Full Time Hospice Field Nurse


Iowa City Hospice is seeking a full time Nurse Case Manager to be a part of our interdisciplinary team.

About Us: Iowa City Hospice, part of the Iowa Care Community, is a community-based nonprofit that has provided end-of-life care to patients wherever they call home since 1983. Iowa Care Community provides foundational support for nonprofit home health care organizations, taking care of human resources, billing, marketing, fundraising and more. By providing these administrative services, Iowa Care Community allows clinical staff to focus on outstanding compassionate care for patients and caregivers.

About our Employment Opportunities: Iowa City Hospice is seeking a full time RN Case Manager with exceptional communication skills, a nice mixture of attention to detail, a love of new challenges and follow through that assures stability in the daily challenges of changing patient conditions. This position provides direct case management to make a focused difference in the quality of life for patients & family members through pain control and end of life symptom management while working with a dynamic interdisciplinary team. We provide all services to patients in their home settings which requires driving from location to location within our service territory.

About You: Are you dedicated to excellence, enjoy building lasting relationships, love helping to make a difference in the lives of others and looking for an agency who shares your core values? If you seek a mission centered, purpose driven career with a desire to serve others while working within an interdisciplinary professional team, we would love to talk with you about our open positions. Call Karen with any questions: 319-325-0319.

Our secret? We genuinely believe in our mission. We hire dedicated staff, compensate them well and then reward & recognize exceptional work within our team.

Our Team: Each employee in our organization understands the importance of their role to meet client needs while helping them maintain a high quality of life. Our Nurses have a passionate understanding for the hospice philosophy. They combine their acute/crisis symptom management education with interpersonal communication skills to provide care for patients and families in physical and emotional crisis situations.

Commitment to Growth and Opportunity: Part of our mission is to empower and equip our staff with the right tools and resources needed to provide extraordinary care with professionalism and integrity. You must be interested in advancing and developing your skills as a caregiver to advance to higher paying assignments.

Commitment to Diversity: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Schedule: Monday through Friday, 8 AM-5 PM, plus holiday rotations and occasional night/weekend call shifts.

Compensation & Benefits:

  • Assigned Company Equipment including an I Phone and I IPad
  • All expense paid company car, for qualified driver
  • Bi-Weekly Pay structure, includes annual pay for performance bonus and merit incentives designed to reward and recognize a job well done
  • Opportunity for skill development, promotions, and leadership training
  • 3 Wellmark Medical Plans (single; + spouse, +child(ren); family)
  • Dental (single; + spouse, +child(ren); family)
  • Avesis Vision (single; + spouse, +child(ren); family)
  • Tasc Flex Spending (Medical & Child Care)
  • Employee Assistance Program
  • Employer Matching 403b Retirement Plan with professional financial advising
  • Employer Paid Life Insurance
  • Employer Paid Disability Insurance
  • 19 Days of Vacation Leave
  • 12 Days of Sick Leave
  • 8 paid Holidays
  • Direct Deposit
  • Management Support

Hospice Nurses:

  • Assess home care and physical needs of the patient, regardless of the home location.
  • Identify and coordinate patient/family care with other members of the Interdisciplinary Team and health care community as needed.
  • Teach and counsel patients/families on care giving techniques.
  • Document observations, treatments, and other pertinent information into an IPad electronic medical records system.  

GENERAL DESCRIPTION: Responsible for providing nursing care to patients as part of an interdisciplinary team.

SKILLS/KNOWLEDGE: Employee will demonstrate expertise in defined specialty area, ability to communicate effectively in the English language both verbally and in writing. Employee will demonstrate organizational skills necessary to manage workload and productivity expectations. Employee will demonstrate the ability to work independently, able to maintain confidentiality in all matters, including employee information, client information and agency matters. The employee will demonstrate initiative in recognizing unmet needs and assuring a timely and appropriate response. The employee will demonstrate skill and knowledge in providing education and treatment of acute and chronic symptom management. The employee will demonstrate the ability to maintain and update professional knowledge base and the ability to assimilate and utilize agency information regarding policy and procedure changes. The employee will demonstrate competence in professional decision-making skills within the parameters of the Nurse Practice Act, including the ability to make appropriate assessments, problem-solve, prioritize, complete Plans of Care and evaluate their effectiveness. The employee will demonstrate the ability to use technology effectively and appropriately, including client care equipment, I-Pad and communication devices (smart phones, voicemail, and electronic mail). 

