Hospice RN Care Coordinator

Capital Caring Health; Adler (AL); On-site; USD 70,000 - 104,000; Full time

Job summary

Chapters Health is seeking an RN Case Manager to assess patient and family needs, coordinate the Plan of Care with the Interdisciplinary Team, and provide clinical, palliative and supportive care to help patients stay in their home environment.

You will conduct home visits, educate families, document in EMR, and collaborate with physicians and staff to address evolving needs while ensuring safety and compassionate care.

Qualifications

• Current RN license in the state where working.
• Minimum of 1 year nursing experience; hospice or hospital preferred.
• PACE Alzheimer’s training per Florida Dept of Elder Affairs.
• Experience working with EMR/EHR systems.
• Valid driver’s license and automobile insurance.
• Reliable transportation to meet visit schedule.
• Ability to communicate in English (verbal and written).
• Ability to visit participants in their homes.
• Ability to perform essential functions and physical requirements, incl. lifting.
• Active BLS for healthcare professionals (AHA/Red Cross).

Responsibilities

• Provide and manage direct care as part of IDT with psychosocial, spiritual and physical components.
• Coordinate the Plan of Care with evolving patient needs.
• Educate patients and families about disease, palliation and safety.
• Determine visit frequency based on risk score/needs.
• Conduct home visits to assess safety and compliance with meds and DME.
• Report changes to IDT or other health professionals.
• Participate in IDT reviews for hospice referrals/admissions.
• Attend daily IDT meetings and document succinct reports.
• Communicate clearly with physicians, staff, patients and families.
• Supervise CHWs and HHAs; respond during emergencies as required.

Skills

RN license

Nursing experience

Driver's license

Reliable transportation

English communication

Home visits capability

Physical requirements

BLS certification

Tools

EMR/EHR system

Job description

Chapters Health is seeking an RN Case Manager to assess patient and family needs, coordinate the Plan of Care with the Interdisciplinary Team, and provide clinical, palliative and supportive care to help patients stay in their home environment.

You will conduct home visits, educate families, document in EMR, and collaborate with physicians and staff to address evolving needs while ensuring safety and compassionate care.