Reports To: Director of Clinical Services 

About Luminary Hospice:

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey.

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers. 

About the role:

The Registered Nurse Case Manager plans, organizes, and directs hospice care and is experienced in nursing, with an emphasis on community health education/experience.  The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.  

Job Responsibilities:

Patient Care 

1. Completes an initial, comprehensive, and ongoing comprehensive assessment of the patient and family to determine hospice needs.  Provides a complete physical assessment and history of current and previous illness(es). 
2. Provides professional nursing care by utilizing all elements of the nursing process. 
3. Assesses and evaluates patient’s status by: 
4. Writing and initiating a plan of care 
5. Regularly re-evaluating patient and family/caregiver needs 
6. Participating in revising the plan of care as necessary 
7. Initiates the plan of care and makes necessary revisions as patient status and needs change. 
8. Uses health assessment data to determine nursing diagnosis. 
9. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 
10. Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 
11. Counsels the patient and family in meeting nursing and related needs. 
12. Provides health care instructions to the patient as appropriate per assessment and plan. 
13. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 
14. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility for coordinating patient care for assigned caseload.   

Communication 

1. Completes, maintains, and submits accurate and relevant clinical notes regarding the patient’s condition and care given.  Records pain/symptom management changes/outcomes as appropriate. 
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 
3. Communicate with community health-related persons to coordinate the care plan. 
4. Teach the patient and family/caregiver self-care techniques as appropriate.  Provides medication, diet, and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.  Works in concert with the interdisciplinary group. 
5. Provides and maintains a safe environment for the patient. 
6. Assists the patient's family/caregiver and other team members in providing continuity of care. 
7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 
8. Attends interdisciplinary group meetings. 

Additional Duties 

1. Participates in on-call duties as defined by the on-call policy. 
2. Ensures that arrangements for equipment and other necessary items and services  
   are available. 
3. Supervises ancillary personnel and delegates responsibilities when required. 
4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 
5. Fulfills the obligation of requested and/or accepted case assignments. 
6. Actively participates in quality assessment performance improvement teams and activities.  

Job Qualifications: 

1. Graduate of an accredited school of nursing.  Preferred, One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care. 
2. Current licensure in State and CPR certification. 
3. Bachelor’s degree, with one (1) year of hospice care experience preferred. 
4. Management experience is not required.  Responsible for supervising hospice aides. 
5. Excellent observation, verbal and written communication skills, problem-solving skills, basic math skills; nursing skills per competency checklist. 
6. Prolonged or considerable walking or standing.  Able to lift, position, and/or transfer patients.  Able to lift supplies and equipment.  Considerable reaching, stooping bending, kneeling, and/or crouching.  Visual acuity and hearing to perform required nursing skills. 
7. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 

Physical Demands: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds. 

Equal Employment Opportunity:

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications.

Compensation and Benefits:

Luminary Hospice offers a competitive compensation package, along with a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings options, and more. Our benefits are designed to support your health, well-being, and long-term financial goals.                             

Reports To: Director of Clinical Services  

About Luminary Hospice: 

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey. 

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.  

About the role:  

The PRN Masters of Social Worker contracted or employed through the organization is responsible for the implementation of standards of care for medical social work services and for adherence to all conditions in the Service or Employment Agreement.  

Job Responsibilities: 

1. Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group.  Provides an assessment in the patient's identified residence and assistance when this is not safe, and another plan is required. 
2. Carries out social evaluations, including family dynamics, caregiver abilities, communication patterns, high risks for suicide, neglect, or abuse, and plans intervention based on evaluation findings.  Counsels patient and family/caregivers as needed in relationship to stress, and other identified coping difficulties. Provides crisis intervention when necessary. 
3. Assesses for, and educates interdisciplinary groups, on any special needs related to the culture of the patient and family. Includes communication, role of family, space, and any special traditions or taboos. 
4. Maintains clinical records on all patients referred to social work. 
5. Educates patients and families on, and assists in, the preparation of advanced directives. 
6. Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs. 
7. Provides information to patients and families/caregivers and community agencies. 
8. Serves as liaison between patients and families/caregivers and community agencies. 
9. Maintains collaborative relationships with organization personnel to support patient care. 
10. Maintains and develops contracts with public and private agencies as resources for patients and personnel. 
11. Participates in the development of the individualized plan of care, involving the patient and family, and attends regularly scheduled interdisciplinary group meetings, assisting the team in recognizing the effects of the psychosocial stresses on the symptoms of the terminal illness. 
12. Assists physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues. 
13. Actively participates in quality assessment performance improvement teams and activities. 
14. Assists family and patient in planning for funeral arrangements, and financial, legal, and health care decision responsibilities. 
15. Other duties as delegated by the Clinical Supervisor.  

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job-related tasks other than those stated in this description.  

