RN Case Manager

BETHESDA HEALTH AND HOUSING•Willmar, MN

1d•Hybrid

About The Position

The Hospice RN Case Manager is responsible for providing, coordinating, and monitoring comprehensive end-of-life care for hospice clients in accordance with agency policies and federal/state regulations. Ensures safe, compassionate, and individualized care that supports quality of life, patient dignity, and family involvement.

Requirements

Graduate of an accredited nursing program.
Current Minnesota RN license.
Minimum 1 year of nursing experience, preferably in hospice, palliative, oncology, or geriatric care.
Strong clinical assessment and symptom management skills.
Basic computer proficiency.
Excellent communication (oral/written) and organizational skills.
Compassionate, self-motivated, and team-oriented.
Ability to provide emotional support to families.
Valid driver’s license, insured vehicle.
Understanding of the dying process and hospice philosophy.
Familiarity with CMS Conditions of Participation for Hospice.
Knowledge of pain and symptom control techniques.
Documentation and care planning experience.
Infection control, HIPAA compliance, and quality standards.

Nice To Haves

Preferably in hospice, palliative, oncology, or geriatric care.

Responsibilities

Perform initial, comprehensive, and ongoing nursing assessments.
Develop and implement individualized hospice care plans in collaboration with IDG.
Manage and coordinate symptom control (e.g., pain, dyspnea, nausea).
Provide skilled nursing care and guidance to clients and families.
Educate families on care techniques and the dying process.
Facilitate advance care planning and understanding of services.
Participate in IDG meetings, ensuring effective coordination of care.
Communicate timely updates with physicians and care team.
Coordinate services with hospice aides, social workers, chaplains, and volunteers.
Supervise hospice aide services with routine home visits.
Provide coaching and feedback to hospice aides.
Ensure aide care plans are up to date and services meet patient needs.
Participate in rotating on-call schedule.
Respond to urgent calls, assess, and intervene as necessary.
Document on-call communications and visits.
Maintain timely and accurate documentation in EMR.
Complete all required assessments, care plans, and visit notes.
Ensure compliance with hospice regulations (e.g., HIS, IDG notes, certifications).
Submit documentation to physician and DME/pharmacy providers as needed.
Provide emotional support and grief resources to families.
Serve as a liaison between family, hospice, and other providers.
Support families through active death and post-death care coordination.
Attend mandatory in-services and annual competencies.
Participate in agency quality improvement initiatives.
Promote hospice services through professional, compassionate representation.