RN Case Manager (Clay/Home Care)

Community Hospice and Palliative Care; Town of Florida (NY); On-site; USD 75,000 - 95,000; Full time

Job summary

Community Hospice and Palliative Care in Florida is seeking an RN Case Manager to plan and manage nursing care for an assigned caseload across home and long-term care settings, coordinating with the interdisciplinary team to meet patient- and family-centered goals.

The role involves educating patients and caregivers, coordinating care across sites, and participating in IDG meetings, with flexibility to work across care settings and extend hours as needed.

Qualifications

• Effective verbal, written, and non-verbal communication skills.
• Understanding of hospice and palliative nursing principles.
• Cultural competence and ethical decision-making in care delivery.
• Ability to set professional boundaries and resolve team conflicts.
• Strong critical thinking and clinical judgment abilities.
• Proficient in time management, organization, and accountability.
• Knowledge of infection control and standard precautions.

Responsibilities

• Plan and manage nursing care for an assigned caseload in home or long-term care settings.
• Collaborate with interdisciplinary team to develop and implement individualized care plans.
• Participate in team meetings and ethical discussions.
• Educate patients and caregivers about disease progression, medications, nutrition, and hospice philosophy.
• Coordinate timely and effective responses to changing or urgent patient needs.
• Maintain accurate, timely, and compliant documentation.
• Support and educate team members, patients, families, and the broader community.
• Participate in internal quality improvement initiatives.
• Facilitate interdisciplinary group (IDG) meetings in the absence of the manager.
• Perform other duties as assigned.

Skills

Communication skills

Hospice nursing principles

Cultural competence

Professional boundaries

Critical thinking

Time management

Infection control

Education

ADN/BSN

Job description

Position Summary

The RN Case Manager is responsible for planning and managing the nursing care of an assigned caseload of patients in home or long-term care settings. In collaboration with the interdisciplinary team, the RN Case Manager ensures that patient- and family-directed goals are achieved using a holistic, patient-centered approach. The role includes providing education, facilitating communication, and coordinating care across various sites. Flexibility in work location across care settings is required.

Essential Functions

• Assess and identify patient and family goals and needs.
• Collaborate with interdisciplinary team members to develop and implement individualized care plans.
• Participate in team meetings and ethical discussions.
• Educate patients and caregivers about disease progression, medications, nutrition, and hospice philosophy.
• Coordinate timely and effective responses to changing or urgent patient needs.
• Maintain accurate, timely, and compliant documentation.
• Support and educate team members, patients, families, and the broader community.
• Participate in internal quality improvement initiatives.
• Facilitate interdisciplinary group (IDG) meetings in the absence of the manager.
• Perform other duties as assigned.

Qualifications

Knowledge and Critical Skills

• Effective verbal, written, and non-verbal communication skills.
• Understanding of hospice and palliative nursing principles.
• Cultural competence and ethical decision-making in care delivery.
• Ability to set professional boundaries and resolve team conflicts.
• Strong critical thinking and clinical judgment abilities.
• Proficient in time management, organization, and accountability.
• Knowledge of infection control and standard precautions.

Experience

• Minimum of one year of Registered Nurse experience.
• Preferred: One year of experience in a hospital medical-surgical or oncology setting.
• Acceptable alternative: Five years of Licensed Practical Nurse experience within the past five years, including one year of hospital medical-surgical or oncology experience

License / Certification

• Current Registered Nurse license in the State of Florida.
• Valid CPR certification.
• Current driver’s license with an acceptable driving record.

Education

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited nursing program.

Other Requirements

• Medical clearance for communicable diseases.
• Up-to-date immunizations (e.g., TB, Hepatitis, Flu).
• Ability to work extended and irregular hours as needed.
• Ongoing participation in professional development and continuing education.

The knowledge, skills and abilities listed above are typically acquired through the levels of education and experience listed. However, any equivalent combination of education and/or experience, which provide an applicant with the listed knowledge, skills, and abilities to perform the essential duties and responsibilities of the job, is acceptable.

This description is intended to describe the general nature and level of work performed by employees assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, qualifications, or working conditions required of employees in this position. The organization reserves the right to modify or amend the duties of the position or to require that additional tasks be performed as organizational needs change. This description does not constitute a contract of employment, and employment with the organization is at-will, meaning either the employee or the organization may terminate the relationship at any time, with or without cause or notice.