Job Qualifications: 

1. A graduate of a master’s program in social work (MSW) accredited by the Council on Social Work Education  

OR  

1. A graduate of a bachelor’s program in social work accredited by the Council on Social Work Education.  Meets personnel qualifications stated in §418.114(b)(3). 
2. Minimum of one (1) years of experience in health care, hospice experience preferred. Understands hospice philosophy, and issues of death/dying. 
3. Experience in hospice care preferred. 
4. Demonstrates good verbal and written communication, and organization skills. 
5. Possesses and maintains current CPR Certification. 
6. Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.  

Physical Demands: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds. 

Equal Employment Opportunity: 

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications. 

Compensation and Benefits: 

PRN roles are not eligible for benefits.

Reports To: Executive Director  

About Luminary Hospice: 

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey. 

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.  

About the role:

The after-hours registered nurse supports the patient needs of the agency in the evening during the weekdays, working overnight shifts Monday through Thursday (5:00 PM – 8:30 AM) and a continuous weekend shift from Friday at 5:00 PM through Monday at 8:30 AM. This role follows a rotating schedule: one week on, followed by one full week off. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities after normal business hours.

Job Responsibilities:

1. Completes an initial and comprehensive assessment of patient and family to determine hospice needs.  Provides a complete physical assessment and history of current and previous illness(es).
2. Provides professional nursing care by utilizing all elements of nursing process and utilizes health assessment data to determine nursing diagnosis.
3. Assesses and evaluates patient's status through writing and initiating plan of care, re-evaluating patient and family/caregiver needs after hours when needed, and participates in revising the plan of care as necessary.
4. Develops a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions.  Includes the patient and the family in the planning process.
5. Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and treatments as prescribed by the physician in the physician's plan of care.
6. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care.
7. Supports the Case Managers and assumes responsibility to coordinate patient care for the agency after hours.
8. Completes, maintains, and submits accurate and relevant clinical notes regarding patient's condition and care given.  Records pain/symptom management changes/outcomes as appropriate.
9. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
10. Teaches the patient and family/caregiver self-care techniques as appropriate.  Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
11. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
12. Actively participates in quality assessment performance improvement teams and activities if needed.
13. Perform additional job duties as assigned. 

Job Qualifications:

1. Bachelor's or Associate's degree in nursing or related fields, required. 
2. Maintains an active nursing license that is in good standing in the state performing job duties. 
3. Maintains an active CPR certification. 
4. At least 2-5 years of experience in the healthcare management, hospice, or palliative care and/or training in end-of-life care, preferred. 
5. At least 1 year of experience with Medicare Hospice Certification as well as CHAP guidelines, preferred. 
6. Knowledge of hospice care and the services provided to patient and family/caregiver through an interdisciplinary group. 
7. Proficient in MS Office applications and ability to learn department and job-specific software systems. 
8. Demonstrate organizational skills. 
9. Demonstrate effective verbal and written communication skills. 
10. Demonstrate analytical skills when problem-solving. 
11. Demonstrate high attention to detail and a high degree of accuracy.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds.

Equal Employment Opportunity:

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications.

Compensation and Benefits:

Luminary Hospice offers a competitive compensation package, along with a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings options, and more. Our benefits are designed to support your health, well-being, and long-term financial goals.

Reports To: Director of Clinical Services

About Luminary Hospice: 

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey. 

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.  

About the role: 

The Bilingual PRN Hospice Aide is a paraprofessional member of the interdisciplinary group who works under the supervision of a registered nurse and performs various services for a patient as necessary to meet the patient's personal needs and to promote comfort. The Bilingual PRN hospice aide is responsible for observing the patient, reporting these observations, and documenting observations and care performed.  

The Bilingual PRN hospice aide will be assigned in a manner that promotes quality, continuity, and safety of a patient's care.  

Bilingual (English/Spanish) Required: We're looking for someone who is comfortable speaking both English and Spanish, as you'll be interacting with clients and in both languages.

Job Responsibilities: 

1. Performing personal care needs after given a patient's assignment and attending to his/her requests promptly.  If unable to perform a certain task, report to the Case Manager immediately.  

2. Providing patient and family with positive communication techniques, within the realm of ethical and respectful care, including confidentiality.  

3. Meeting the safety needs of the patient and using equipment safely and properly (foot stools, side rails, O2, etc.)  

4. Giving personal care including baths, back rubs, oral hygiene, shampoos, and changing bed linen as often as assigned.  

5. Assisting in dressing and undressing patients as assigned.  

6. Planning and preparing nutritious meals, including shopping, as assigned.  

7. Assisting in feeding the patient as assigned.  

8. Taking and recording oral, rectal, and auxiliary temperatures, pulse, respiration, and blood pressure when ordered with appropriate completed/demonstrated skills competency.  

9. Providing proper care and observation of the patient's skin to prevent the breakdown of tissue over bony prominence.  

10. Assessing and reporting on the patient's condition and significant changes to the Case Manager. Also aware of the caregiver or other individuals living with the patient and interpersonal issues.  

