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Hospice RN Case Manager

Newport Hospice

Temecula, CA·Posted 23d ago

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~$104k–$125k/yrFull-TimeMileage ReimbursementHealth InsurancePTO / Paid Time Off

Benefits:

401(k)
Health insurance
Paid time off

Full-Time | 8:30 AM – 5:00 PM | Field Position

Hospice Case Managers are vital members of our care team, providing compassionate, skilled nursing support to patients and families during end-of-life care. As a Hospice RN Case Manager, you will oversee patient care, coordinate interdisciplinary support, and ensure comfort, dignity, and quality of life for every patient you serve.

Are You a Leader in the Field?

At Newport Hospice, we don't just hire nurses; we hire Clinical Directors of the Home. We are looking for an RN Case Manager who understands that they are the "Captain of the Ship" for every patient under their care. If you are a nurse who takes pride in clinical autonomy, rigorous documentation, and total patient advocacy, we want you on our team.

The Role: Total Case Management

In this position, you are not just making visits—you are managing the entire clinical ecosystem of your patients. You are the primary point of contact for the family and the central hub for the Interdisciplinary Group (IDG).

Your Responsibilities as Case Manager:

The Clinical Director of Your Team: You lead and coordinate the care provided by your MSW, Spiritual Counselor (SC), and CHHA. You are responsible for ensuring their interventions align with your overall clinical strategy.
Direct Physician Collaboration: You work hand-in-hand with the MD. You don’t just report symptoms; you provide clinical assessments, suggest interventions, and secure medication orders and treatment plans immediately.
Comprehensive Assessment: Perform full-body physical and psychosocial assessments at every visit. You are responsible for identifying changes in status before they become crises.
The Plan of Care (POC): You own the POC. You develop, update, and maintain a compliant, individualized plan that reflects the patient’s goals and regulatory requirements.
Medication Management: You are responsible for the entire medication profile, including reconciliation, pharmacy coordination, and symptom management (GIP/Continuous Care triggers).
IDG Leadership: You lead the discussion for your patients during IDG meetings, providing the team with clear, concise, and professional updates that meet all CMS and Title 22 standards.

Responsibilities

Complete comprehensive nursing assessments and develop individualized plans of care in collaboration with patients and families.
Provide direct hospice nursing care to maintain the highest level of comfort and quality of life.
Manage and update care plans as patient needs change.
Communicate with physicians to obtain appropriate orders and report changes in patient condition.
Initiate interventions and evaluate outcomes to ensure optimal symptom management.
Educate patients, families, and caregivers about hospice care, medications, and symptom recognition.
Accurately document patient care and communicate updates to the interdisciplinary team (IDG).
Coordinate with external service providers as needed to meet patient and family needs.
Ensure availability of necessary medical equipment and supplies.
Assign and supervise Home Health Aides, completing supervisory visits every 14 days.
Serve as IDG coordinator, collaborating with all team members to ensure holistic care.
Participate in on-call rotation to provide 24/7 hospice coverage and support.

Qualifications

Graduate of an accredited school of nursing.
Current California RN license (BSN preferred).
Certification in Hospice and Palliative Nursing desired.
Minimum of one year of professional nursing experience within the last three years, or a BSN degree.
Strong clinical judgment, communication, and documentation skills.
Compassionate and supportive attitude toward patients and families facing end-of-life care.
Ability to maintain patient confidentiality and professionalism at all times.
Proficiency in computer use and electronic medical record (EMR) documentation.
Reliable, well-maintained personal vehicle with valid California driver’s license, acceptable driving record, and proof of auto insurance.
Spanish speaking a plus!
Licensure: Current, unencumbered California Registered Nurse (RN) license.
Hospice Mastery: Minimum 1–2 years of Hospice Case Management experience is required. You must know the "Hospice Benefit" inside and out.
Regulatory Knowledge: Deep understanding of CMS Conditions of Participation (CoPs) and California Title 22. Or willingness to learn!
Triage Skills: Expert ability to prioritize acuity and manage a field schedule effectively.
Documentation Excellence: Proficiency in EMR (e.g., HospiceMD, KanTime, MatrixCare) with an emphasis on "gold-standard" clinical narratives.
Communication: Must be able to speak professionally with physicians and compassionately with families.

Schedule & Compensation

Full-Time: Monday to Friday, 8:30 AM – 5:00 PM
On-Call: 2 weekend shifts per month (as needed)
Holidays: 2 shifts per year (as needed)
Pay Range: $50 – $54 per hour (based on experience)

Work Location

Field-based: Serving patients across Riverside and Northern San Diego Counties
In-person visits required

Preferred* Employee Living Location: Area Central Riverside and Northern San Diego County (such as Temecula and surrounding cities)

Why Join Us?

You will report directly to a DPCS who values clinical integrity over "census numbers." We provide a supportive environment for nurses who are serious about the profession of hospice.

Competitive Salary & Mileage Reimbursement
Comprehensive Benefits Package
Clinical Support & Mentorship

To Apply: Submit your resume and a brief statement on your philosophy regarding "RN Ownership" in hospice care.

*Living location is not required but employee must be willing and able to access patients in requested coverage areas in a timely manner.