RN Case Manager – Facility Team, HPH Hospice

Chapters Health System

. Assess and identify patient and family needs using the nursing process .

Posted 10/30/2026full-timeNew Port Richey • Florida • United StatesJunior💰 $61,861 - $96,657 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient assessment, care coordination, and interdisciplinary collaboration, with a strong focus on hospice and palliative care. Proficient in utilizing EMR systems and effective communication to enhance patient and family support.

Highest-signal resume keywords

Current RN LicenseHospice Nursing ExperienceEMR/EHR ProficiencyActive BLS CertificationAlzheimer's Disease Training Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient AssessmentCare CoordinationNursing InterventionsDocumentation in EMRClinical CommunicationHome VisitsMedication ComplianceSymptom ManagementPatient EducationReferral Facilitation

Soft Skills

Effective CommunicationInterpersonal SkillsTeam CollaborationProblem-SolvingRelationship Building

Tools & Technologies

EMR SystemTelephone CommunicationVisual and Auditory Equipment

Certifications & Qualifications

Current RN LicenseActive BLS CertificationAlzheimer's Disease Training Certification

Industry Keywords

Hospice CarePalliative CareInterdisciplinary TeamPatient and Family NeedsHome Health Care

About the role

Key responsibilities & impact

Assess and identify patient and family needs using the nursing process
Coordinate individualized Plans of Care with the Interdisciplinary Team (IDT)
Provide clinical, palliative, supportive, and direct patient/family care
Provide telephone reassurance and identify when in-person visits are needed
Coordinate in-person visits
Utilize support and expert resources to resolve complex situations
Document patient and family contacts in the EMR and communicate with the IDT
Complete initial and semi-annual assessments
Explain services and address patient and family questions
Initiate nursing interventions to prevent complications, alleviate symptoms, and maximize comfort
Obtain physician orders and complete documentation
Represent the company at assigned facilities and facilitate referrals
Collaborate with hospitals, physicians, facilities, patients, families, and the public
Provide timely clinical communication using SBAR
Discuss potential needs with after-hours staff
Develop relationships with facility case managers and physicians
Educate patients, families, caregivers, and health professionals
Conduct home visits for safety, medication, nutritional, and DME compliance
Report changes in patient condition
Participate in hospice referral and admission evaluations
Attend daily IDT collaboration meetings
Present oral and written reports to the IDT
Supervise care provided by Community Health Workers and Home Health Aides as requested
Report to designated locations and potentially stay overnight during emergencies
Perform other duties as assigned

Requirements

What you’ll need

Current license as RN in the state where the employee will be working
Minimum of one (1) year nursing experience in hospice or hospital experience preferred
Employees working at PACE: certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs
Previous experience working with an EMR/EHR system
Valid driver’s license and automobile insurance per Company policy
Reliable transportation to meet visit schedule
Ability to use equipment with visual and auditory mechanisms
Ability to effectively communicate in English (verbal and written)
Ability to visit participants in their homes for assessments
Ability to perform essential functions and physical requirements, including lifting patients and/or equipment, bending, pushing/pulling, and kneeling, with or without reasonable accommodation
Active BLS for healthcare professionals from the American Heart Association or Red Cross
Satisfactory completion of competency requirements
Consent to drug and/or alcohol testing after a conditional offer
Ongoing eligibility through the Florida Care Provider Background Screening Clearinghouse

Benefits

Comp & perks

Professional knowledge and skill development
Participation in company research and educational activities
Participation in Quality Assessment and Performance Improvement activities
Company health, safety and security practices
Reasonable accommodation for physical requirements
Drug-free workplace policy