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ProMedica Health System RN Case Manager- Hospice in Washington, Missouri


Heartland Hospice is part of the ProMedica family, a leading provider of home health care, hospice care, skilled nursing, memory care and post-acute care.

Responsible for the delivery of skilled nursing care and supportive services within the scope of the nurse's education and experience. Compliance with Heartland Corporate Standards and local, state, and federal laws, in an institutional setting, within the policies of the institution. Supplements nursing care of clients.

In return for your expertise, youll enjoy excellent training, industry-leading benefits and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.

4711 - Heartland Hospice - Serving Washington, Missouri


  • Ability to manage Patient care with specific knowledge and experience in bedside nursing, symptom management, crisis intervention and family intervention.

  • Ability to work well with an interdisciplinary team.

  • Excellent written and verbal communication skills.

  • Demonstrate problem solving and decision making abilities.

  • Ability to develop and maintain rapport with the Patient and family.


  • A minimum of 6 months institutional nursing experience within the past 3 years, unless state regulations differ. The Director of Professional Services or Administrator may waive this experience requirement based upon a personal interview.

  • Registered Nurses providing skilled intervention for PASSPORT Patients must have 2 years experience as an RN.


  • Necessary on a daily basis; 100%.

Working Conditions

  • Patient’s home/living facilities.

  • Exposure to disagreeable conditions including odors, infection, illness, and physical contact from disruptive Patients

    Job Specific Details:

General Responsibilities (Hospice Only)

  • Attends deaths of Patients to assist and support the family.

  • Initial and ongoing assessment of the impact of the terminal diagnosis on the Patient?s physical, functional, psychosocial and environmental needs and activities of daily living including risk for pathological grief, cultural and spiritual implications and verbal and non-verbal communication patterns.

  • Implements the individualized plan of care and recommends revisions to the plan as necessary including managing discomfort and providing symptom relief and specialized nursing skills related to palliative and end-of-life care.

  • Consults with and educates the Patient/family regarding the disease process, self-care techniques, end-of-life care and the processes for dealing with issues of ethical concern.

  • Initiates appropriate preventive and rehabilitative nursing procedures.

  • Prepares clinical and progress notes that demonstrate progress toward established goals.

  • Coordinates all Patient/family services and prioritization of needs with the members of the interdisciplinary team.

  • Uses case management approach and refers to other services as needed.

  • Informs the physician and other personnel of changes in the Patient?s needs and outcomes of intervention.

  • Determines scope and frequency of services needed based on acuity and Patient/family needs.

  • Supervises LPNs/LVNs and paraprofessionals providing services to the Patient according to regulatory guidelines.

  • Participates in in-service programs.

  • Provides specialized hospice training to other staff, family members and informal caregivers to insure adequate care.

  • Assesses the ability of the caregiver to meet the Patient?s immediate needs upon admission and throughout care.

  • Evaluates family/Patient response to care on an ongoing basis.

  • Evaluates own needs for support and uses identified systems to meet the need.

  • Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the Patient?s eligibility.

  • Communicates information using current process and technology available to the organization.


  • Necessary daily; 100%.

Working Conditions

  • Patient?s home/living facilities.

  • Exposure to disagreeable conditions including odors, infection, illness, and physical contact from disruptive Patients.

Equal Opportunity Employer

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica Senior Care, please contact