Hospice Nurse Case Manager

Join a Team Where You Truly Belong

Many nurses are drawn to this profession by a deep desire to care for others with compassion, presence, and purpose. Hospice nursing brings that calling into even sharper focus. It is a privilege to support patients and families through some of 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 the end of life. Our nurses value relationships, clinical excellence, and genuine human connection. Because we are aligned in why we do this work, we support one another, collaborate closely, and create an environment where nurses can practice with heart, expertise, and integrity.

As a trusted nonprofit hospice organization, Iowa City Hospice has been providing exceptional end-of-life care to patients and families throughout our community for decades. We honor every individual's journey with compassion and respect, and our team thrives in a culture rooted in purpose, collaboration, and excellence.

We're not just a workplace. We're a place to belong.

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

In this role, you will help ensure comfort, dignity, and quality of life while guiding patients and their loved ones through the caregiving journey with compassion, confidence, and clinical expertise.

Key Responsibilities include:

• Develop, implement, and oversee individualized plans of care based on each patient's goals, needs, and preferences.
• Deliver comprehensive nursing care in home and facility settings.
• Coordinate medical, emotional, psychosocial, and spiritual support services with the interdisciplinary team.
• Perform ongoing assessments and adjust care plans as patient needs evolve.
• Administer medications and manage complex symptoms to promote comfort and quality of life.
• Educate patients and families regarding disease progression, symptom management, and caregiving strategies.
• Serve as a trusted advocate and resource for patients and families navigating end-of-life decisions.
• Collaborate closely with physicians, advanced practice providers, and interdisciplinary team members.
• Provide emotional support and compassionate guidance throughout the hospice journey.
• Maintain accurate and timely clinical documentation in the electronic medical record.
• Participate in interdisciplinary team meetings and quality improvement initiatives.
• Practice at the top of your license with autonomy, accountability, and confidence.

What Makes Our Nurses Exceptional:

• Lead with compassion, presence, and respect.
• Build meaningful relationships with patients and families.
• Deliver high-quality clinical care with confidence and expertise.
• Embrace teamwork and support one another.
• Empower families through education and advocacy.
• Find purpose in serving others during life's most important moments.

Meaningful Work

• True one-on-one, patient-centered care
• Opportunities to build lasting relationships with patients and families
• The ability to make a profound difference every day

Supportive Culture

• Mission-driven organization focused on people first
• Collaborative and experienced interdisciplinary team
• Strong leadership support and ongoing professional development

Competitive Benefits Package

• Wellmark medical and dental insurance
• Avesis vision insurance
• Employer-paid life insurance
• Employer-paid disability insurance
• Voluntary benefits including Short-Term Disability, Critical Illness, and Accident coverage
• 403(b) retirement plan with employer match
• Company vehicle or mileage reimbursement
• iPhone and iPad provided
• Free parking

Generous Paid Time Off

• Accrue 19 days of vacation annually
• Accrue 12 days of sick leave annually

Ready to Make a Meaningful Impact? If you're looking for a career where your compassion, clinical expertise, and purpose come together, we'd love to connect with you.

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

Iowa City Hospice is an Equal Opportunity Employer. We are committed to creating an inclusive workplace and prohibit discrimination based on race, color, religion, age, sex, national origin, disability, genetic information, veteran status, or any other protected characteristic under applicable law.

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.