Nurse Case Manager - Hospice Registered Nurse

Nurse Case Manager - Hospice Registered Nurse

We are seeking a Registered Nurse to service our patients throughout the Pee Dee area. The Nurse Case Manager is a critical part of the patient’s care team, visiting patients and facilitating care with the appropriate provider. The role requires traveling to patients’ homes, long‑term care facilities, and other settings to evaluate patients and initiate telemedicine visits, while ensuring quality healthcare is delivered in adherence to all applicable laws, regulations, and policies within the scope of practice.

• Sumter/Florence area

Your Health is a leading physician group serving South Carolina and Georgia. We deliver comprehensive primary care, specialty services, and pharmacy support to patients in homes, clinics, and through virtual visits, focusing on coordinated, compassionate care.

• Competitive Compensation Package with Bonus Opportunities
• Employer Matched 401(k)
• Free Visit & Prescriptive Services with HDHP Insurance Plan
• Employer Matched HSA
• Generous PTO Package
• Career Development & Growth Opportunities
• Vehicle allowance

• Facilitate receiving all medical records from the patient’s primary provider and specialists.
• Review medical records.
• Complete consents with patients.
• Enroll patients in Care Management, if they meet eligibility criteria.
• Initiate a Care Management Plan of Care, if the patient is eligible.
• Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
• Complete AWVs that are reviewed by the provider.
• Complete cognitive impairment screenings.
• Complete Social Determinants of Health (SDoH) assessments and/or screenings.
• Complete ACPs that are reviewed with the patient by the provider.
• Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
• Evaluate for RPM devices, resources, or tools that may improve the patient’s quality of life.
• Communicate and coordinate care.
• Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
• Provide post‑discharge education.
• Evaluate for adaptive equipment and DME.
• Evaluate for safe environment.
• Evaluation of acute condition(s) or follow‑up from previous visit.
• Appropriately and accurately document and log Care Management activities; work in conjunction with the care team to keep the patient’s Care Management care plans up to date.
• Coordinate with the patient’s health care team, providers, physical and occupational therapists, home health or hospice representatives and other individuals in the patient’s care plan.
• Facilitate visits with appropriate provider or entity.
• Facilitate a telehealth visit with a provider for coordination of care, when necessary.
• Coordinate with the patient’s hospice interdisciplinary team and other individuals in the patient’s care plan.
• Participate in IDG meetings, when necessary.

• Registered Nurse with a license in good standing with the appropriate board/issuer.
• Minimum of three (3) years of clinical experience preferred.
• Experience in community settings preferred.
• Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
• Strong written and verbal skills.
• Basic computer knowledge.
• Ability to manage and demonstrate effective leadership skills.
• Demonstrated good interpersonal and communication skills under all conditions and circumstances.
• Ability to foster a cooperative work environment.
• Team player with the ability to manage multiple responsibilities and demonstrate sound judgment.
• Must be able to work flexible hours and travel between offices, facilities, etc.; must be a licensed driver with a vehicle that is insured and in good working order.

Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions of this position.

Mid‑Senior level

Full‑time

Strategy/Planning and Information Technology

Hospitals and Health Care