RN Care Manager, Supportive/Palliative Care

Strive Health

11h•$79,000 - $94,000•Hybrid

About The Position

The Supportive/Palliative Care Registered Nurse (RN) delivers high-quality, person-centered clinical support to patients living with serious and progressive illness. The RN helps patients and families clarify goals, manage symptoms, navigate complex care decisions, and access appropriate services. The role works with clinical and operational partners to strengthen the supportive and palliative care model, improve patient and caregiver experience, and support care aligned with each patient’s goals and needs. The position includes comprehensive nursing assessment, patient and caregiver education and coaching, care coordination, proactive follow-up, and accurate documentation. The RN identifies changes in condition, unmet needs, and clinical risk; facilitates goals-of-care and advance care planning conversations; coordinates transitions and services across care settings; and contributes nursing expertise to individualized care plans, case reviews, workflows, and program improvements. The role requires travel and on-site work across an assigned region, which may include offices, clinics, and patient homes.

Requirements

Associate’s degree from an accredited school of nursing.
Current state-specific RN licensure, with additional licensure as required to meet regional needs.
Current and active hospice and palliative nursing certification.
At least 3 years of experience in palliative care, supportive care, and/or hospice nursing.
Current BLS certification.
Internet connectivity with minimum speeds of 3.8 Mbps down and 3.0 Mbps up, and latency under 60 ms.
Efficient and reliable transportation, including an active driver’s license, for travel across an assigned region to meet patient needs.
Ability to travel and be on-site to meet business needs.

Nice To Haves

Experience caring for patients with serious, complex, or progressive illness across clinical, social, and behavioral health needs.
Experience leading goals-of-care and advance care planning conversations using serious-illness communication frameworks and shared decision-making.
Strong clinical judgment, including integrating clinical information, recognizing changes in condition, and escalating appropriately.
Ability to communicate prognosis, uncertainty, and sensitive topics with empathy and clarity, and to build trust and psychological safety with patients, caregivers, and colleagues.
Ability to advocate for patient values, dignity, and equitable access to care.
Ability to work independently while collaborating effectively across disciplines and with external care partners.
Reliable follow-through, organization, prioritization, and documentation.
Experience using EHRs, registries, and care-management platforms to manage longitudinal care.
A continuous-improvement mindset focused on workflows, patient experience, quality, and outcomes.

Responsibilities

Conduct comprehensive clinical assessments covering symptom burden, functional status, psychosocial needs, caregiver capacity, health literacy, and goals of care.
Build trusting relationships with patients and caregivers using compassionate, culturally responsive communication.
Educate and coach patients and caregivers about disease progression, symptom management, medication use, advance care planning, and supportive services.
Identify changes in condition, unmet needs, clinical risks, urgent symptoms, safety concerns, caregiver strain, and transitions in care; escalate through appropriate clinical pathways.
Facilitate goals-of-care conversations with treating clinicians and the broader care team, and support advance care planning, including documentation and communication of patient preferences when appropriate.
Coordinate care across primary care, nephrology, specialty care, hospice, home-based services, behavioral health, social services, and community resources.
Help patients and caregivers understand treatment options, expected outcomes, and transitions in care.
Participate in interdisciplinary case reviews and contribute nursing expertise to individualized, goal-concordant care plans.
Collaborate with supportive care RNs and other care-team members to coordinate patient support, share clinical insights, and promote continuity of care.
Track follow-up needs and close communication loops with patients, caregivers, and internal and external partners.
Document assessments, interventions, education, care coordination, and outcomes accurately and in a timely manner.
Identify recurring barriers or gaps in care and contribute to workflow, education, and program-improvement initiatives.
Review referrals, registries, and clinical information to identify patients who may benefit from supportive or palliative care.
Engage patients and caregivers using clear, non-stigmatizing language that distinguishes supportive and palliative care from end-of-life care; assess readiness, preferences, and barriers to participation.
Complete structured nursing assessments and synthesize clinical, functional, psychosocial, and caregiver information.
Provide proactive follow-up, reinforce symptom-management strategies, connect patients to appropriate clinical and community resources, and reassess goals and needs as circumstances change.
Coordinate transitions between settings and help reduce avoidable fragmentation in care.
Bring a nursing perspective to case conferences, program design, and operational problem-solving; share insights about patient and caregiver needs, access barriers, and opportunities to improve care delivery.
Contribute to onboarding, peer learning, and the development of supportive/palliative care workflows and educational materials.
Model the principles of supportive and palliative care in patient and team interactions.