RN Case Manager (St.Johns/LTC)

Community Hospice & Palliative Care•Saint Johns, FL

About The Position

The RN Case Manager plans and manages nursing care for an assigned caseload of patients in home or long-term care settings. Working with the interdisciplinary team, the case manager helps achieve patient- and family-directed goals through a holistic, patient-centered approach. The role includes education, communication, and care coordination across different sites, with flexibility to work across care settings. The position requires a current Florida Registered Nurse license, CPR certification, a valid driver’s license with an acceptable driving record, and medical clearance for communicable diseases. Employees must maintain up-to-date immunizations and participate in ongoing professional development and continuing education. Extended and irregular hours may be needed. Employment is at-will, and the organization may modify duties as organizational needs change.

Requirements

Minimum of one year of Registered Nurse experience.
Current Registered Nurse license in the State of Florida.
Valid CPR certification.
Current driver’s license with an acceptable driving record.
Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited nursing program.
Effective verbal, written, and non-verbal communication skills.
Understanding of hospice and palliative nursing principles.
Cultural competence and ethical decision-making in care delivery.
Ability to set professional boundaries and resolve team conflicts.
Strong critical thinking and clinical judgment abilities.
Proficient in time management, organization, and accountability.
Knowledge of infection control and standard precautions.
Medical clearance for communicable diseases.
Up-to-date immunizations (e.g., TB, Hepatitis, Flu).
Ability to work extended and irregular hours as needed.
Ongoing participation in professional development and continuing education.

Nice To Haves

One year of experience in a hospital medical-surgical or oncology setting.
Acceptable alternative experience: Five years of Licensed Practical Nurse experience within the past five years, including one year of hospital medical-surgical or oncology experience.
Equivalent combinations of education and/or experience that provide the listed knowledge, skills, and abilities are acceptable.

Responsibilities

Assess and identify patient and family goals and needs.
Collaborate with interdisciplinary team members to develop and implement individualized care plans.
Participate in team meetings and ethical discussions.
Educate patients and caregivers about disease progression, medications, nutrition, and hospice philosophy.
Coordinate timely and effective responses to changing or urgent patient needs.
Maintain accurate, timely, and compliant documentation.
Support and educate team members, patients, families, and the broader community.
Participate in internal quality improvement initiatives.
Facilitate interdisciplinary group (IDG) meetings in the absence of the manager.
Perform other duties as assigned.