**Overview** **Lead with Heart. Be the Difference. Transform End-of-Life Care.** Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. **What You'll Do as a Hospice RN / RN Case Manager:** + Be the primary point of contact for patients and families, guiding them through every step of their hospice journey. + Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home. + Perform initial and ongoing assessments to monitor patient condition and adjust care as needed. + Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans. + Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance. + Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance. + Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions. + Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. + Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient. + Help patients and families understand and navigate topics such as:  * Medication administration  * Hospice philosophy and services  * Symptom and pain management  * End-of-life processes and expectations **Essential Functions** **Job Responsibilities** + Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate. + Deliver skilled nursing interventions and symptom management aligned with goals of care. + Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification. + Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners. + Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs. + Communicate change in condition, or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician). + Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care. + Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans. + Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome. + Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner. **Core Competencies** + Clinical excellence and sound judgment + Patient-centered communication and empathy + Interdisciplinary collaboration + Accountability and regulatory compliance + Adaptability and critical thinking + Timeliness of patient visits and documentation + Accuracy and completeness of clinical records + Patient and caregiver satisfaction + Compliance with regulatory and policy standards + Participation in team collaboration and IDG activities **About You** To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. **Education:** + Registered Nurse **Experience:** + A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases. + Hospice or palliative care experience preferred **Licenses, Certifications and/or Registration:** + Current license to practice nursing in the state of requested employment + CPR Certification + Current automobile insurance and valid driver’s license **Specialized Knowledge and Skills:** + Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). **Working Conditions:** + Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. **Personal Traits, Qualities and Aptitudes:** + Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. **Equipment/Tools/Work-Aids:** + Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. **We Offer** **Benefits for All Hospice Associates (Full-Time & Per Diem):** + Competitive Pay + 401(k) with Company Match + Career Advancement Opportunities + National & Local Recognition Programs + Teammate Assistance Fund **Additional Full-Time Benefits:** + Medical, Dental, Vision Insurance + Mileage Reimbursement or Fleet Vehicle Program + Generous Paid Time Off + 7 Paid Holidays + Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) + Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) + Free Continuing Education Units (CEUs) + Company-paid Life & Long-Term Disability Insurance + Voluntary Benefits (Pet, Critical Illness, Accident, LTC) **Ready to Join a Team That Cares?** Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones. **Legalese** + This is a safety-sensitive position + Employee must meet minimum requirements to be eligible for benefits + Where applicable, employee must meet state specific requirements + We are proud to be an EEO employer + We maintain a drug-free workplace ReqID: 2026-138689 Category: Registered Nurse Position Type: Flex/Per Diem Company: Heartland Hospice