Community-based Hospice RN Case Manager, Full-time (Wake County)

Job Description

Job Description

Community-Based Hospice RN Case Manager

Full-Time | Monday-Friday | 8:00 a.m. to 5:00 p.m.

This position is primarily conducted in the field, providing care to patients wherever they call home, including private residences, assisted living communities, skilled nursing facilities, and other care settings throughout our service area.

Unlike a traditional hospital or clinic-based nursing position, this role requires daily travel between patient locations, independent clinical decision-making, and the ability to build meaningful relationships with patients and families in their own environments.

If you thrive working independently, enjoy being on the move throughout the day, and value one-on-one patient care, this role offers the opportunity to practice nursing in its most personal and impactful setting.

Lead Care. Build Relationships. Make Every Day Meaningful.

Exceptional hospice care starts with exceptional nurses.

As a Community-Based Hospice RN Case Manager, you'll be more than a clinician. You'll be the leader of the care team, the advocate for your patients, and the trusted guide families rely on during one of life's most important journeys.

At Transitions LifeCare, we believe every individual deserves the quality of life they want when facing a serious illness or near life's end. Our mission is to provide compassionate care, support, and expertise to individuals and families navigating life-changing illness and end-of-life care. 

We're seeking an experienced and compassionate Registered Nurse Case Manager who thrives in an autonomous field-based role while leading interdisciplinary care that puts patients and families first.

If you're looking for a nursing career where your clinical expertise, leadership, and compassion truly make a difference, we'd love to connect with you.

Why Top Hospice Nurses Choose Transitions LifeCare

When you join Transitions LifeCare, you're joining one of North Carolina's most respected nonprofit hospice and palliative care organizations, serving patients and families with excellence for more than four decades.

What You'll DoLead Patient-Centered Hospice Care

• Develop, implement, and manage individualized hospice care plans based on each patient's goals, needs, and preferences
• Deliver skilled nursing assessments, interventions, education, and symptom management
• Monitor patient conditions and adjust care plans utilizing professional nursing judgment
• Ensure all care is provided in accordance with physician orders, regulatory requirements, and hospice best practices

Serve as the Clinical Leader

• Lead and coordinate the interdisciplinary care team for assigned patients
• Collaborate with physicians, social workers, chaplains, hospice aides, therapists, volunteers, and community partners
• Delegate and supervise LPNs and Hospice Aides in accordance with regulations and agency standards
• Facilitate communication among all members of the care team to ensure coordinated, high-quality care

Support Patients and Families

• Build trusting relationships with patients and caregivers
• Provide education regarding disease progression, symptom management, medications, and hospice services
• Help families navigate complex healthcare decisions with compassion and confidence
• Serve as a consistent source of clinical expertise and emotional support

Drive Quality and Excellence

• Complete timely, accurate, and compliant clinical documentation
• Monitor appropriate utilization of medications, supplies, and medical equipment
• Participate in quality improvement and performance initiatives
• Assist with onboarding and mentoring new team members

Who Thrives in This Role

Our most successful RN Case Managers are:

• Strong clinical leaders who enjoy coordinating care
• Independent decision-makers who are comfortable in the field
• Exceptional communicators who connect with patients and families
• Organized professionals who excel at prioritization and time management
• Compassionate advocates who treat every patient with dignity and respect
• Team-oriented clinicians who value collaboration and accountability

Required Qualifications

• Current Registered Nurse (RN) license in North Carolina
• Minimum two years of recent clinical nursing experience
• Current CPR certification
• Reliable transportation
• Strong assessment, care planning, and clinical decision-making skills
• Ability to work independently while collaborating effectively with an interdisciplinary team
• Strong communication and patient education skills
• Competent computer and documentation skills
• Ability to travel throughout the service area and provide care in homes and facilities
• Ability to lift and/or carry up to 50 pounds

Preferred Qualifications

• BSN
• Hospice experience
• Home health experience
• Skilled nursing or long-term care experience
• Hospice Nurse Certification
• Knowledge of Medicare regulations, hospice reimbursement, accreditation standards, and regulatory requirements

Why This Role Matters

Hospice nurses have the privilege of caring for patients and families during some of the most meaningful moments of life.

As an RN Case Manager, you'll lead the team responsible for ensuring every patient receives expert clinical care, compassionate support, and a care plan aligned with their goals and wishes.

Your leadership helps families feel supported. Your clinical expertise improves quality of life. Your compassion leaves a lasting impact.

Join a Mission-Driven Team

If you're an experienced RN who is passionate about leadership, relationship-based care, and making a profound difference in your community, we encourage you to apply.

Join Transitions LifeCare and help deliver comfort, dignity, and exceptional care when it matters most.