Overview
Guide with Compassion. Connect with Purpose. Transform Lives through Advanced Illness Care.
The Remote RN Care Manager plays a key role in ensuring high-quality, patient-centered end-of-life and palliative care. This position provides telephonic and virtual support to patients and their families while collaborating with physicians, nurse practitioners, and interdisciplinary team members to develop and implement individualized care plans.
As a RN Care Manager in our Palliative Care Advanced Illness Management Program, You Will:
Conduct virtual or telephonic RN screening assessments and provide education to AIM patients, family members, and caregivers.
Complete risk stratification assessments to identify patient needs according to established protocols.
Maintain consistent outreach frequency per patient needs and risk level.
Deliver reliable education on disease processes, symptom management, self-care, nutrition, and medication administration.
Collaborate with the AIM nurse practitioner, physician, and interdisciplinary team to coordinate care and update the plan of care as needed.
Communicate any changes in patient condition, signs of decline, or new care needs promptly to the appropriate team members.
Document all assessments, findings, interventions, and care plans accurately and in a timely manner.
Support hospice referrals and transitions of care as appropriate.
Facilitate prescription requests, lab results, and durable medical equipment needs per clinical guidelines.
Provide education to patients and families that promotes comfort, confidence, and quality of life.
Participate in after-hours or weekend call coverage as assigned.
Adhere to all company, HIPAA, and compliance policies while maintaining confidentiality and professionalism in every interaction.
Schedule: Monday-Friday, 8am-5pm
Coverage: Toledo, OH Palliative Care Branch - Must reside and have licensure in Ohio
About You
Experience:
Minimum of 2 years of prior skilled Registered Nurse experience
Demonstrated ability to provide high-quality patient care
Experience in palliative care, oncology, hospice, advanced illness management, or geriatric care preferred
Licenses, Certifications, and/or Registration:
Active, unencumbered Registered Nurse license in state(s) of practice
Equipment, Tools, and Work-Aids:
Fluent competence in Microsoft Outlook, Word, and Excel
Proficiency in point-of-care and electronic medical record systems
Specialized Knowledge and Skills:
Excellent leadership, interpersonal, written, and verbal communication skills
Strong independent decision-making and self-motivation
Working knowledge or understanding of the principles of Palliative Medicine, including patient appropriateness for home health or hospice care
Understanding of Medicare/Medicaid regulations and the interdisciplinary process
Meets mandatory continuing education requirements of Gentiva and state licensing board
Prior clinical experience with strong problem-solving and time management skills
Personal Traits, Qualities, and Aptitudes:
Compassionate communicator with patients and families
Keen observation skills and ability to identify and escape changes in patient conditions appropriately
We Offer
Benefits for All Associates (Full-Time, Part-Time & Per Diem):