hospice care with the interdisciplinary team, attending physician, other providers, and under the supervision of the Director; document coordination.
Collaborate with the interdisciplinary team to develop, review, and revise the clinical component of patient and family care plans, including exchanging information, reviewing problems, evaluating interventions, and documenting outcomes.
Maintain continuity of care among patients and families, team members, ancillary providers, long-term and inpatient care facilities, and attending physicians.
Communicate patient, family, and caregiver needs and ongoing nursing assessments, interventions, goals, and outcomes through the interdisciplinary process.
Provide and document continuing education about the hospice concept of care for patients and their families or caregivers.
Supervise care delivered by Hospice Aides and Licensed Practical Nurses, ensure compliance with the established plan of care, and complete required supervision documentation.
Coordinate hospice services for patients in long-term care facilities, document joint coordination with facility professional staff, and attend facility care plan meetings as appropriate.
Participate in the on-call rotation, including after-hours, weekend, and holiday care.
Monitor ongoing patient appropriateness for hospice services and complete certification and recertification documentation.