Hospice RN Case Manager

About the Role

Peaceful Hearts Hospice is seeking a compassionate, experienced Registered Nurse Case Manager (RNCM) to provide skilled, end-of-life nursing care to our patients across all care settings. In this role, you'll take ownership of a patient/family caseload - assessing needs, developing plans of care, and coordinating with physicians and our interdisciplinary team to ensure every patient receives dignified, high-quality hospice care.

If you're a licensed RN who's drawn to hospice work and wants to make a meaningful difference in patients' and families' lives during one of life's most important transitions, we'd love to hear from you!

Reports To

Director of Patient Care Services (DPCS)

What You'll Do

• Own a caseload (averaging 12 patients) - assessing, planning, implementing, and evaluating each patient's nursing care
• Coordinate with attending physicians, the interdisciplinary team (IDT), and other agencies to ensure optimal patient care and resource use
• Assess and reassess patient needs on an ongoing basis, adjusting the plan of care as conditions change
• Provide skilled nursing services including wound care, symptom management, tube feeding/care, and bowel regimen management
• Educate patients and families on disease progression, end-of-life symptoms, and what to expect
• Supervise and support LPNs and Hospice Aides, including documented care observations and competency evaluations
• Participate in a shared on-call rotation providing 24/7 coverage as needed
• Maintain timely, accurate documentation in our electronic medical record system (charting completed within 24-48 hours)
• Provide emotional support to patients, families, and caregivers - including at time of death, with time-of-death pronouncement per policy
• Manage admissions, discharges, transfers, and revocations, including reviewing referral records and coordinating transitions of care
• Attend and actively participate in IDT meetings, stand-up/stand-down meetings, and all-staff meetings
• Uphold the mission, vision, and philosophy of Peaceful Hearts Hospice in all interactions

What You'll Need

Education & Licensure

• Current, unencumbered Registered Nurse license in the state of Nebraska
• Graduate of an accredited school of Nursing

Experience

• 2+ years of RN experience preferred
• 2+ years of experience in hospice, home health, or oncology preferred

Other Requirements

• Valid driver's license, auto liability insurance, and reliable transportation
• Annual TB test and other state-required health screenings
• Ability to travel between patient homes, facilities, and the office as needed

Work Environment & Physical Demands

This role is primarily field-based, with time in the office for meetings, charting, and calls. You'll need to be comfortable with:

• Regular kneeling, squatting, reaching, twisting, climbing, and walking
• Occasional lifting/transferring of patients
• Exposure to varying temperatures and humidity in different care settings
• Sitting (2-4 hrs/day), standing (3-5 hrs/day), and walking (2-4 hrs/day)
• Frequent phone and computer use
• Working under pressure in a fast-paced, emotionally demanding environment
• Occasional shifts longer than 8 hours

You should also bring strong time-management skills, sound independent judgment, emotional resilience, and the ability to work compassionately with people from all backgrounds and belief systems.

Benefits

• Unlimited Paid Time Off
• Sick time
• 12 paid holidays - including your birthday
• Health insurance reimbursement
• Dental insurance
• Vision insurance
• Short-term disability
• Long-term disability
• 401(k) with company match