Advanced Illness Case Manager
Why NVNA & Hospice?
Join a team that boasts an impressive track record of excellence in delivering top-tier home health, hospice, wellness, and public health services to our valued patients and community.
Our non-profit organization is a continued recipient of five-star patient experience ratings with the Centers for Medicare and Medicaid Services, the highest achievement possible. We are proud to be ranked as a Top 100 Women-Led Business in Massachusetts by Boston Globe Magazine and The Women’s Edge.
Today, NVNA and Hospice is a vibrant agency serving 27 communities and providing 120,000 patient visits per year with a staff of 331—including 123 nurses—and a reputation for excellent care, efficiency, flexibility, and innovative thinking.
We continue to uphold our values of community, high-quality services in a safe environment of care, integrity, professional development, respect and caring, excellent customer service, and employee well-being. We are neighbors helping neighbors.
What will you be doing:
The Internal Advanced Illness Case Manager is responsible for oversight and guidance to the designated population of patients living with advanced or life-limiting illnesses. This role ensures that patients receive appropriate, compassionate, and timely services that align with their goals of care. The Case Manager works closely with interdisciplinary teams, patients, families, and external providers to manage complex clinical needs.
Key Responsibilities:
- Participate in interdisciplinary case conferences and quality improvement initiatives.
- Acts as an additional resource to patients by making wellness calls, follow-ups and coordinating with MD office as necessary.
- Monitor patient status and proactively address changes in condition.
- Identify any barriers to care transitions and communicate with other team members.
- Collaborate with care team members, physicians and other providers to ensure continuity of care.
- Maintain compliance with Medicare, Medicaid, and agency policies.
Skills:
- Knowledge of and experience with Hospice and Palliative care.
- Understands and has experience with goals of care conversations.
- Understands and is experienced in the regulations for Home care and Hospice and eligibility for Hospice.
- Ability and experience with working with and teaching the home care staff on: (1) how to have a goals of care conversation with patients and families and (2) how to identify how/when to move patients into Palliative or Hospice.
- Excellent customer service
- Organization skills, detailed-oriented and great follow-through is a must.
What we’re looking for in you:
- Current Massachusetts Nursing license in good standing
- Registered Nurse (Bachelor’s degree preferred)
- 2+ years of experience in home health, hospice, palliative care, or complex case management.
- Strong understanding of serious illness trajectories, symptom management, and psychosocial support.
- Familiarity with advanced directives, MOLST, and goals-of-care documentation.
- Proficiency in EMR systems and clinical documentation standards.
- Excellent communication, empathy, and decision-making skills.
What's in it for you?
- Medical, Dental and Vison Benefits
- Company paid Life Insurance and Long-Term Disability
- Generous Paid Time Off Package
- 401 (k) match program
- Tuition Reimbursement and Scholarship Program
- Mileage Reimbursement (in field positions only)
VACCINE REQUIREMENTS: NVNA and Hospice requires full vaccination for Covid-19 and flu as a condition of employment. An exception to this mandatory requirement can be requested.
NVNA and Hospice complies with applicable federal and state civil rights laws and does not discriminate, exclude people or treat them less favorably because of race, color, creed, religion, national origin (including limited English proficiency and primary language), sex (including sex characteristics, including intersex traits, pregnancy, or related conditions, sexual orientation, gender identity and sex stereotypes), age, disability (including mental illness and substance abuse disorders), genetic material, veteran status, communicable disease, natural or protective hairstyles or any combination, thereof with regard to admission, access to treatment or employment.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Apply for this job
*
indicates a required field