Nurse Manager-Hospice Home-Care

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke HomeCare & Hospice

Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Qualityof Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

The Hospice team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home at Duke you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very precious way.  While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort.  

JOB SUMMARY

The Nurse Manager for Hospice Home is responsible for overseeing the delivery of high-quality, compassionate care to patients receiving hospice services in their homes. This role ensures compliance with regulatory standards, manages clinical staff, and collaborates with interdisciplinary teams to support patients and families during end-of-life care. The Nurse Manager serves as a leader, mentor, and resource for nursing staff, promoting excellence in clinical practice and patient-centered care.

MAJOR JOB RESPONSIBILITIES

Leadership & Staff Management

1. Manage, coach, and evaluate hospice nursing staff to ensure optimal performance and professional development.
2. Manage a geographical team of interdisciplinary clinicians with oversight for care of 200+ patient census.
3. Oversee various personnel actions including hiring, performance appraisals, disciplinary actions, terminations, and other employee relations issues.
4. Coordinate staffing schedules and manage workload distribution to maintain quality care.
5. Foster a positive, collaborative work environment that supports team engagement and retention.
6. Promote professional development.
7. Serve as a professional role model and mentor to staff by responding positively to change while supporting colleagues through the change process.
8. Assess, coach, and evaluate staff level of practice.
9. Develop programs that foster continued clinical development from novice to expert to positively impact patient care and career satisfaction of staff.
10. Ensure a workforce that is diverse and cognizant of the value diversity brings to the workplace.

Clinical Oversight & Patient Care

1. Ensure adherence to hospice care standards, policies, and regulatory requirements.
2. Monitor patient care plans and outcomes, providing guidance on complex clinical situations.
3. Conduct regular case conferences and participate in interdisciplinary team meetings.
4. Serve as a clinical resource for staff, patients, and families regarding symptom management and end-of-life care.
5. Serve as the staff and patient advocate to ensure optimal patient care.
6. Ensure compliance with clinical patient care standards and established policies and procedures with current and new staff.
7. Maintain clinical competencies for assigned department and provide direct patient care as needed.
8. Responsible for collaboration of patient care with referral source staff.
9. On-call rotation as operationally needed.

Quality, Compliance & Regulatory Readiness

1. Implement and monitor quality improvement initiatives to enhance patient care and service delivery.
2. Maintain accurate documentation and ensure compliance with state, federal, and accreditation standards.
3. Investigate and resolve patient or family concerns promptly and professionally.
4. Maintain required program records, reports, and statistics for administrative purposes; ensure compliance with DHCH policies, procedures, objectives, quality control, PI, safety, environmental, and infection control.
5.  Maintain survey and regulatory readiness.

Communication & Change Management

1. Openly support and consistently communicate mission of the department and the organization.
2. Serve as the collective voice for the department staff to communicate with DHCH administration.
3. Serve as a change agent to facilitate communication and transition that supports the mission of the organization.
4. Engage and lead in Project Management activities to effectively facilitate change.
5. Effectively communicate requirements to staff and hold staff accountable to established requirements.

Financial & Operational Management

1. Collaborate with leadership to develop and manage departmental budgets.
2. Assist in strategic planning for hospice services, including growth and program development.
3. Ensure efficient use of resources while maintaining high standards of care.
4. Collaborate with the Director of Patient Services to determine fiscal requirements of department and prepare budget recommendations.
5. Monitor the level of resources utilized in service delivery and determine the appropriateness of resource consumption.
6. Assist Director of Patient Services with action plans to ensure budget and resource efficiency, and satisfaction with patient care delivery.

Required Experience/Education

Education

• Bachelor's degree in nursing (BSN) required Master's degree in nursing or related field preferred.

Experience

• Minimum of three years of nursing experience with at least one year of leadership experience required. Experience in ambulatory or outpatient clinic operations preferred.

Degrees, Licensure, and/or Certification

• Current RN licensure in the state of NC or compact state. BLS certification required; additional certifications may be required based on specialty.

Professional Work Experience

• Valid NC Driver’s License and Auto Insurance
• Certification/Licensure as required by regulatory agencies. 
• Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards.
• Computer skills including Word and Excel preferred. Excellent communication and organizational skills required.
• Ability to quickly learn new software and technology and provide support to team.

Knowledge, Skills & Abilities

• Minimum of one year prior Hospice Home-Care experience preferred
• Prior leadership in Hospice preferred
• Ability to manage a remote team of clinicians providing care in patient’s homes in multiple settings.
• Ability to work autonomously and independently in varying environments.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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