RN Case Manager M-F Facilities Team

Position Summary

The hospice RN provides comprehensive, professional nursing care to patients in both homecare and assigned facility settings, including conducting admissions visits for new patients and delivering ongoing education to facility staff. The role includes performing thorough initial and ongoing assessments, developing and updating individualized plans of care, managing symptoms, and offering psychosocial and end-of-life support to patients and families. The nurse consults with and educates caregivers and facility partners on disease processes, comfort measures, and hospice philosophy, ensuring consistent, high-quality care across settings.

RN Case Manager

Clinical Services

The hospice RN provides comprehensive, professional nursing care to patients in both homecare and assigned facility settings, including conducting admissions visits for new patients and delivering ongoing education to facility staff. The role includes performing thorough initial and ongoing assessments, developing and updating individualized plans of care, managing symptoms, and offering psychosocial and end-of-life support to patients and families. The nurse consults with and educates caregivers and facility partners on disease processes, comfort measures, and hospice philosophy, ensuring consistent, high-quality care across settings.

Using a case-management approach, the RN coordinates all aspects of patient care such as bath aide services, DME, medications, and interdisciplinary referrals while maintaining timely, accurate documentation in both agency and facility records. The nurse collaborates closely with physicians, interdisciplinary team (IDT) members, hospital and facility staff, and other care partners to communicate changes in condition, support discharge planning, and facilitate smooth transitions of care.

The role includes supervising CNAs, LVNs, and homemakers, maintaining professional boundaries, and practicing effective self-care to sustain high-quality clinical performance.

REPORTS TO:

Team Leader

SUPERVISES:
None

All comments, actions and behaviors have a direct effect on the public’s perception of Hospice Austin. Interactions with patients, family members, physicians, referral sources, visitors, co-workers, etc. must be in a manner that is courteous, respectful, cooperative and professional. This behavior should promote an atmosphere of teamwork and positive relations.

• Provides professional nursing care for hospice patients in the homecare and assigned facility settings.
  • Performs initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychosocial, and environmental needs and activities of daily living, including any risk for pathological grief, cultural and spiritual implications, and verbal and non-verbal communication patterns.
  • Performs comprehensive nursing assessments, including vital signs, pain assessment, breath sounds, and other clinically indicated evaluations.
  • Triages patient care concerns and determines appropriate interventions.
  • Initiates preventive, comfort-focused, and rehabilitative nursing procedures as needed and facilitates transition to another level of hospice care when appropriate.
  • Develops, maintains, and updates individualized plans of care, performing specialized nursing skills related to palliative and end-of-life care, symptom management, and comfort measures.
  • Consults with and educates patients and caregivers, including hospital, alternate living facility, or home health staff, regarding disease process, self-care techniques, end-of-life care, comfort measures, medication use and side effects, and…