RN Case Manager

Job Description

SCHEDULE : 7 ON 7 OFF

At Crossbridge Hospice, we believe a job is a good fit when the role aligns with your personal values, reflects your interests, utilizes your strengths, and provides opportunities for development and growth.

At Crossbridge Hospice, LLC, we are committed to cultivating a workplace where people feel empowered to thrive. By matching individuals with roles that resonate with their purpose and aspirations, we foster a community driven by authenticity, innovation, and shared growth. We believe that when people bring their whole selves to work, remarkable things happen—for our teams, our patients and their families, and the communities we serve.

The role

The On-call Registered Nurse is responsible for providing end-of-life care and hospice services to patients in their home or community setting. This includes intermittent skilled nursing services and directs, supervises, and instructs hospice aide staff in the provision of personal patient care. As an On-call Registered Nurse you will :

• Assume primary responsibility for the patient / family caseload that includes assessing, planning, implementing, and evaluating care needs during on-call hours in collaboration with the triage team
• Report On-Call activities to the clinical leadership and Branch RN Case Managers at the end of the call shift
• Maintain and complete appropriate care coordination notes for visit notes, and other pertinent clinical information
• Assist, provide, or arrange for delivery of medications and supplies needed after business hours, weekends, and / or holidays
• As scheduled, attend interdisciplinary team meetings during on-call period for full team discussion, consultation and evaluation of patient / family needs
• Under the physician’s order, admits patients eligible for hospice services in collaboration with the triage team
• Reports patient status and need for other disciplines to clinical leadership, attending physician and hospice physician
• Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals that has been identified as mutually agreed upon goals with patient(s) during on-call hours, weekends and / or holiday(s)
• Be responsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provide Age-Friendly Care

Skills and Experience Required :

Preferred Knowledge, Skills and Experience :