WORK ENVIRONMENT/EQUIPMENT: Employee will perform the duties in both inside and outside environmental conditions. Visits are conducted in patient homes requiring employee to drive from location to location during the work period within the service territory including Iowa City, small towns and rural areas. Atmospheric conditions – fumes, odors, dust, poor ventilation, or smoking. The ambient noise level in this environment can flex, is generally low. The duties include using office machinery including extensive use of computers, copiers, etc. The driving requirements include in-town and highway driving in good and inclement weather. All professional staff will use IPads to document work in client home and/or hospital settings.

PHYSICAL/COGNITIVE DEMANDS: PHYSICAL DEMANDS: The duties include performing skilled physical assessments and various skilled nursing activities, use of equipment for client care, computer and smart phone knowledge for documentation and communication. These duties require fine motor coordination/dexterity, the ability to grasp, vision with or without corrective aids adequate for fine motor tasks, client assessment, and driving. The job requires the physical demands of occasional lifting greater than 50 lbs., reaching, pushing, walking, going up and down stairs, driving, etc., with or without the use of assistive/adaptive devices. Must have the ability to lift 35 lbs. from floor to counter 3 times (to simulate lifting into trunk of car). Ability to carry 35 lbs up and down a flight of stairs, Push/pull 35 lbs on a 2 wheel cart. The job requires the ability to sit for long periods in a car and may require the physical demands of climbing up/down stairs, walking, hearing, kneeling, standing, pushing, grasping, lifting, talking etc. Requires visual acuity to operate motor vehicle, view electronic divises (I-phone, I-Pad, computer terminal) reading data and figures, visual inspection of patients. Cognitive ability to solve practical problems; variety of variables with limited standardization; interprets instructions.

Essential Job Functions (including but not limited to): To be performed satisfactorily with or without reasonable accommodation. The following duties are normal for this position. While this list is intended to be an accurate reflection of the job, it is not to be construed as exclusive or all-inclusive. Other duties may be required and assigned by the employer.

1. Complete the initial and ongoing patient assessment and ensure that orders for treatment and services are obtained to meet the needs of the patient.

2. Provide care that is in accordance with accepted nursing standards of practice and agency policies and procedures.

3. Ensure electronic medical record accurately reflects visit schedule per agency expectations. 

4. Attend morning huddle with Team Coordinator via phone at 8:10 AM

5.  Ensure the patient’s medication list is accurate through reconciliation with the facility or home medication lists every visit. 

6. Ensure nursing care and services provided are in accordance with the patient’s plan of care and goals are based on the patient’s identified needs for the palliation and management of symptoms.

7. Diffuse conflict with respectful, calm collaboration

8. Maintain open, approachable manner. 

9. Treat others fairly and respectfully.

10. Supervise care delegated to a Licensed Practical Nurse and hospice nurse’s aide.

11.  Communicate with the primary physician and team coordinator per agency policies and processes

12.  Document all care provided on the patient’s clinical record in accordance with agency documentation requirements

13. Participate in facility patient care conferences via telehealth, or in person, in coordination with interdisciplinary team

14. Gather data to assist in recertification process.

15. Demonstrate exceptional written, electronic and verbal communication standards. 

16. Establish and maintain strong relationships with the agency’s care partners.

17. Train patients, care partners and caregiver about symptom management, the safe administration of drugs and care giving techniques.

18.  Adhere to the practice of confidentiality regarding patients, families, staff and the organization.

19. Participate in Iowa Care Community’s success by ensuring access to our exceptional care. 

20. Support and promote Iowa City Hospice’s mission

21. Provide excellent interdisciplinary patient care through collaboration, communication, and coordination with the interdisciplinary team, team coordinator and facility care partners.

22. Perform other duties as assigned


Licensure:  Current Iowa Registered Nursing License.

Education: BSN, LPN, or Associate degree with relevant experience. BSN preferred.

Experience: Two years of hospice, home health or hospital or long term care work related experience preferred. 

Driving:  Proof of license and current insurance coverage

Criminal background check: All offers of employment are conditioned upon the result of a criminal background check conducted by the Iowa Division of Criminal Investigation, as required by law and a negative finding on the Office of Inspector General’s Excluded Provider List. 

Vaccination: New employees will be required to signify if they have received COVID and Hepatitis B Vaccination previously, consent to receive it now, or request accommodation. New employees will be required to take a 2-step TB test or to provide documentation of a recent TB Test and complete the second step during orientation. 

Additional Training: Continuation of employment in this position requires obtaining current CPR, Mandatory Reporter Certifications and Advanced Certified Hospice and Palliative Nurse (ACHPN®) certification in hospice and palliative care, by the 3rd year of employment