Registered Nurse - Hospice Case Manager
Join a dedicated hospice team in Missoula, Montana, as a Registered Nurse Case Manager. This role involves providing comprehensive skilled nursing and compassionate case management to patients and their families in their place of residence. You will play a crucial role in coordinating care, ensuring continuity, and facilitating optimal clinical and quality-of-life outcomes through an interdisciplinary approach.
The position focuses on patient assessment, planning, implementation, and evaluation of care, with a strong emphasis on patient and family education. While primarily a Case Manager role, the position may initially involve duties as a Visiting RN, with the same core clinical responsibilities.
Key Responsibilities
- Provide skilled nursing care and coordinate services for hospice patients in their residential settings, based on physician authorization and an interdisciplinary team approach.
- Conduct thorough assessments of patients' physical and psychosocial statuses, including changes in condition, and develop individualized care plans.
- Implement and evaluate interventions, monitor patient responses to treatments and medications, and adjust care plans as necessary.
- Oversee and evaluate the care provided by Home Health Aides and Certified Nursing Assistants (CNAs) to ensure adherence to the plan of care.
- Ensure seamless continuity of care through effective communication, information exchange, and case conferences with other disciplines and community resources.
- Promote optimal health and quality of life through patient and family teaching, counseling, appropriate interventions, and referrals, focusing on symptom management.
- Maintain accurate, current, and complete patient records in accordance with agency standards, OASIS requirements, and current reimbursement regulations.
- Participate in team scheduling coordination and an on-call rotation, which includes telephone assessments and making home visits as required to meet patient care needs.
- Engage in quality improvement activities and attend mandatory in-service training sessions.
Required Qualifications
- Valid driver’s license, appropriate auto insurance, and reliable transportation.
Preferred Qualifications
- Bachelor of Science in Nursing (BSN).
- Two (2) years of recent experience in acute care, home care, or hospice settings.
- Proficiency with Homecare Homebase (HCHB) electronic medical record system.
Skills & Competencies
- Clinical Skills: Venipuncture, catheterization, wound care, parenteral therapy, comprehensive patient assessment, pain and symptom management, end-of-life care planning.
- Soft Skills: Excellent communication and interpersonal skills, critical thinking, problem-solving, strong organizational and time management abilities, ability to work autonomously and collaboratively within an interdisciplinary team, patient and family education, empathy, and cultural sensitivity.
Shift Details
- Shift Type: Day shift (AM)
- Shift Duration: 8 hours per day
- Days per Week: 5 days
- Contract Length: 13 weeks
- Start Date: August 27, 2026
- Call Requirements: Participation in an on-call rotation schedule is required.
- Weekend Rotations: Not specified for regular shifts, but includes participation in on-call rotation.
Licensing Requirements
- Current Registered Nurse (RN) license in the State of Montana.