Hospice RN Case Manager

Optimal Care•Grand Rapids, MI

16h•$80,000 - $85,000•Remote

About The Position

As a clinician owned and operated company, Optimal Care creates the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. This role is perfect for a registered nurse who wants to practice the full scope of nursing while building deep, meaningful relationships with patients and families. You'll have the autonomy to coordinate comprehensive care for your caseload while working collaboratively with our interdisciplinary team to address the physical, emotional, and spiritual needs of those in your care.

Requirements

Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing
Current State License as a Registered Nurse
Minimum 1 year of nursing experience in a clinical care setting
Reliable transportation with valid automobile insurance
Willingness to travel extensively within service area daily

Nice To Haves

Bachelor of Science in Nursing (BSN)
Experience in hospice or home health environment
Advanced nursing assessment and clinical judgment skills
Proficiency in phlebotomy with proper implementation of universal precautions
Ability to assess patients in varied home and facility environments
Strong time management skills with ability to handle multiple priorities and deadlines
Excellent communication and rapport-building abilities
Cultural sensitivity and respect for diverse lifestyles and belief systems
Ability to cope with family emotional stress and end-of-life situations
Self-directed with strong organizational skills
Knowledge of hospice philosophy and palliative care principles

Responsibilities

Provide Expert Hospice Nursing Care: Conduct initial evaluations and ongoing assessments of patients' nursing needs, Deliver skilled nursing services requiring specialized expertise, Demonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV), Manage complex symptoms and provide comfort-focused interventions, Safely and effectively use durable medical equipment and medical devices.
Coordinate Comprehensive Care: Assume primary responsibility for your caseload, including assessment, planning, implementation, and evaluation, Develop and maintain individualized plans of care in collaboration with physicians and the interdisciplinary team, Coordinate services required for hospital discharges to home or facility settings, Supervise and document home health aide and LPN care delivery, Facilitate smooth transitions and ensure continuity of care across all settings.
Collaborate with the Interdisciplinary Team: Participate actively in IDG meetings, offering clinical insights and recommendations, Attend and contribute to nursing facility care conferences, Communicate regularly with physicians, facilities, team members, and the Hospice Medical Director, Coordinate with social workers, chaplains, aides, and other team members to address holistic patient needs.
Support Patients and Families: Build rapport and communicate effectively with patients, families, and caregivers, Assess home safety, environment appropriateness, and support system capacity, Provide education about symptom management, medications, and end-of-life care, Offer appropriate support at time of death and conduct bereavement assessments when requested, Respond with sensitivity to family emotional stress and respect diverse lifestyles.
Maintain Excellence in Documentation and Compliance: Complete all documentation within 24 hours of visits, Document medication regimens and update profiles according to procedures, Ensure clinical notes reflect ongoing communication and care coordination, Maintain compliance with Conditions of Participation and third-party payor requirements, Identify and report potential payment or coverage issues promptly.