Hospice Registered Nurse Case Manager- Per Diem

Newton, MA, USA|Onsite

Job Overview

Employment Type

Full-time

Compensation

Salary

Range $77,035.00 - $115,553.00

Work Schedule

On-call

Weekend Shifts

Benefits

Health Insurance

Dental Insurance

Paid Time Off

Retirement Plan

Professional development opportunities

flexible schedule

Job Description

Hebrew SeniorLife Hospice is a compassionate healthcare establishment dedicated to providing specialized hospice care services rooted in Jewish values yet open to everyone regardless of religious affiliation. Located in the greater Boston area, this hospice focuses on offering end-of-life care that emphasizes loving kindness (Hessed) and honoring life (Kevod HaBeriyot). Its mission is to collaborate closely with terminally ill patients and their families during the final months, weeks, and days of life to ensure comprehensive comfort and support. Hebrew SeniorLife Hospice is committed to alleviating physical pain and symptoms, providing emotional and spiritual support, and fostering companionship to help patients attain a peaceful and pain-free death. The hospice also offers bereavement support to families to aid in their healing process. This institution prides itself on delivering an interdisciplinary approach through its team-oriented model that includes nurses, physicians, social workers, chaplains, and other healthcare professionals who work in unison to deliver holistic care. The hospice’s philosophy integrates clinical excellence with compassionate service, creating a supportive environment for patients and families to navigate the complexities associated with terminal illnesses.

As part of this dedicated healthcare team, the Hospice Registered Nurse position at Hebrew SeniorLife Hospice plays a critical role in patient care delivery. The registered nurse provides professional nursing care tailored specifically to hospice patients under the direction and collaboration of attending physicians, the Hospice Medical Director, and Clinical Director, while adhering strictly to state nursing regulations and the hospice’s policies. This role involves assessing patient and family needs, developing and implementing individualized care plans in partnership with the interdisciplinary group, and closely monitoring and adjusting care plans to optimize patient comfort and symptom management. The registered nurse becomes a key liaison communicating effectively with multiple stakeholders including physicians, hospice staff, and external agencies to coordinate comprehensive care. This position demands a high level of clinical knowledge and expertise in pain control, symptom management, and end-of-life care, as well as emotional resilience and the ability to provide compassionate guidance and support to patients and their families through challenging experiences. Employment in this role is full-time, with a salary range from $77,035 to $115,553, reflecting the level of specialized skills and commitment required to support patients during their final stages of life. The nurse is often required to visit patients in-home or in various healthcare settings such as assisted living, long-term care, skilled nursing facilities, and hospitals, necessitating reliable transportation and a flexible approach to work location and schedule including evenings and weekends for on-call coverage. Overall, this position offers a rewarding opportunity to work within a respected hospice care program dedicated to delivering dignified end-of-life care and support within a culturally sensitive and ethically grounded framework.

Job Requirements

Graduate from an accredited school of nursing
Currently licensed in good standing as a registered nurse in the state of Massachusetts
Minimum of one year's experience as a registered nurse
At least six months experience in an acute care setting prior to home care assignment or as required by state regulations
Strong ability to assess and respond to patient and family needs in varied settings
Ability to cope with emotional stress associated with hospice care
Capability to function with minimal supervision and maintain professional relationships
Commitment to maintaining clinical practice skills and adherence to hospice policies
Reliable transportation and valid Massachusetts driver's license
Willingness to work in multiple locations and provide on-call coverage including evenings and weekends

Job Qualifications

Graduate from an accredited school of nursing, BSN preferred
Currently licensed in good standing to practice as a registered nurse in the state of Massachusetts
Must have no less than six months experience in acute care setting as an RN prior to home care assignment, or experience as required by state regulations
Minimum of one year's experience as an RN required
Experience in hospice is strongly preferred
Demonstrated ability to assess and respond to the needs of patients and families in varied settings and to cope with emotional stress
Must be able to function in a practice environment with minimal direct supervision, accepting personal responsibility for maintaining a professional relationship with patients and their families
Must accept responsibility for maintaining clinical practice skills, learning and adhering to Hospice's policies and procedures on an on-going basis
Transports self to patient's home/facility in a reliable vehicle and has a valid Massachusetts driver's license
May be working in multiple locations in a workday

Job Duties

Assumes responsibility for a patient visit or on-call schedule which includes the assessing, planning, implementing and evaluating phases of the nursing process
Provides Hospice nursing care based on systematic assessment focusing on pain control and symptom management
Initiates communication with attending physicians, other Hospice staff members and other agencies as needed to coordinate care and use of resources for the patient/family
Assesses the patient and develops an individualized and comprehensive plan of care in partnership with the interdisciplinary group and in accordance with Hospice regulations/guidelines
Maintains regular communication with the Clinical Director to review assignments and with the attending physician/medical director concerning patient/family needs
Obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporates that data into the plan of care
Maintains up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur in accordance with agency policy and Medicare regulations
Accurately documents assessment findings, observations, interventions and evaluations pertaining to patient care management and services provided in accordance with Hospice policy and procedures on the day services are rendered
Teaches, supervises and counsels patients/families regarding physical care and comfort, and other problems related to the patient's terminal condition
Provides guidance to patients/families to assist them in preparing for and coping with anticipated physical and psychological events throughout the dying process
Provides appropriate support at time of death and period of bereavement
Meets regularly with Hospice nursing staff to review problems or unique issues from caseloads, share professional support, and exchange feedback aimed toward enhancing professional growth
Participates in IDG conference as needed and facilitates discussion of issues from caseload for full staff discussion, consultation and evaluation
Supervises the Hospice Aide and the aide plan of care at least every fourteen (14) days and documents such supervision
If concerns are noted, observes the aide onsite providing care
If concerns are ongoing, reports to the Clinical Director of the need to repeat a competency evaluation with aide
Informs the Clinical Director of unusual or potentially problematic patient/family issues
Shares in providing 24-hour, seven-day a week coverage (evening and weekend on-call) to patients/families
Demonstrates working clinical knowledge and skills relative to hospice and end-of-life care, and a commitment to clinical excellence and ongoing training in the latest pain and symptom management interventions