Case Manager (RN) Hospice Home Care
Company: Duke Health
Location: Durham
Posted on: January 18, 2026
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Job Description:
At Duke Health, we're driven by a commitment to compassionate
care that changes the lives of patients, their loved ones, and the
greater community. No matter where your talents lie, join us and
discover how we can advance health together. About Duke HomeCare &
Hospice Pursue your passion for caring with Duke HomeCare &
Hospice, which offers hospice, home health, and infusion services
across the region, as well as serves as the home forthe Duke
Caregiver Support Program. Team members work closely with a
patient's physician to provide comprehensive, individualized care
in the comfort of their home or at our inpatient hospice facility
in Durham, NC. Our team is active in delivering exemplary care for
each patient to ensure an excellent patient experience, every time.
As a nurse with Hospice Home and Partners at Duke you will get to
live out Duke's mission of caring for our patients, their loved
ones, and each other in a very precious way. While working with our
Hospice department, you will have the opportunity to truly care for
people at their most vulnerable state of being as well as help them
and their loved ones learn to let go in peace and comfort.
Shifts/Hours: (5) 8 hour day shifts Duke HomeCare and Hospice
differs from other home health companies in many amazing ways.
Please see a list of some of those reasons below: Manageable
caseloads and territories Commitment to safety for both patients
and employees Mileage reimbursement rate equal to the current
federal rate Extensive orientation of 16 weeks based on individual
needs JOB SUMMARY: Performs professional nursing care for patients
in a primary care setting (the home or alternate-site setting)
according to nursing practices, agency policies and regulations.
Provide nursing services to patients and families in accordance
with the scope of the RN as defined by the North Carolina Board of
Nursing. MAJOR JOB RESPONSIBILITIES: Plan, provide, supervise and
document professional nursing care utilizing the nursing process
for patients in accordance with the NC nurse practice act,
physician orders and established policies and procedures. Uses
professional nursing judgment to individualize the plan of care
based on assessment of the patient’s baseline needs and response to
care. Utilize comprehensive assessment skills to plan priorities
and to set realistic outcomes; collaborate with healthcare team in
the evaluation and cost effectiveness of patient care. Assess
educational needs of patients/families concerning alterations in
health, the disease process, and plan of care. Develop and
implement an effective discharge plan for patients to begin at the
initiation of services. Obtain or develop appropriate educational
resources for patients/families; plan and implement appropriate
educational interventions; evaluate effectiveness and outcomes of
patient/family teaching. Role model professional nursing through
conduct, appearance, communication, mutual respect, ethical
decision-making, critical thinking, and problem-solving skills.
Participate in weekly interdisciplinary team meetings and case
conferences, as necessary, to assure appropriate care and service
are provided to the patient. Maintain up to date knowledge of
Medicare/Medicaid/JCAHO standards thru inservices and workshop
attendance. Assesses the severity of patient symptoms, communicate
to the physician and record significant findings, intervenes as
appropriate. Document care and services provided in accordance with
DHCH Policy and Procedures and regulatory standards. Complete
documentation accurately, timely, concisely. Medication
reconciliation and education to prevent adverse events and
readmission to hospital Observe patient’s reactions to medications
and reports significant incidents to the physicians. Communicate
regularly with team members, caregivers, and physicians. Follow
infection control standard precautions and uses personal protective
equipment as required. Delegate and supervise care given by
NCA’s/LPN’s. Develop plan of care for aides, assign care to aides
based on the skills of the aide, the availability of the aide for
patient care continuity, patient preference (when possible), and
other considerations as determined by the patient’s care needs.
Identify personal learning needs and implements corrective action:
assists in planning and conducting staff development programs to
improve DHCC effectiveness. Participate in own professional
development by maintaining required competencies, identifying
learning needs and seeking appropriate assistance or educational
offerings. Implement agency policy, procedures and objectives. Work
closely and collaboratively with agency billing staff to ensure
accuracy of billing. Maintain confidentiality of employee and
patient information. Exhibit an attitude which promotes harmony and
goodwill in the workplace. Display a clean, neat, professional
appearance. Participate in Performance Improvement Program. Promote
quality, comprehensive services through a team approach. Perform
other duties as assigned. WORK ENVIRONMENT AND REQUIREMENTS:
Perform Patient care primarily in the patient’s residence or
skilled nursing facility (>50%) Travel to and from patient
residence PREFERRED QUALIFICATIONS Education and Formal Training
Associate Degree or Diploma, Nursing required Registered Nurses are
not required but encouraged to enroll in a DUHS approved BSN
program after completing two years of service of their start date.
Licensures, Certifications Must have a current North Carolina RN
Licensure or compact RN licensure in participating state Current
State of North Carolina Cardio-Pulmonary Resuscitation Certificate
(CPR) (American Heart Association only) Valid driver’s license and
current automobile insurance coverage Duke is an Equal Opportunity
Employer committed to providing employment opportunity without
regard to an individual's age, color, disability, gender, gender
expression, gender identity, genetic information, national origin,
race, religion, sex (including pregnancy and pregnancy related
conditions), sexual orientation or military status. Duke aspires to
create a community built on collaboration, innovation, creativity,
and belonging. Our collective success depends on the robust
exchange of ideas—an exchange that is best when the rich diversity
of our perspectives, backgrounds, and experiences flourishes. To
achieve this exchange, it is essential that all members of the
community feel secure and welcome, that the contributions of all
individuals are respected, and that all voices are heard. All
members of our community have a responsibility to uphold these
values. Essential Physical Job Functions: Certain jobs at Duke
University and Duke University Health System may include essential
job functions that require specific physical and/or mental
abilities. Additional information and provision for requests for
reasonable accommodation will be provided by each hiring
department.
Keywords: Duke Health, Greensboro , Case Manager (RN) Hospice Home Care, Healthcare , Durham, North Carolina