RN Case Manager | Palliative | Hospice

Wesley Hospice & Palliative•Federal Way, WA

About The Position

The RN Case Manager coordinates and manages comprehensive hospice care for an assigned caseload of patients and their families. As the primary clinical leader for the caseload, the RN ensures high-quality, compassionate end-of-life care that supports comfort, dignity, patient goals, and family needs. The role collaborates with physicians and interdisciplinary team members to develop, implement, and evaluate individualized plans of care in accordance with regulations, hospice Conditions of Participation, and organizational standards. The position includes patient assessment and care planning, case management across homes and community settings, symptom management and skilled nursing interventions, patient and family education, documentation and regulatory compliance, quality improvement, and team collaboration. It also includes assigned on-call rotations, meetings, training, continuing education, and other duties or projects as assigned.

Requirements

Graduate of an accredited nursing program.
Active Washington State Registered Nurse (RN) license or out-of-state MSL; follow the Washington Nurse Practice Act.
For MSL holders, complete Suicide Prevention Training before hire as required by state regulations and complete the Washington State Board of Nursing MSL demographic survey.
At least one year of nursing experience.
Current CPR certification.
Demonstrated assessment, communication, and care coordination skills.
Ability to work independently and collaborate effectively with interdisciplinary teams.
Valid driver’s license; driving is an essential function and/or legitimate business purpose of the position.
Strong understanding of hospice and palliative care principles.
Excellent clinical judgment and critical-thinking abilities, including the ability to conduct comprehensive patient assessments.
Exceptional interpersonal and communication skills.
Ability to manage multiple priorities, maintain accurate documentation, maintain confidentiality, and exercise discretion.
Compassionate approach to supporting patients and families during serious illness and end-of-life care.
Ability to sit, stand, walk, bend, twist, and reach throughout the workday; lift and move up to 35 pounds; and travel locally throughout the service area.
Ability to provide care in a variety of home and community settings.
Near and far vision acuity sufficient to assess patients and complete documentation.

Nice To Haves

One or more years of hospice, palliative care, home health, oncology, geriatrics, or case management experience.
CHPN (Certified Hospice and Palliative Nurse) certification or willingness to obtain it.
Experience using electronic medical record systems.
Knowledge of Medicare Hospice Conditions of Participation and hospice reimbursement requirements.

Responsibilities

Conduct comprehensive initial and ongoing assessments of patients with terminal illnesses and identify factors affecting their care.
Develop, implement, evaluate, and revise individualized hospice plans of care based on patient goals, disease progression, and symptom-management needs.
Coordinate physician orders and ensure care follows established plans; evaluate patient responses and adjust care as appropriate.
Manage an assigned hospice caseload across homes, assisted living communities, adult family homes, and other care settings.
Serve as the primary clinical contact for patients, families, physicians, and referral sources.
Coordinate services and facilitate communication among interdisciplinary team members; participate in team meetings and care conferences.
Assess and manage pain and other distressing symptoms and provide skilled nursing services such as medication management, wound care, catheter care, and infusion therapy.
Monitor changes in patient condition and promptly communicate significant findings to physicians and the interdisciplinary team.
Educate patients and families about disease progression, symptom management, medications, hospice services, and end-of-life expectations.
Provide emotional support and counseling within scope of practice; help families understand community resources and support care transitions and end-of-life decision-making.
Complete required documentation accurately and on time; maintain current physician orders, certifications, recertifications, and care plans.
Comply with Medicare, Medicaid, accrediting body, state hospice, and HIPAA requirements; use electronic medical records effectively.
Promote evidence-based hospice practices, participate in quality improvement activities, and maintain clinical competence in hospice and palliative care.
Participate in surveys, audits, and regulatory reviews as required.
Collaborate with hospice aides, social workers, chaplains, volunteers, therapists, physicians, and other providers; provide clinical guidance to aides and support personnel.
Participate in assigned on-call rotations and attend required meetings, training, and continuing education.
Perform other duties and special projects as assigned.

Benefits

Medical insurance for full-time and ACA-eligible employees, with family coverage available if elected.
Dental insurance for full-time employees.
Vision insurance for full-time employees.
Group life insurance with employee-only coverage for full-time employees.
Combined paid time off (PTO), including state paid sick leave, accruing at 0.0607 hours per hour worked; accrual increases after two and five years of service.
Six paid holidays and one personal holiday of choice per year, subject to stated eligibility and on-call exclusions.
403(b) retirement plan with a 100% company match on the first 4% of earnings contributed, subject to a five-year vesting schedule and eligibility rules.
On-demand access to net earnings through Dayforce Wallet.
Company-paid Employee Assistance Program (EAP).
Grants through the Wesley Community Foundation for qualifying employees’ emergency assistance and educational advancement.
50% food and beverage discount at Wesley bistros and marketplaces.
Employee recognition and rewards platform, Inspire, where points may be redeemed for merchandise, gift cards, cash cards, tickets, travel, and other experiences.
Competitive wages and a commitment to pay equity.