Weekend Float RN Case Manager, Full-time (Sign-On Bonus Available)

Transitions LifeCare•Raleigh, NC

17d•Remote

About The Position

This is a full-time, field-based clinical role for a Hospice Registered Nurse responsible for weekend coverage. The position requires daily travel between patient locations, independent clinical decision-making, and building relationships with patients and families in their own environments. The role offers the opportunity to practice nursing in a personal and impactful setting, providing care to patients wherever they call home, including private residences, assisted living communities, and skilled nursing facilities. The nurse will conduct scheduled and PRN hospice visits, assess patient needs, provide skilled nursing care, monitor conditions, and deliver compassionate support. Additionally, the role involves clinical leadership, including assessing patients, developing care plans, conducting admissions, analyzing clinical information, and initiating crisis care. The Weekend Float RN Case Manager will also provide coverage for RN Case Managers during PTO, leaves of absence, and periods of increased census, functioning as the RN Case Manager when assigned. This includes coordinating disciplines, delegating and supervising LPNs and CNAs, and collaborating with physicians, social workers, chaplains, hospice aides, and community partners. Responsibilities also include coordinating medical equipment, medications, supplies, and contracted services, participating in quality improvement initiatives, and assisting with onboarding and mentoring new employees.

Requirements

Current Registered Nurse (RN) license in North Carolina
Minimum two years of recent clinical nursing experience
Expert understanding of medical terminology and clinical data interpretation
Current CPR certification
Reliable transportation
Strong assessment, documentation, and care planning skills
Ability to travel throughout the service area and provide care in homes and facilities
Ability to lift and/or carry up to 50 pounds
Ability to independently locate resources and collaborate across disciplines
Strong communication and patient education skills
Competent computer and technology skills

Nice To Haves

BSN
Hospice experience
Home health experience
Skilled nursing or long-term care experience
Certified Hospice and Palliative Nurse (CHPN)
Experience with hospice admissions and case management
Knowledge of Medicare regulations, accreditation standards, reimbursement requirements, and hospice compliance

Responsibilities

Deliver Expert Hospice Nursing Care
Conduct scheduled and PRN hospice visits throughout the community
Assess patient needs and provide skilled nursing care aligned with the hospice plan of care
Monitor patient conditions and implement appropriate interventions to maximize comfort and quality of life
Deliver compassionate support to patients and families navigating serious illness and end-of-life care
Provide Clinical Leadership
Utilize advanced clinical judgment to assess patients and develop individualized care plans
Conduct elective, urgent, and emergent admissions
Analyze complex clinical information to determine appropriate levels of care and interventions
Initiate Crisis Care in accordance with agency protocols and Medicare regulations
Serve as a Flexible Care Team Leader
Provide coverage for RN Case Managers during PTO, leaves of absence, and periods of increased census
Function as the RN Case Manager when assigned
Coordinate all disciplines involved in a patient's care plan
Delegate and supervise LPNs and Certified Nursing Assistants in accordance with regulatory requirements
Collaborate Across the Organization
Work closely with physicians, social workers, chaplains, hospice aides, and community partners
Coordinate medical equipment, medications, supplies, and contracted services
Participate in quality improvement initiatives and clinical excellence programs
Assist with onboarding and mentoring new employees