Registered Nurse - Case Manager
About the job
- At least one year of registered nurse experience in acute care hospital, oncology, long-term care, hospice, or home health; school internships and clinical hours may be considered in individual cases.
- A current license to practice nursing in the state of requested employment is required.
- Current CPR certification is required.
- Current automobile insurance and a valid driver’s license are required.
- Knowledge of terminally ill patients and their families, hospice principles, the roles of hospice disciplines, community resources, general nursing practice, managed care principles, and regulatory guidelines including Medicare, Medicaid, ACHC, and human resource management principles is required.
- Excellent patient assessment skills, documentation and program management skills, and effective oral and written communication skills are required.
- The nurse must be able to operate nursing assessment tools, computers, facsimile equipment, copiers, and a cell phone or beeper.
- The nurse must maintain transportation for work.
- The position requires flexibility in performing changing tasks, effective communication with people from all socioeconomic backgrounds, and the ability to work safely in patient homes or institutional settings with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.
- Serve as the primary point of contact for patients and families throughout the hospice journey.
- Deliver and document skilled hands-on nursing care according to each patient’s individualized plan of care in homes, assisted living facilities, or other patient settings.
- Perform comprehensive initial, ongoing, in-person, and telephone registered nurse assessments and reassessments, including screenings.
- Deliver skilled nursing interventions and symptom management aligned with goals of care.
- Develop and update individualized plans of care, including visit frequency and risk identification.
- Collaborate with physicians, licensed practical nurses, certified nursing assistants, social workers, chaplains, and other interdisciplinary team members to build and refine care plans.
- Provide emotional, physical, and spiritual support, education, comfort, and bereavement guidance to patients and loved ones.
- Teach patients, family members, caregivers, and loved ones about disease processes, self-care techniques, end-of-life care, medications, nutrition, dietary needs, and safe caregiving.
- Communicate changes in patient condition and signs or symptoms of decline to the appropriate provider, such as a nurse practitioner, primary care provider, or hospice physician.
- Support continuity of care by recognizing and supporting home health, palliative, and hospice referrals and transitions between levels of care.
- Document timely and accurate clinical records, including screening and assessment findings, physician orders, progress notes, and care plans.
- Follow infection-control, regulatory, policy, and compliance standards.
- Maintain effective working relationships with the interdisciplinary group and involve the team when the patient’s care plan warrants team participation.
- Participate in quality-improvement, scheduling, on-call, and patient-support activities, conducting on-call services in a clinically competent and responsive manner.
- Help patients and families understand medication administration, hospice philosophy and services, symptom and pain management, and end-of-life processes and expectations.
- Hospice or palliative care experience is preferred.
About the company
Gentiva provides in-home hospice, palliative, and home health care across the United States through a national network. Care is delivered by clinicians and therapists in patients’ homes, including an Advanced Illness Management model for those not yet hospice-eligible. The company differentiates itself with an integrated at-home care platform and strategic acquisitions, such as ProMedica’s home health, palliative, and hospice operations. Its goal is to help patients stay at home, reduce avoidable hospitalizations, and support families and caregivers throughout the care continuum.
Company Size
5,001-10,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Atlanta, Georgia
Founded
2004
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Simplify's Take
What believers are saying
- Humana agreed in June 2026 to sell its remaining Gentiva stake for $900 million.
- Gentiva signed the Addus Personal Care divestiture, sharpening focus on hospice and home health.
- CMS included Gentiva facilities in FY2026 hospice compliance lists, sustaining Medicare visibility.
What critics are saying
- The 2024 DOJ settlement imposed $19.4 million over ineligible hospice claims and kickbacks.
- Another False Claims Act case triggers payer exclusions and cripples growth.
- Hospice reimbursement scrutiny and survey risk threaten margins if CMS tightens enforcement in 2027.
What makes Gentiva unique
- Gentiva runs 317 hospice locations across 35 states, with Texas and North Carolina anchors.
- Its hospice, palliative, and home health mix spans end-of-life through recovery care.
- The 2023 ProMedica integration added 4,000 employees and expanded the Heartland footprint.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
401(k) Retirement Plan
401(k) Company Match
Paid Vacation
Paid Holidays
Wellness Program
Professional Development Budget
Life Insurance
Disability Insurance
Commuter Benefits
Pet Insurance
Company News
Humana (NYSE:HUM) agreed to sell its minority stake in Gentiva for approximately US$900 million, exiting equity ownership in home health, palliative, and hospice care. The insurer was also selected as a winner in Illinois' Medicaid managed care program, adding a new state contract to its government focused portfolio. For a company centered on Medicare Advantage and other government backed insurance, these moves represent a meaningful repositioning of how Humana (NYSE:HUM) is exposed to care...