Hospice RN Nurse Case Manager

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Hospice RN Nurse Case Manager - $110k

Locations:
Hardeeville, SC;
Hilton Head Island, SC;
Port Royal, SC;
Beaufort, SC

We are seeking a Registered Nurse to service our patients throughout the Beaufort area. The Nurse Case Manager is a critical part of the patient’s care team. The nurse will visit patients and coordinate with the appropriate providers. The Nurse Case Manager will travel to patients’ homes and facilities to evaluate patients and initiate telemedicine visits, providing quality healthcare within the scope of practice and applicable laws and policies.

The Nurse Case Manager performs visits in patients  homes and facilities (assisted living, independent living facilities) in their designated service area. Reliable transportation is required as travel is daily. This is a full-time, salary-based position with 12-hour shifts.

• Hardeeville/Beaufort/Hilton Head Island area

We are a leading physician group serving South Carolina and Georgia, delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. We are committed to excellence and innovation, collaborating with facilities and families to ensure accessible, coordinated, and compassionate care.

Providing high-quality care for our patients is central to what we do, and we offer the same level of care for our employees. Benefits include:

• Competitive compensation package with bonus opportunities
• Employer-matched 401K
• Free visit and prescriptive services with HDHP insurance plan
• Employer-matched HSA
• Generous PTO package
• Career development and growth opportunities
• Vehicle allowance

Your Health is currently looking for a Registered Nurse to join our growing primary care family. A successful Nurse Case Manager will perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.

• Facilitate receiving all medical records from the patient s primary provider and specialists
• Review medical records
• Complete consents with patients
• Enroll patients in Care Management, if they meet eligibility criteria
• Initiate a Care Management Plan of Care, if the patient is eligible
• Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted
• Complete AWVs to be reviewed by the provider
• Complete cognitive impairment screenings
• Complete Social Determinants of Health (SDoH) assessments and/or screenings
• Complete ACPs to be reviewed with the patient by the provider
• Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
• Evaluate for RPM devices, resources, or tools that may improve the patient’s quality of life
• Communicate and coordinate care
• Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments
• Provide post-discharge education
• Evaluate for adaptive equipment and DME
• Evaluate for safe environment
• Evaluation of acute condition(s) or follow-up from previous visit
• Document and log Care Management activities; work with the care team to keep care plans up to date
• Coordinate with the patient s health care team, providers, physical and occupational therapists, home health or hospice representatives, and other individuals in the care plan
• Facilitate visits with appropriate provider or entity
• Facilitate a telehealth visit with a provider for coordination of care, when necessary
• Coordinate with the patient s hospice interdisciplinary team and other individuals in the patient s care plan
• Participate in IDG meetings when necessary

• Must be a registered nurse. License must be in good standing with the appropriate board/issuer
• Minimum of three (3) years clinical experience preferred
• Experience in community settings preferred
• Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers
• Strong written and verbal skills
• Basic computer knowledge
• Ability to manage and demonstrate effective leadership skills
• Good interpersonal and communication skills under all conditions
• Ability to foster a cooperative work environment
• Team player with ability to manage multiple responsibilities and demonstrate sound judgment
• Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile insured as required by state/organization and in good working order