Field-Based Hospice RN Case Manager — Lead Care Team

Transitions LifeCare; Raleigh (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Transitions LifeCare, a North Carolina nonprofit hospice, seeks an experienced Community-Based Hospice RN Case Manager in Durham County. You will lead the care team, advocate for patients, and support families through one of life’s most meaningful journeys.

In this autonomous field-based role, you will develop individualized care plans, deliver nursing assessments and symptom management, and ensure care aligns with physician orders and regulatory requirements while teaching and guiding the care

Qualifications

• Current RN license in North Carolina.
• CPR certification required.
• BSN preferred.

Responsibilities

• Develop, implement, and manage individualized hospice care plans based on each patient's goals, needs, and preferences.
• Deliver skilled nursing assessments, interventions, education, and symptom management.
• Monitor patient conditions and adjust care plans utilizing professional nursing judgment.
• Ensure all care is provided in accordance with physician orders, regulatory requirements, and hospice best practices.
• Lead and coordinate the interdisciplinary care team for assigned patients.
• Collaborate with physicians, social workers, chaplains, hospice aides, therapists, volunteers, and community partners.
• Delegate and supervise staff in accordance with regulations and agency standards.
• Facilitate communication among all members of the care team to ensure coordinated, high-quality care.
• Build trusting relationships with patients and caregivers and provide education on disease progression and hospice services.
• Help families navigate healthcare decisions with compassion and confidence.
• Serve as a consistent source of clinical expertise and emotional support.
• Complete timely, accurate, and compliant clinical documentation.
• Monitor utilization of medications, supplies, and equipment; participate in quality initiatives.
• Assist with onboarding and mentoring new team members.

Skills

Communication skills

Patient education

Assessment & care planning

Documentation skills

Travel flexibility

Education

NC RN license

CPR certification

BSN

Job description

Transitions LifeCare, a North Carolina nonprofit hospice, seeks an experienced Community-Based Hospice RN Case Manager in Durham County. You will lead the care team, advocate for patients, and support families through one of life’s most meaningful journeys.

In this autonomous field-based role, you will develop individualized care plans, deliver nursing assessments and symptom management, and ensure care aligns with physician orders and regulatory requirements while teaching and guiding the care