Registered Nurse / Case Manager


A Hospice RN serves as a Case Manager responsible as a member of the interdisciplinary team for implementing, delivering, and coordinating hospice services provided by team members consistent with Hospice of the Northwest policies, procedures, and philosophy.

Full Description:

Demonstrates familiarity and practices in compliance with policies of the agency and rules and regulations of State and Federal entities which aid in determining policies. Obtain data on physical, psychological, social, and spiritual factors that may influence patient/family health status and incorporate data into the comprehensive assessment/care plan. Actively contributes and collaborates in the Interdisciplinary Team (IDT). Explains Hospice services and evaluates whether the patient meets Hospice criteria for admission to service. Confirms payment for service coverage. Assesses patient/family goals, provides patient, family, and caregivers education and instruction as needed. A Hospice RN coordinates the provision of pharmacy services, DME, and other supplies in a timely and cost-effective manner.

Obtains, follows, and communicates physician orders while maintaining regular communication with physicians concerning patient/family care needs and interventions. Initiates communications with physicians, hospice staff, and other agencies as needed to coordinate optimal care and use of resources for the patient/family. Provide support to bereaved at time of death and performs bereavement assessment, if requested. Maintains current patient records so that problems, plans, actions, and goals are accurately and clearly stated and changes are reflected as they occur. Seeks input from other team members regarding the patient plan of care to obtain additional knowledge and support. Meets regularly with Hospice nursing staff to review problems or unique issues from caseloads, share professional support, and exchange feedback to enhance professional growth. A Hospice RN assists other Case Managers and other Hospice staff as needed. Arranges all levels of hospice care at any time, day or night, as required. Shares in providing 24-hour seven days per week rotation to provide care for patients/families when necessary.

A Hospice RN assists with identifying and problem-solving quality improvement issues by participating in the Quality Assessment Performance Improvement (QAPI) process, chart review, and staff education. As requested, participates in staff selection, the orientation of new personnel, and if qualified, serves as a preceptor. Maintains regular communications with the Program Manager or designee to review caseload management. Consult with the Program Manager or designee regarding decisions impacting clinical staff and the delivery of care. Make decisions in conjunction with the Program Manager that reflects thorough consideration of alternative and creative solutions. A Hospice RNs shows sensitivity to the impact of decisions on others. Informs the Program Manager or designee of unusual or potentially problematic issues. Actively participates in program development via committees, task forces, or educational efforts. Performs other duties as assigned.


RN from an accredited school of nursing. BSN or advanced degree highly desirable.


Minimum of two years of work experience in one of the following areas as a Nurse (RN or LPN): Hospice, Home Health, Long Term Care, Medical/Surgical Unit or Skilled Nursing Facility or other experience that is deemed relevant required. Minimum experience of one year as a Case Manager, Resident Case Manager, Charge Nurse, or similar position preferred. Previous Medicare-certified Hospice or Homecare experience is strongly preferred.

Prefer experience with electronic medical records. Ability to communicate effectively both in written and verbal form. Able to develop effective interpersonal relationships with patients, staff, physicians, and caregivers. Working knowledge of the fundamentals of nursing practice. Current knowledge of practice standards of Hospice. Ability to prioritize and effectively manage multiple tasks. Ability to collaborate with and delegate to other team members. Has an ability to educate family and caregivers so they may provide effective patient support.


Current license to practice as a Registered Nurse in the state of Washington. Current Washington State Driver’s License and proof of automobile liability insurance required. Current American Heart Association (AHA) Healthcare Provider BLS required.

Hiring Manager Contact Information:

If you have questions or would like to apply for this position, use the form to the right to submit your resume or ask a question. You may also call 360-814-5550.

Nurse with Patient

Cici Maestas, Hospice Nurse, talks about working at Hospice of the Northwest

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