RN Case Manager

Job Title: RN Case Manager

Position Summary

The RN Case Manager will coordinate patient care for a caseload of patients that are terminally ill.  The RN Case Manager will be the primary staff member responsible for establishing and implementing the Plan of Care for each patient on their caseload. The RN Case Manager will communicate/educate in a manner to advocate and empower and complete nursing in a fiscally responsible manner. This RN Case Manager will need to carry strong critical thinking skills, and the ability to work autonomously.

Access to Patient/Family Information: The RN Case Manager position will have access to all patient and family information as it relates to the provision of care for Hospice Services.

Access to Employee Health Information: Access to personal health information only.

Organizational Relationship: BOD => CEO => Director of Clinical Services => Assistant Director of Hospice Services => Team Managers

Expectation of Employee

As a representative of CareFirst, the RN Case Manager is responsible for:

  • Reflecting and interpreting CareFirst’s vision, mission, and core values in his/her own work with enthusiasm and commitment.
  • Acting in accordance with relevant legislation and CareFirst policies, standards, and procedures
  • Interacts in a positive manner.
  • Developing and maintaining respectful, cooperative working relationships, both internal and external.
  • Understanding his/her role and responsibility in maintaining a safe workplace and reducing workplace injuries.
  • Ensuring accuracy, confidentiality, and safekeeping of agency records.
  • Participating constructively in the supervision process with the position’s direct supervisor.
  • Understanding the financial concerns of CareFirst and contributing to the fiscal integrity of the organization.
  • Participate in committees upon request
  • Regularly identifying opportunities for self and organizational improvement.
  • Checking CareFirst communication each day worked

Essential Duties and Responsibilities

  • Share in on call rotation, providing 24 hr, seven day a week coverage to patients/families.
  • Provides information visit and admissions as assigned
  • Completing assessments of patient/family needs, development of care plans, communicate/educate in a manner to advocate and empower, and complete nursing in a fiscally responsible manner.
  • Provides anticipatory guidance to patient/family as needed throughout the duration of Hospice Care.
  • Makes follow up contact with family/caregiver after patient death to deal with any closure issues.
  • Knows and understand state and federal regulations relating to hospice and palliative care
  • Knowledge of Medicare, Medicaid, and private insurance guidelines
  • Participate in interdisciplinary group meetings to update patient/family plan of care as needed
  • Participate in quality assurance program and perform chart audits as assigned
  • Consults with Team Managers or designee, and/or other Interdisciplinary team members before acting on changes in the patients’ health status, community referral potential, family stresses, and unanticipated nursing or medical needs
  • Works with and collaborates with all members of the interdisciplinary team as indicated.
  • Maintains timely documentation according to agency guidelines
  • Provide supervision and evaluation of hospice and contracted homemakers, and home health aides, and LPNS.
  • Participates in staff development
  • Other duties as assigned by supervisor

Additional Duties:

  • Demonstrate compassionate behavior
  • Works cohesively with other interdisciplinary team members.
  • Exceptional communication/counseling skills to communicate effectively with patients, families, and co-workers
  • Positive attitude about working with families of diverse cultural and religious backgrounds
  • Positive attitude of Nursing techniques as they relate to a Hospice patient
  • Use of universal precautions
  • Competency in computer skills or willingness to learn
  • Able to cope with stress of continual losses
  • Works confidently within a group
  • Can travel through the CareFirst coverage area


Possession of a valid and current NY State professional Registered Nurse’s license.  Minimum of 2 years of home care and/ or acute care experience as a professional nurse within 10 years.  Current physical assessment skills.  Skilled in use of nursing process. Computer Skills.