Gentiva Hospice logo
Gentiva Hospice
Roanoke Rapids, North Carolina

RN Hospice Case Manager

Registered NurseIncludes callNo weekendsNo nightsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting and time off.

Posted 9m ago · Verified live

Job Description

Lead with Heart. Be the Difference. Transform End-of-Life Care.

Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love.

What You'll Do as a Hospice RN / RN Case Manager:

Be the primary point of contact for patients and families, guiding them through every step of their hospice journey.

Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home.

Perform initial and ongoing assessments to monitor patient condition and adjust care as needed.

Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans.

Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance.

Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance.

Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions.

Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards.

Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient.

Help patients and families understand and navigate topics such as:

  • Medication administration
  • Hospice philosophy and services
  • Symptom and pain management
  • End-of-life processes and expectations

Essential Functions

Job Responsibilities

  • Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate.
  • Deliver skilled nursing interventions and symptom management aligned with goals of care.
  • Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification.
  • Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners.

Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs.

Communicate change in condition, or signs and symptoms of decline to appropriate provider (e. g., NP, PCP, Hospice Physician).

Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care.

Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans.

Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome.

Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner.

  • Core Competencies
  • Clinical excellence and sound judgment
  • Patient-centered communication and empathy
  • Interdisciplinary collaboration
  • Accountability and regulatory compliance
  • Adaptability and critical thinking
  • Timeliness of patient visits and documentation
  • Accuracy and completeness of clinical records
  • Patient and caregiver satisfaction
  • Compliance with regulatory and policy standards
  • Participation in team collaboration and IDG activities

About You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education

Registered Nurse

Experience

A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases.

Hospice or palliative care experience preferred

Licenses, Certifications And/or Registration

  • Current license to practice nursing in the state of requested employment
  • CPR Certification
  • Current automobile insurance and valid driver’s license

Specialized Knowledge and Skills

Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i. e., Medicare, Medicaid, ACHC, and human resource management principles).

Working Conditions

Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.

Personal Traits, Qualities and Aptitudes

Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis.

Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds.

Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team.

Equipment/Tools/Work-Aids

Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work.

We Offer

  • Benefits for All Associates (Full-Time, Part-Time & Per Diem):
  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund

Additional Full-Time Benefits

  • Medical, Dental, Vision Insurance
  • Mileage Reimbursement or Fleet Vehicle Program
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
  • Free Continuing Education Units (CEUs)
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
  • Ready to Join a Team That Cares?
  • Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones.
  • Legalese
  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace

Location: Gentiva Hospice

Our Company

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

  • Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
  • Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
  • Home health care: Heartland Home Health
  • Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

Key Responsibilities

The Hospice RN Case Manager provides personalized nursing care and symptom management to patients in their homes or institutional settings. They collaborate with an interdisciplinary team to develop care plans and offer emotional and spiritual support to patients and their families.

Requirements

Candidates must be a Registered Nurse with at least one year of experience in acute care, hospice, or home health. A valid nursing license, CPR certification, and reliable transportation are required.

Qualifications

Education
Professional certificate or licensure

Key Skills

Care planningPatient education

Hospice Nursing — Registered Nurse Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Nurse Case Manager listings this role was benchmarked against, 23% are remote, 53% have no call, 65% require no weekends.

What does the Nurse Case Manager market look like in North Carolina?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in nurse case managerranked against 2,789 Nurse Case Manager listingslisting-based score, 0–10
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Hospice Nursing listings in North Carolina42 active—live on WeekdayDoc, Nov 2026
All nurse case manager listings in North Carolina199 active5,868 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 23% remote · 53% no call · 65% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina registered nurse listings (all specialties): 13% state a sign-on bonus (median $15k) · 3% offer loan repayment199 active listings, Nov 2026
New Hospice Nursing RN listings519 in the last 30 days438 the 30 days before (+18%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (2,789 Nurse Case Manager listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all nurse case managers: too few North Carolina Hospice Nursing postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates RN Hospice Case Manager at Gentiva Hospice a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Nurse Case Manager — ranked against 2,789 active Nurse Case Manager listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Top Nurse Case Manager Jobs

27 matches · ranked by pay

Salary Distribution

17 jobs · 15 employers
5
<$95k
4
$95k-110k
4
$110k-125k
4
$125k-140k

Annual compensation range

Benefits & Perks

15 jobs
401k / retirement match
100% this job
Sign-on bonus
7%
Loan repayment
7%
CME allowance
7% this job

Share of similar jobs offering each benefit

#1

Registered Nurse - Case Manager

ERP International · Twentynine Palms, California

$60-$67/hr
#2

RN Case Manager

Rocky Mountain Care Group · Jackson, California

$62-$65/hr
#3

Case Manager RN

$54k-$130k
#4

Hospice RN Case Manager - Suffolk

$87k-$127k
+ 25 more · ranked by pay

Work-life snapshot

median 3.9this job 6.6
Better work-life than 80% of Nurse Case Manager listings

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • Includes call
Gentiva Hospice logo

About Gentiva Hospice

Hospitals and Health Care
Atlanta, GA
5,001-10,000 employees

Benefits & Perks

401(k) with Company Match
Medical, Dental, Vision Insurance
Mileage Reimbursement or Fleet Vehicle Program
Generous Paid Time Off + 7 Paid Holidays
Wellness Programs
Education Support & Tuition Assistance
Free Continuing Education Units (CEUs)
Company-paid Life & Long-Term Disability Insurance

Living in Roanoke Rapids

Typical 3-bedroom home value
$148k
Typical market rent
$950/mo
Residents’ average commute
22 min
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.