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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