Hospice Case Manager?


Can anyone tell me how much direct patient care is done as a hospice Case Manager?  I have CM experience, but haven't done any patient care in quite some time.  Do the hospice CMs do the same thing as Hospice nurses?  Thank you.

Specializes in Hospice. Has 16 years experience.

RN Case managers in Hospice see anywhere from 3-6 patients on average per day. Your job is direct patient care.

I would say at least 75% of your day as a hospice CM is spent doing patient care. As the case manager, you are assigned a caseload of patients (hopefully 12-14 max). Your job as the case manager is to visit those patients weekly or as required- some patients may need 2-3x weekly visits, or even daily if they're actively dying. Those visits consist of nursing assessment and vitals, and education to the family regarding what is happening to their loved one. I often would help with turning/changing if applicable if it needed to be done while I was there since I could get a good skin assessment by doing so. You'll also be doing things like post mortem care during death visits. 

The other 25% of your day is spent coordinating care. This could be returning calls from other patients/families for care questions, following up on new orders needed, talking to your interdisciplinary team, etc. 


Hope that helps!

Specializes in Hospice. Has 16 years experience.

Excellent review! I completely agree with this rundown.