Hospice RN Case Manager

Make a difference every day as a Hospice RN Case Manager—deliver compassionate care, guide families through end‑of‑life journeys, and collaborate with an interdisciplinary team.

Summary of Responsibilities:

The Hospice RN Case Manager reports to the Hospice Clinical Director and provides nursing care and case management to patients and families within and outside of The Highlands at Wyomissing campus. Implements nursing interventions and coordinates patient/family interdisciplinary plans of care, and supervises personnel to deliver care and coordinate care delivery.

Essential Functions/Duties:

• Completes an initial, comprehensive, and ongoing assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illnesses.
• Provides professional nursing care by utilizing all elements of the nursing process.
• Assesses and evaluates patient’s status by:
  • Writing and initiating plan of care.
  • Regularly re‑evaluating patient and family/caregiver needs.
  • Participating in revising the plan of care as necessary.
  • Using health assessment data to determine nursing diagnosis.
• In conjunction with the Interdisciplinary Group (IDG) develops a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions.
• Includes the patient and the family in the planning process.
• In conjunction with the Physician, adds medications and treatments as prescribed by the physician to the patient’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient/family as appropriate per assessment and plan.
• Participates in on‑call duties as defined by the on‑call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in‑service classes.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.
• Participates in and completes all required ongoing training, including monthly online and in‑person training, annual skills competencies education, and role‑specific certifications, to ensure continued competence and adherence to organizational and regulatory standards.

Required Skills/Abilities:

• Familiarity with Microsoft Outlook, Surface Pro Tablet, iPhone.
• Ability to learn and navigate EMR system.
• Clear, concise, and effective communication within the hospice team, patient/family dynamic, and pertinent healthcare professionals.
• Ability to provide education to patients and family members regarding death and the dying process in a compassionate manner.
• Ability to adapt to changes in patient acuity, changing priorities and managing unexpected situations.
• Knowledge of end‑of‑life symptom management and pharmacological and non‑pharmacological interventions.
• Self‑directed and able to work with minimal supervision.
• Demonstrates excellent observation, problem solving, verbal and written communications, nursing skills per competency checklist.
• Shows ability to organize and prioritize workload independently.

Core Values:

• AMBASSADOR: Represents The Highlands at Wyomissing® in a positive light with integrity. Takes pride in our community.
• COMMITMENT: Dedicated, adaptable, tolerant, dependable, focused, and passionate. Often does more than is required. Reports to work as scheduled and timely.
• COMPASSIONATE: Is empathetic, mindful, and kind.
• INNOVATIVE: Is curious. Identifies new methods and efficiencies.
• RESULTS‑DRIVEN: Has a strong sense of urgency about solving problems and completing work. Exerts unusual effort over time to achieve a goal. Maintains commitment to goals in the face of obstacles and frustrations.
• TEAM ORIENTED: Works cooperatively and effectively with others to achieve common goals.

The Highlands’ Traditions (Customer Service Expectations):

• SAFETY: Practices safe behaviors to ensure…