RN Case Manager | Home Health

Wesley Homes; Federal Way (WA); On-site; USD 94,000 - 142,000; Full time

Benefits offered by this job

Health benefits

PTO & Holidays

403(b) match

On-demand pay (Dayforce Wallet)

EAP

Job summary

Wesley Homes seeks an experienced RN Case Manager for hospice services in Washington. You will coordinate comprehensive care for patients and families, acting as the clinical lead for an assigned caseload and collaborating with physicians, social workers, and other IDG members to deliver high-quality end-of-life care.

Must be available to work weekends and after-hours under a 5pm–8am weekday shift plus weekend hours.

Qualifications

• Graduate of an accredited nursing program.
• Active RN license in WA.
• Follow the Washington Nurse Practice Act.
• Minimum of one year of nursing experience.
• Current CPR certification.
• Ability to travel locally throughout the service area.

Responsibilities

• Conduct comprehensive initial and ongoing patient assessments.
• Develop, implement, and revise individualized hospice plans of care.
• Identify factors affecting patient care and coordinate physician orders.
• Coordinate services among the interdisciplinary group for continuity of care.
• Maintain accurate EMR documentation and ensure HIPAA compliance.

Skills

Clinical judgment

Communication skills

Nursing assessment

HIPAA compliance

Education

RN license WA

Tools

EMR systems

Job description

Pay Class: Full-Time Shift: Night Shift Work Availability: Available Mon-Fri

We understand that finding a place to belong is important. At Wesley, we care about your development, we are committed to continuous improvement, and we all grow together.

Wesley is a place where your energy and enthusiasm are welcome and your talents are developed. A place where you feel recognized, valued and rewarded. A place where you can dedicate yourself to caring for others, knowing that you are part of an organization that is equally dedicated to caring for you and your career.

Our Total Rewards philosophy takes a balanced approach, designed to support employees at every stage of their career journey. We review our offerings annually to ensure theyremainmeaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation:

Health & Insurance Benefits

• Employees, and their families if elected, can participate in medical insurance (full time and ACA eligible), dental (full time), vision (full time) and group life (employee only coverage - full time).

Time Off & Holidays

• We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. The PTO accrual rate increases after two years of service and again after five years of service.
• We offer 6 Paid Holidays (8 hours - full time, 6 hours - part-time per event, excluding on-call staff) and 1 Personal Holiday of Choice per year (excluding on-call staff).
• Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule for the company match, and minors are ineligible for the company match.
• Gain access to your net earnings when you need it with on-demand pay through Dayforce Wallet.
• To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees for both emergency assistance and educational advancement.
• A food and beverage discount of 50% is available to all employees at any Wesley bistro and marketplace.

Recognition That Matters

• The efforts and contributions of our valued employees are celebrated on our best-in-class recognition and reward platform, Inspire. Points earned for assorted reasons may be redeemed for a variety of merchandise, gift cards, cash cards, tickets, travel and other experiences selected by the employee.

Wesley is two-time winner of the LeadingAge Washington Excellence in the Workplace Award.

This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is https://wesleychoice.org/careers/. Wesley is not responsible for content on third-party job boards. Salary ranges, benefits and other compensation are subject to change.

Enrich the lives of older adults through community, choice, and continuing care in the RN Case Manager, Hospice role.

The RN Case Manager is responsible for coordinating and managing the comprehensive care of hospice patients and their families. This position serves as the primary clinical leader for an assigned caseload, ensuring the delivery of high-quality, compassionate end-of-life care that supports comfort, dignity, patient goals, and family needs.

The RN Case Manager collaborates with physicians, social workers, spiritual care providers, hospice aides, volunteers, therapists, and other interdisciplinary team members to develop, implement, and evaluate individualized plans of care in accordance with federal and state regulations, hospice Conditions of Participation, and organizational standards. This role is central to coordinating hospice services, communicating with patients and families, and ensuring excellent clinical outcomes and patient experiences.

Must be available to work weekends and after-hours. This role is specific to a scheduling pattern covering 5pm to 8am on weekdays and all hours on weekends. It is a 7-on, 7-off scheduling pattern. Find your sense of belonging at Wesley!

You will provide continuing care through these responsibilities.

Essential functions of this position include the following.

