RN - Home Care - Leon North - FT

Big Bend Hospice•Tallahassee, FL

About The Position

The RN Home Care Case Manager serves as the primary coordinator of care for assigned hospice patients and their families, promoting comfort, dignity, and quality of life through compassionate, patient-centered care. The role develops, coordinates, implements, evaluates, and updates Interdisciplinary Team (IDT) Plans of Care; provides skilled nursing services; manages pain and symptoms; and supports patients and families throughout end-of-life care. The RN Case Manager ensures compliance with hospice regulations, nursing standards of practice, and Big Bend Hospice policies and procedures. This position provides clinical oversight and supervision to Hospice Aides and Licensed Practical Nurses, and serves as an educator, advocate, mentor, and clinical resource. It coordinates care among physicians, patients, families, facility staff, referral partners, and interdisciplinary team members, while contributing to quality improvement and organizational goals. The role maintains an active caseload of approximately 18–25 patients and completes patient visits and clinical documentation within agency timeframes. The position involves travel throughout the assigned service area and care in home, facility, hospital, and community settings. It requires a current Florida RN license, qualifying nursing experience, a valid Florida driver’s license, automobile insurance, and reliable transportation. The role is full-time; the listed job shift is “Any.”

Requirements

Current, active, and unrestricted Florida Registered Nurse (RN) license.
At least one year of inpatient nursing experience or previous experience in hospice care, home health, or long-term care.
Working knowledge of hospice philosophy and patient-centered end-of-life care.
Excellent verbal and written communication skills and ability to communicate clearly and compassionately in English.
Strong interpersonal skills and ability to build positive relationships with patients, families, physicians, referral sources, and interdisciplinary team members.
Effective negotiation and conflict-resolution abilities.
Strong organization, attention to detail, analytical, assessment, and problem-solving skills.
Ability to prioritize multiple responsibilities, delegate tasks appropriately, and maintain continuity and quality of care.
Sound clinical judgment and decision-making skills.
Integrity, professionalism, confidentiality, accountability, and adherence to organizational policies, regulations, and ethical standards.
Proficiency in Microsoft Office Suite and related software, EMR systems, mobile technology, electronic communication, and clinical documentation.
Ability to manage the physical demands and emotional challenges of caring for terminally ill patients and their families.
Ability to work independently in home, facility, hospital, and community settings and respond to changing patient needs.
Valid Florida driver’s license, current automobile insurance meeting organizational requirements, reliable transportation, and ability to travel throughout the assigned service area.
Ability to perform the described physical activities, including frequent standing and walking; lifting up to 50 pounds; carrying up to 25 pounds; and pushing or pulling up to 250 pounds on wheels with assistance as needed.

Nice To Haves

Previous hospice case management experience.
Experience coordinating interdisciplinary plans of care.
Strong knowledge of pain and symptom management.
Experience working with Electronic Medical Record (EMR) systems.

Responsibilities

Provide comprehensive case management to assigned hospice patients and families.
Coordinate and oversee care delivered by interdisciplinary team members for assigned patients.
Maintain an active caseload of approximately 18–25 patients in accordance with productivity and staffing standards.
Develop, implement, evaluate, and update individualized IDT Plans of Care in collaboration with physicians, patients, families, and team members.
Perform comprehensive patient assessments and reassessments, exercise clinical judgment, and provide skilled nursing interventions.
Manage pain and symptoms and support patients through disease progression, emphasizing comfort, dignity, and quality of life.
Supervise Hospice Aides and initiate Hospice Aide Plans of Care.
Supervise Licensed Practical Nurses and initiate LPN Plans of Care.
Provide clinical guidance and oversight to team members involved in patient care and promote interdisciplinary communication and collaboration.
Maintain accurate, thorough, and timely EMR documentation, including assessments, visits, nursing interventions, pain and symptom management, and care plan updates.
Complete and verify patient visits within agency timeframes and meet documentation and regulatory requirements.
Complete hospice admission assessments, demonstrate competency in intake and admission processes, and help patients and families understand hospice services and care expectations.
Educate patients, families, caregivers, and community partners about hospice philosophy, disease processes, symptom management, and end-of-life care.
Represent Big Bend Hospice professionally and compassionately and build effective relationships with patients, families, facility staff, physicians, referral partners, and community organizations.
Assist with orientation and training of new employees, nursing students, medical students, Family Practice Residents, and volunteers.
Establish and evaluate professional goals and pursue continuing education, conferences, certifications, and other professional development.
Participate in Quality Assurance and Performance Improvement initiatives and meetings, as well as facility-based IDT meetings.
Use supplies, equipment, medications, therapies, and other resources responsibly.
Prioritize visits and patient needs, manage time and documentation, and adapt to changing patient needs and priorities.
Perform additional duties as assigned by the Team Manager, Clinical Director, or Chief Nursing Officer.