11. Assist in ambulation and exercise as instructed by the hospice nurse or therapist.  

12. Provide a normal range of motion and transfers/positioning as directed.  

13. Assistance with self-administered medications as allowed by state regulations, such as “reminders.”  

14. Offering and assisting with bedpans and urinals.  Assisting as assigned with light laundry needs.  

15. Performing range of motion and other simple procedures as an extensional therapy service as ordered with appropriate completed/demonstrated skills competency.  

16. Providing respite for patient's/family/caregiver when on-site, as appropriate.  

17. Keeping the patient's living area clean and orderly, as assigned.  

18. Adhering to the organization's documentation and care procedures and standards of personal and professional conduct.  

19. Participates in quality assessment performance improvement teams and activities.  

20. Respectful of patient and family/caregiver environment and patient's personal needs.  

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job-related tasks other than those stated in this description.  

Job Qualifications: 

1. Active STNA or CNA (state will dictate) Certification in the state performing job duties. 

2. Meets the training requirements of the State.  

3. Completed a minimum of 75 hours of classroom and supervised practical training.  Sixteen hours of classroom must be completed before a mandatory 16 hours of practical training.  

4. At least 18 years of age.  

5. Ability to read and follow written instructions and document care given.  

6. Understands hospice philosophy and is comfortable providing specialized care to the terminally ill.  

7. Satisfactory references from previous employers.  

8. Is self-directing with the ability to work with little direct supervision.  Secure with issues of death/dying. Provides a calm manner when in a patient’s home.  

9. Has empathy for the needs of the ill, injured, frail, and the impaired.  

10. Possess and maintain current CPR certification.  

11. Demonstrates tact, patience, and good personal hygiene.  

12. Licensed driver with an automobile that is insured in accordance with organization requirements and is in good working order.  

13. Complete a probationary period.  This probationary period is to ensure the aide is competent in the above qualifications and is documented by the supervisor and the employee.  

14. Bilingual (English/Spanish) Required: We're looking for someone who is comfortable speaking both English and Spanish, as you'll be interacting with clients and team members in both languages on a regular basis.

Physical Demands: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds. 

Equal Employment Opportunity: 

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications. 

Compensation and Benefits: 

PRN roles are not eligible for benefits. 

Reports To: Director of Clinical Services 

About Luminary Hospice:

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey.

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers. 

About the role:

The PRN Registered Nurse Case Manager plans, organizes, and directs hospice care and is experienced in nursing, with an emphasis on community health education/experience.  The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.  

Job Responsibilities:

Patient Care 

1. Completes an initial, comprehensive, and ongoing comprehensive assessment of the patient and family to determine hospice needs.  Provides a complete physical assessment and history of current and previous illness(es). 
2. Provides professional nursing care by utilizing all elements of the nursing process. 
3. Assesses and evaluates patient’s status by: 
4. Writing and initiating a plan of care 
5. Regularly re-evaluating patient and family/caregiver needs 
6. Participating in revising the plan of care as necessary 
7. Initiates the plan of care and makes necessary revisions as patient status and needs change. 
8. Uses health assessment data to determine nursing diagnosis. 
9. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 
10. Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 
11. Counsels the patient and family in meeting nursing and related needs. 
12. Provides health care instructions to the patient as appropriate per assessment and plan. 
13. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 
14. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility for coordinating patient care for assigned caseload.   

Communication 

1. Completes, maintains, and submits accurate and relevant clinical notes regarding the patient’s condition and care given.  Records pain/symptom management changes/outcomes as appropriate. 
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 
3. Communicate with community health-related persons to coordinate the care plan. 
4. Teach the patient and family/caregiver self-care techniques as appropriate.  Provides medication, diet, and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.  Works in concert with the interdisciplinary group. 
5. Provides and maintains a safe environment for the patient. 
6. Assists the patient's family/caregiver and other team members in providing continuity of care. 
7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 
8. Attends interdisciplinary group meetings. 

Additional Duties 

1. Participates in on-call duties as defined by the on-call policy. 
2. Ensures that arrangements for equipment and other necessary items and services  
   are available. 
3. Supervises ancillary personnel and delegates responsibilities when required. 
4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 
5. Fulfills the obligation of requested and/or accepted case assignments. 
6. Actively participates in quality assessment performance improvement teams and activities.  

Job Qualifications: 

1. Graduate of an accredited school of nursing.  Preferred, One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care. 
2. Current licensure in State and CPR certification. 
3. Bachelor’s degree, with one (1) year of hospice care experience preferred. 
4. Management experience is not required.  Responsible for supervising hospice aides. 
5. Excellent observation, verbal and written communication skills, problem-solving skills, basic math skills; nursing skills per competency checklist. 
6. Prolonged or considerable walking or standing.  Able to lift, position, and/or transfer patients.  Able to lift supplies and equipment.  Considerable reaching, stooping bending, kneeling, and/or crouching.  Visual acuity and hearing to perform required nursing skills. 
7. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 

Physical Demands: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds. 

Equal Employment Opportunity:

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications.

Compensation and Benefits:

PRN roles are not eligible for benefits.