Hospice RN Case Manager

Hospice RN Case ManagerCarmel, INOptimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We're committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day.As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day.We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life.We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.About the RoleBring your nursing expertise to one of healthcare's most meaningful specialties. As a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's final chapter, helping ensure comfort, dignity, and quality of life. This role is perfect for a registered nurse who wants to practice the full scope of nursing while building deep, meaningful relationships with patients and families. You'll have the autonomy to coordinate comprehensive care for your caseload while working collaboratively with our interdisciplinary team to address the physical, emotional, and spiritual needs of those in your care.What You'll DoProvide Expert Hospice Nursing CareConduct initial evaluations and ongoing assessments of patients' nursing needsDeliver skilled nursing services requiring specialized expertiseDemonstrate proficiency in medication administration across all routes (IM, SQ, SL, TD, PO, enteral tube, IV)Manage complex symptoms and provide comfort-focused interventionsSafely and effectively use durable medical equipment and medical devicesCoordinate Comprehensive CareAssume primary responsibility for your caseload, including assessment, planning, implementation, and evaluationDevelop and maintain individualized plans of care in collaboration with physicians and the interdisciplinary teamCoordinate services required for hospital discharges to home or facility settingsSupervise and document home health aide and LPN care deliveryFacilitate smooth transitions and ensure continuity of care across all settingsCollaborate with the Interdisciplinary TeamParticipate actively in IDG meetings, offering clinical insights and recommendationsAttend and contribute to nursing facility care conferencesCommunicate regularly with physicians, facilities, team members, and the Hospice Medical DirectorCoordinate with social workers, chaplains, aides, and other team members to address holistic patient needsSupport Patients and FamiliesBuild rapport and communicate effectively with patients, families, and caregiversAssess home safety, environment appropriateness, and support system capacityProvide education about symptom management, medications, and end-of-life careOffer appropriate support at time of death and conduct bereavement assessments when requestedRespond with sensitivity to family emotional stress and respect diverse lifestylesMaintain Excellence in Documentation and ComplianceComplete all documentation within 24 hours of visitsDocument medication regimens and update profiles according to proceduresEnsure clinical notes reflect ongoing communication and care coordinationMaintain compliance with Conditions of Participation and third-party payor requirementsIdentify and report potential payment or coverage issues promptlyWhat We're Looking ForRequired QualificationsGraduate of an accredited Diploma, Associate, or Baccalaureate School of NursingCurrent State License as a Registered NurseMinimum 1 year of nursing experience in a clinical care settingReliable transportation with valid automobile insuranceWillingness to travel extensively within service area dailyPreferred QualificationsBachelor of Science in Nursing (BSN)Experience in hospice or home health environmentEssential Skills and CompetenciesAdvanced nursing assessment and clinical judgment skillsProficiency in phlebotomy with proper implementation of universal precautionsAbility to assess patients in varied home and facility environmentsStrong time management skills with ability to handle multiple priorities and deadlinesExcellent communication and rapport-building abilitiesCultural sensitivity and respect for diverse lifestyles and belief systemsAbility to cope with family emotional stress and end-of-life situationsSelf-directed with strong organizational skillsKnowledge of hospice philosophy and palliative care principlesWhat Makes You SuccessfulYou're a skilled nurse who sees hospice care as a calling, not just a job. You understand that end-of-life care is about more than managing symptoms—it's about honoring each patient's wishes, supporting families through grief, and ensuring dignity during life's most vulnerable moments. You're comfortable with the autonomy of managing your own caseload while knowing when to collaborate with your interdisciplinary team. You can handle the emotional intensity of hospice work while maintaining professional boundaries and your own emotional wellbeing. You're adaptable and resilient, able to work effectively in diverse home and facility environments. You bring calm, compassion, and clinical expertise to every patient interaction, recognizing that your presence can provide immeasurable comfort to patients and families during their most difficult times.Why Join Us?Hospice nursing offers unparalleled professional fulfillment. You'll have time to truly know your patients and families, practicing nursing the way you always envisioned - with autonomy, comprehensive care coordination, and meaningful relationships. We provide comprehensive orientation, ongoing clinical support, and opportunities for professional development in palliative care. You'll work with a collaborative interdisciplinary team that values your expertise and supports you in providing the highest quality end-of-life care.Work Environment and ScheduleThis position requires extensive daily travel to patient homes, assisted living facilities, and nursing homes within your service area. You'll work independently in varied environments and must be comfortable adapting to different settings and situations. The role has a high degree of schedule variability due to patient needs, admissions, and end-of-life situations. Flexibility and availability (including potential on-call duties) are essential. Physical demands include standing, walking, bending, and lifting up to 50 lbs with assistance.Ready to Make a Profound Impact?If you're a registered nurse ready to provide compassionate, expert care during life's most meaningful moments, we'd love to hear from you.LocationOffice Location: 600 E. Carmel Dr, Suite 144, Carmel, IN 46032Main Service Area: Carmel, Marion, Hamilton, Madison, Hancock, Shelby, Johnson, Morgan, Hendricks, Boone, and ClintonHours8:00 am – 5:00 pm, Monday through FridayWeekend On-Call RotationPay Range$80,000 - $85,000 USDHow We Care for YouMinimum of 3 Weeks Paid Time Off (PTO)Medical, Dental, and Vision InsuranceHSA and FSA options including Dependent CareCompany paid Short Term DisabilityCompany paid Life Insurance401(k) with Employer MatchMileage ReimbursementCompany Vehicle Program for field rolesPet InsuranceID and Fraud ProtectionAnd more...Background Screening