Hospice RN Case Manager

Join a Team Where You Truly Belong

Iowa City Hospice is adding a Hospice Nurse Case Manager (RN) to our team. Many nurses are called to this profession by a deep desire to care for others with compassion, presence, and purpose. Hospice nursing brings that calling into sharper focus, it is an honor to support patients and families through life's most meaningful and vulnerable moments.

At Iowa City Hospice, that calling is shared and strengthened by a team united around honoring dignity, comfort, and connection at end of life. Our nurses value relationships, quality, and genuine human connection. Because we are aligned in why we do this work, we support one another, collaborate closely, and create a space where nurses can practice with heart, expertise, and integrity.

Iowa City Hospice is a trusted nonprofit dedicated to providing exceptional, compassionate end-of-life care to patients and families across our community. We honor each individual's journey with dignity and respect, and our team thrives in a culture rooted in purpose, collaboration, and excellence. We're not just a job, we're a place to belong.

As a Hospice Case Manager (RN), you will coordinate and deliver individualized, patient-centered care in homes and care facilities. You'll build meaningful relationships with patients and families while working both independently and collaboratively with an interdisciplinary team.

In this role, you will play a vital part in supporting comfort, dignity, and quality of life, while guiding families through the caregiving journey with compassion and expertise.

Key Responsibilities

• Develop, implement, and manage individualized plans of care that reflect each patient's goals and needs
• Deliver comprehensive, patient-centered nursing care in home and facility settings
• Coordinate medical, emotional, and spiritual support services with the interdisciplinary team
• Perform ongoing clinical assessments and adapt care plans as conditions evolve
• Administer medications and manage complex symptoms to promote comfort and safety
• Educate and support patients and families on disease progression, caregiving, and symptom management
• Serve as a trusted advocate, helping patients and families make informed end-of-life decisions
• Communicate effectively with physicians and team members to ensure seamless, high-quality care
• Provide emotional and psychosocial support throughout the end-of-life journey
• Maintain accurate and timely documentation in the EMR
• Participate in interdisciplinary team meetings and contribute to quality improvement efforts
• Practice at the top of your license with autonomy, compassion, and confidence

What Sets Our Nurses Apart

• Prioritize meaningful connection and presence in every interaction
• Clinical excellence and deep compassion
• Valued collaboration and strong team support
• Empower & educate families during a challenging and meaningful time
• Thrive in an environment where purpose and people come first

We Offer

• True patient-centered, one-on-one care
• A supportive, mission-driven culture where you are valued and supported
• Competitive salary and comprehensive benefits, including:
• Wellmark medical & dental
• Avesis vision
• Voluntary benefits (Short-Term Disability, Critical Illness, Accident)
• Employer-paid life and disability insurance
• Generous paid time off:
• 19 days of vacation annually
• 12 days of sick leave annually
• 403(b) retirement plan with company match
• Thorough orientation and ongoing professional development
• Company car or mileage reimbursement
• iPhone and iPad provided for your work
• Free parking

We prohibit discrimination based on race, color, religion, age, sex, national origin, disability, genetics, veteran status, or any other protected characteristic.

Join us in providing comfort, dignity, and compassionate care, when it matters most.

Requirements

REQUIREMENTS / QUALIFICATIONS:

• A graduate of an approved school of nursing (RN/BSN/ARNP) with a current Iowa Nursing License.
• Two years of home health or hospice or work related experience preferred. General medical knowledge related to home health and hospice services with end-of-life issues is desirable.
• Car, driver's license and adequate insurance as outlined in the personnel policies is required.
• Strong clinical knowledge, critical thinking skills, and evidence-based practice expertise.
• Excellent communication, interpersonal, and organizational skills.
• Ability to prioritize tasks, delegate responsibilities, and manage multiple priorities effectively.
• Proficient computer skills, including electronic health records (EHR) and Microsoft Office applications.
• Advanced Certifications in Hospice and Palliative Nurse certification by the 3rd year of employment.
• All offers of employment are conditioned upon the result of a criminal background check conducted by the Iowa Division of Criminal Investigation, as required by law and a negative finding on the Office of Inspector General's Excluded Provider List.

KNOWLEDGE/SKILLS:

• Overall, the role requires strong interpersonal skills, negotiation abilities, and a deep understanding of healthcare operations, regulations and cultural differences.
• Demonstrates competence in professional decision-making skills within the parameters of the Nurse Practice Act, including the ability to make appropriate assessments, problem-solve, prioritize, complete Plans of Care and evaluate their effectiveness.
• Demonstrates initiative in recognizing unmet needs and assuring a timely and appropriate response, skills and knowledge in providing education and treatment of acute and chronic symptom management.
• Maintains confidentiality in all matters, including employee information, client information and agency matters.
• Knowledge of computer operating systems, data sourcing, project management with outcomes analysis proficiency required.
• Demonstrates organizational skills necessary to manage workload and productivity expectations while working independently and managing several projects simultaneously.
• Exhibits professionalism in all workday interactions, follows through on commitments and maintains composure under stress.
• Recognizing new referral opportunities and ensuring that the organization responds appropriately to them.

WORK ENVIRONMENT/EQUIPMENT:

• Perform the duties in both inside and outside environmental conditions.
• Visits are conducted in a variety of settings including family home, group home, LTC and assisted care facilities and requires employee to drive from location to location during the work period in good and inclement weather, within the service territory including city and small towns and rural areas.
• Atmospheric conditions – fumes, odors, dust, poor ventilation, animal presence, and/or smoking.
• The ambient noise level in this environment can flex, is generally low.
• Duties include frequent use of electronic devices: iPad, I Phone, desktop computer, copier and occasionally other office machinery.
• The driving requirements include in-town and highway driving in good and inclement weather.
• All professional staff will use PC and iPad to document work in client home and/or hospital settings.

PHYSICAL/COGNITIVE DEMANDS:

• Gross Motor Skills: Sit for long periods in office car or patient home settings, maintain balance in multiple positions, reach above shoulders / head, reach below waist, reach/extend arms in front, sustain repetitive motions (CPR), and physical demands of climbing up/down stairs, walking, kneeling, standing, twisting, squatting, stooping, pushing/pulling 35+ lbs, grasping, lifting 35 lbs+.
• Fine Motor Skills: Use of hands to operate motor vehicle, provide physical cares for patients, pinch/squeeze fingers together, type, grasp small objects, twist at wrist.
• Visual & Hearing Acuity: includes up close, distance and peripheral vision with ability to adjust focus to inspect patient, operate a motor vehicle, view electronic devices (I-phone, I-Pad, computer terminal) and read data; with or without corrective aids. Able to hear normal speaking levels, faint voices, faint body sounds with or without corrective aids. Able to speak.
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