Big Bend Hospice (BBH) is your “Hometown Hospice,” providing compassionate end-of-life care for over 40 years to the Big Bend region. Guided by our values of integrity, respect, and excellence, we are seeking a dedicated and experienced RN Case Manager II to join our Clinical Administration team to cover out new western Service areas in Central Time.
The ideal candidate for the RN Case Manager II role is a compassionate and highly skilled clinician who excels at coordinating care across settings while supporting patients and families through the hospice journey. This individual serves as both a clinical expert and care coordinator, ensuring seamless transitions from admission through ongoing care, while promoting quality, compliance, and an exceptional patient experience.
Evaluates patients and families for hospice admission using approved criteria and procedures
Conducts pre-assessment and admission visits in home, hospital, and facility settings
Coordinates with referring physicians, intake teams, and community partners to facilitate timely admissions
Provides education to patients, families, and referral sources regarding hospice philosophy, eligibility, and services
Ensures all admission documentation is accurate, complete, and submitted within required timelines
Develops, coordinates, and implements individualized interdisciplinary group (IDG) plans of care
Provides skilled nursing care, symptom management, and patient/family education aligned with hospice best practices
Maintains consistent communication with physicians, IDG members, and community partners to ensure continuity of care
Supervises and provides guidance to Licensed Practical Nurses (LPNs) and Hospice Aides (HAs), including initiating plans of care
Participates in interdisciplinary team meetings, quality initiatives, and continuous improvement efforts
Demonstrates competency in pain and symptom management, end-of-life care, and holistic patient support
Maintains accurate, timely, and compliant documentation within the electronic medical record (EMR)
Ensures compliance with Medicare, Medicaid, and all applicable regulatory requirements
Adheres to all BBH, state, and federal policies and procedures
Serves as a clinical resource and mentor to peers, new hires, and students
Collaborates with Admissions, Education, and Community Relations teams to support smooth care transitions
Maintains a balanced caseload aligned with organizational standards
Participates in weekend, evening, and holiday rotations as assigned
Demonstrates accountability, sound clinical judgment, and effective prioritization
Utilizes resources and supplies in a fiscally responsible manner
Represents Big Bend Hospice with professionalism and compassion
Performs other duties as assigned
Excellent verbal and written communication skills
Strong interpersonal, conflict resolution, and relationship-building skills
Exceptional organizational skills and attention to detail
Strong clinical judgment, analytical thinking, and problem-solving ability
Ability to prioritize, delegate, and manage multiple responsibilities
Demonstrates integrity, professionalism, and confidentiality
Proficient in Microsoft Office Suite and ability to learn internal systems
Ability to manage the physical and emotional demands of caring for terminally ill patients and families
Must communicate effectively in English
Big Bend Hospice offers a robust Total Rewards package to include Competitive Salary, Robust Employee Benefits, Recognition and Public Service Loan Forgiveness (eligible for most roles).
