RN Hospice Full-time
Trinity Health at Home

Hospice Case Manager Registered Nurse

Trinity Health at Home Fresno, CA 93710, US

Employment Type:

Full time

Shift:

Description:

Hospice RN Case Manager

Mon-Fri 8-5p, and 1 weekend a month. no on call.

Covering Fresno

The Hospice RN Case Manager is responsible for delivering comprehensive, patient-centered nursing care to hospice clients. This role serves as the primary coordinator of care, ensuring patients receive appropriate symptom management, emotional support, and end-of-life care aligned with physician orders and hospice plans.

Key Responsibilities

Clinical Care & Case Management

  • Perform patient assessments, develop and update individualized care plans
  • Manage overall patient care, serving as the designated case manager
  • Monitor patient condition and communicate changes to physicians and care team
  • Provide symptom management using evidence-based hospice/palliative practices
  • Deliver education to patients and families on disease progression, self-care, and end-of-life expectations

Care Coordination

  • Collaborate with interdisciplinary team (IDT/IDG), including physicians, aides, and other clinicians
  • Coordinate referrals and services to ensure timely, efficient care
  • Lead case conferences and contribute to care planning discussions

Supervision & Leadership

  • Provide functional supervision to LPNs and Hospice Aides
  • Conduct supervisory visits (bi-weekly for aides, monthly for LPNs)
  • Delegate tasks appropriately based on skill level
  • Participate in training, orientation, and mentoring of staff

Documentation & Compliance

  • Maintain accurate, timely clinical documentation (assessments, care plans, visits, physician communications)
  • Ensure compliance with federal/state regulations, hospice standards, and agency policies
  • Uphold confidentiality and HIPAA standards

Patient & Family Support

  • Address grief, loss, and emotional needs of patients and caregivers
  • Provide anticipatory guidance around the dying process
  • Promote dignity, comfort, and quality of life

Minimum Qualifications

  • RN license in state of practice
  • Graduate of accredited nursing program
  • CPR certification
  • Minimum 1 year acute care nursing experience
  • Hospice/home health experience preferred
  • Strong communication skills, especially around grief/loss
  • Valid driver’s license and reliable transportation

(California-specific: 1 year professional nursing experience required)

Core Competencies

  • Clinical judgment and critical thinking
  • Compassion and emotional intelligence
  • Strong communication and teaching ability
  • Team collaboration and leadership
  • Time management and adaptability

Work Environment & Physical Requirements

  • Travel to patient homes required
  • Frequent standing/walking and occasional lifting (up to 35 lbs)
  • Ability to multitask and manage frequent interruptions

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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