Patient Assessment & Care Planning

• Conduct comprehensive initial and ongoing assessments of patients with terminal illnesses.
• Develop, implement, and revise individualized hospice plans of care based on patient goals, disease progression, and symptom management needs.
• Identify physical, emotional, psychosocial, spiritual, and environmental factors affecting patient care.
• Coordinate physician orders and ensure care is provided in accordance with established plans of care.
• Evaluate patient response to treatments and interventions, modifying care plans as appropriate.

Case Management & Care Coordination

• Manage an assigned caseload of hospice patients across homes, assisted living communities, adult family homes, and other care settings.
• Serve as the primary clinical contact for patients, families, physicians, and referral sources.
• Coordinate services among the interdisciplinary group (IDG) to ensure continuity and effectiveness of care.
• Facilitate communication among all care team members regarding patient status, goals, and care plans.
• Participate actively in interdisciplinary team meetings and care conferences.

Symptom Management & Clinical Care

• Assess and manage pain and other distressing symptoms associated with terminal illness.
• Provide skilled nursing services including medication management, wound care, catheter care, infusion therapy, and other hospice-related clinical interventions.
• Monitor changes in patient condition and communicate significant findings promptly to physicians and the interdisciplinary team.
• Ensure timely interventions to maximize comfort and quality of life.

Patient & Family Education

• Educate patients and families regarding disease progression, symptom management, medications, hospice services, and end-of-life expectations.
• Provide emotional support and counseling within scope of practice.
• Assist families in understanding available community resources and support services.
• Support patients and families through care transitions and end-of-life decision-making.

Documentation & Compliance

• Complete all required documentation accurately and within established timeframes.
• Maintain compliance with Medicare, Medicaid, accrediting body, and state hospice regulations.
• Ensure physician orders, certifications, recertifications, and care plans are current and complete.
• Utilize electronic medical records (EMR) effectively and maintain patient confidentiality in accordance with HIPAA requirements.

Quality & Professional Practice

• Promote and maintain quality standards and evidence-based hospice practices.
• Participate in quality improvement initiatives and performance improvement activities.
• Maintain current clinical competence and knowledge of hospice and palliative care principles.
• Participate in surveys, audits, and regulatory reviews as required.
• Work collaboratively with hospice aides, social workers, chaplains, volunteers, therapists, physicians, and other providers.
• Provide clinical guidance and direction to hospice aides and other support personnel.
• Foster a culture of compassion, respect, accountability, and excellence.

Other Duties

• Participate in on-call rotations as assigned.
• Attend required meetings, training sessions, and continuing education programs.
• Perform other duties and special projects as assigned.

Our requirements and qualifications for success

Required Qualifications

• Graduate of an accredited nursing program.
• Active Registered Nurse (RN) License in Washington State or out-of-state MSL.
• Follow the Washington Nurse Practice Act.
• If MSL, complete Suicide Prevention Training in advance of hire per state regulations.
• If MSL, Washington State Board of Nursing (WABON) MSL demographic survey.
• Minimum of one (1) year of nursing experience.
• Current CPR certification.
• Demonstrated assessment, communication, and care coordination skills.
• Ability to work independently while effectively collaborating with interdisciplinary teams.
• Driving is an essential function and/or a legitimate business purpose for this position; therefore, a valid driver’s license is required as a condition of employment.

Preferred Qualifications

• One (1) or more years of hospice, palliative care, home health, oncology, geriatrics, or case management experience.
• CHPN (Certified Hospice and Palliative Nurse) certification or willingness to obtain.
• Experience utilizing electronic medical record systems.
• Knowledge of Medicare Hospice Conditions of Participation and hospice reimbursement requirements.

Knowledge, Skills & Abilities

• Strong understanding of hospice and palliative care principles.
• Excellent clinical judgment and critical thinking abilities.
• Demonstrated ability to conduct comprehensive patient assessments.
• Exceptional interpersonal and communication skills.
• Ability to manage multiple priorities and maintain accurate documentation.
• Compassionate approach to supporting patients and families during serious illness and end-of-life care.
• Ability to maintain confidentiality and exercise discretion.

Physical, environmental, and mental requirements

• Ability to sit, stand, walk, bend, twist, and reach throughout the workday.
• Ability to lift and move up to thirty-five pounds.
• Ability to travel locally throughout the service area.
• Ability to provide care in a variety of home and community settings.
• Near and far vision acuity sufficient to assess patients and complete documentation.

Salary Range: $93,730 to $142,105.39 per year