RN Case Manager; Plant Area, Dover, Thonotosassa, Valrico, Seffer LifePath Hospice

Role Overview

The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.

• Provide and manage direct care to patients and families as part of the IDT, incorporating psychosocial, spiritual, cultural, physical and biological components.
• Coordinate the Plan of Care, ensuring an individualized plan reflects the patient’s evolving needs.
• Educate patient, family, caregivers and other health professionals about disease process, prevention, palliative interventions, caregiving, dying process, and safety practices.
• Perform home visits to assess safety, medication compliance, nutritional compliance, and durable medical equipment compliance.
• Report changes in the patient’s condition to appropriate members of the IDT or other health professionals.
• Participate with the IDT to evaluate hospice referrals/admissions for level‑of‑care appropriateness and attend daily IDT collaboration meetings.
• Present concise and pertinent oral and written reports to the IDT; encourage input from all disciplines.
• Communicate accurately and completely to physicians, staff members, patients, families, and supervisors; utilize positive approaches when working with others.
• Supervise patient care provided by Community Health Workers and Home Health Aides as requested.
• Respond to emergencies (e.g., hurricanes) by reporting to designated locations and providing continuity of services.
• Perform other duties as assigned.

• Current RN license in the state where the employee will be working.
• Minimum of one year of nursing experience; hospice or hospital experience preferred.
• Certification of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs (for PACE employees).
• Prior experience with an EMR/EHR system.
• Valid driver’s license and automobile insurance per company policy; reliable transportation.
• Ability to use equipment with visual and auditory mechanisms.
• Effective verbal and written communication in English.
• Ability to perform essential functions and physical requirements, including lifting patients and equipment, bending, pushing, pulling, and kneeling.
• Active Basic Life Support (BLS) for healthcare professionals from the American Heart Association or Red Cross.

• Provides reassurance on the phone to patients and families, assists in finding solutions, and coordinates in‑person visits when needed.
• Utilizes appropriate support/expert resources to resolve complex situations.
• Documents patient/family contact information in the EMR and communicates with the IDT.
• Completes initial and semi‑annual assessments for all services.
• Obtains physician orders and completes documentation per company policy.
• Acts as the company representative at assigned facilities, facilitating referrals to all service lines.
• Communicates frequently with IDT members and provides clinical communication in a timely manner using SBAR.

The role requires the ability to see, hear, talk, walk, use hands, stand, sit, reach, lift, bend, balance, pull, push, stoop/crouch, kneel, and climb stairs.

• Pay Range: $61,860.66 – $96,657.28.
• Requires consent to drug and/or alcohol testing after a conditional offer of employment and ongoing compliance with the Drug‑Free Workplace Policy.
• All employees performing services for Florida affiliates undergo background screening through the Florida Care Provider Background Screening Clearinghouse after a conditional offer of employment and ongoing eligibility checks.

Monday – Friday, 8:00 a.m. – 5:00 p.m. (no weekend work).