Benefits:
401(k)
Competitive salary
Flexible schedule
Training & development
Join Millenia Hospice — Where Compassion Meets Excellence
At Millenia Hospice, we believe hospice care is more than a service — it’s a calling. We are looking for an experienced, compassionate Hospice RN Case Manager who is committed to delivering exceptional end-of-life care with dignity, empathy, and clinical excellence.
If you are an RN who values autonomy, teamwork, and meaningful patient relationships, this role offers the opportunity to make a real difference in the lives of patients and families every day.
Position Summary
The Hospice RN Case Manager is responsible for coordinating and providing skilled nursing care to hospice patients in their place of residence. This role includes comprehensive patient assessment, care planning, symptom management, patient/family education, and collaboration with the interdisciplinary team (IDT) to ensure comfort-focused, patient-centered care.
The ideal candidate is clinically strong, highly organized, emotionally intelligent, and confident managing patient needs across changing conditions.
Key Responsibilities
Patient Care & Clinical Management
Completing of RN visit notes within 24-48hrs of visit
Complete comprehensive nursing assessments, including physical, psychosocial, and symptom-related evaluations.
Develop, implement, and update individualized Plan of Care in collaboration with the hospice physician and interdisciplinary team.
Provide skilled nursing visits and interventions, including:
Pain and symptom management
Medication reconciliation and education
Wound care (as applicable)
Catheter care, ostomy care, and other skilled nursing needs
Identify changes in patient condition and respond appropriately, including escalation to the hospice physician and/or IDT as needed.
Provide ongoing patient and caregiver education on disease progression, comfort measures, medications, and what to expect.
Care Coordination & Case Management
Coordinate services and communication among the interdisciplinary team, including:
Hospice physician/medical director
Social workers
Chaplain/spiritual care
Home health aides
Volunteers
Therapists (as appropriate)
Collaborate with caregivers and family members to ensure continuity of care and support.
Serve as the primary point of contact for assigned patients and families, ensuring timely follow-up and responsiveness.
Documentation & Compliance
Maintain accurate and timely clinical documentation (24-48hrs interval) in the electronic medical record (EMR), including:
Visit notes
Patient assessments
Care plan updates
Medication and symptom tracking
Ensure compliance with hospice regulations, agency policies, and standards of practice.
Participate in IDT meetings and contribute to patient care discussions and goals.
Support for Patients and Families
Provide emotional support and compassionate communication to patients and families during end-of-life care.
Educate families on hospice philosophy, comfort care goals, and available support resources.
Assist families with end-of-life planning, transitions, and bereavement resources in coordination with the hospice team.
On-Call (as assigned)
Provide triage, guidance, and nursing visits as needed to manage symptoms and support families.
Qualifications
Required
Current, active Registered Nurse (RN) license in Texas
Minimum 5 years of RN experience (hospice, geriatrics, or palliative care preferred)
Valid driver’s license and reliable transportation
Current CPR certification (or ability to obtain upon hire)
Ability to work independently while collaborating with a team
Strong documentation and time-management skills
Preferred
Hospice experience strongly preferred
Experience with EMR documentation systems. (Kinsser Wellsky)
Strong knowledge of end-of-life symptom management and comfort care