Hospice RN Case Manager (Registered Nurse)

This role supports our Hand in Hand hospice program, a part of Arc Hospice & Palliative Care family, and is dedicated to compassionate, community-rooted end-of-life care. We are seeking a Full-Time Hospice RN – Case Manager to serve patients across the Navarro and nine surrounding counties.  This role follows a Monday to Friday daytime schedule and includes participation in the on-call rotation, as needed. As a key member of the care team, the RN Case Manager ensures personalized, compassionate care in alignment with each patient's goals and needs.

Overview
The Hospice RN - Case Manager (RNCM) provides skilled nursing assessment, planning, and care to hospice patients and their families. The RNCM manages the full hospice caseload, coordinating with interdisciplinary team members to deliver compassionate and effective care aligned with patients' goals.

Key Responsibilities

• Complete initial and ongoing assessments of patients' physical, emotional, psychosocial, and environmental needs.
• Coordinate with physicians for certification and recertification of terminal illness in compliance with Medicare regulations.
• Serve as the clinical point person for assigned patients, including advanced care planning, symptom escalation, and patient advocacy.
• Coordinate care with all providers and support systems involved in the patient's care to ensure compassionate, seamless hospice services.
• Develop and regularly update individualized care plans in collaboration with the patient, family, and IDG.
• Provide skilled nursing care in accordance with the plan of care and document interventions and outcomes promptly.
• Ensure all documentation supports regulatory and billing compliance, including timeliness standards.
• Educate patients and families about disease progression, symptom management, medications, and hospice philosophy.
• Supervise hospice aides and other care team members, including development and revision of aide care plans.
• Participate in IDG meetings and coordinate with physicians, social workers, chaplains, and bereavement staff.
• Communicate timely and effectively with interdisciplinary team and clinical leadership.
• Participate in the on-call rotation and respond to urgent needs as required.
• Escalate care needs to the medical director or covering provider as clinically indicated.
• Performs other duties as required.

Qualifications

• Graduate of an accredited nursing program; Associate degree or higher preferred.
• Current RN license in practicing state or a valid multistate compact license.
• Minimum one (1) year of hospice, palliative care, or home health experience preferred.
• CPR certification and valid driver's license required.
• Strong clinical judgment, documentation accuracy, and communication skills.
• Knowledge of hospice regulations and Medicare Conditions of Participation preferred.
• Ability to work independently while collaborating across interdisciplinary teams.
• Strong communication, critical thinking, and documentation skills.
• Excellent communication, change management, and project execution skills are required.
• Must demonstrate a strong commitment to Arc Hospice & Palliative Care's mission and values.