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Hospice RN Case Manager

icon building Company : General Accounts
icon briefcase Job Type : Full Time
icon geo-alt Wilsonville, Or 97070

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Job Description - Hospice RN Case Manager



Benefits:


  • 401(k) matching

  • Company car

  • Competitive salary

  • Dental insurance

  • Health insurance

  • Flexible schedule

  • Opportunity for advancement




Royal Hospice OR was founded on a simple belief:

Frailty is not the absence of strength, but the invitation to presence.


Our team is small, grounded, and fiercely devoted to integrity in care. We believe every elder deserves to be witnessed, not silenced. Honored, not handled. We are committed to the long vigil—not as procedure, but as promise.


About You
You’re not just an RN. You’re a presence.

  • You listen longer than most.

  • You know the difference between calm and quiet, between relief and erasure.

  • You move slowly not because you’re tired, but because you respect the moment.

  • You recognize the sacred when a hand trembles, when breath grows shallow, when words no longer come.

  • You have a deep tolerance for the truth—not needing to fix, but able to stay.

  • Whether you come from ICU or home health, what matters most is your integrity, your discernment, and your capacity to abide.

Core Responsibilities

  • Provide skilled, ethical, end-of-life nursing care in alignment with hospice standards.

  • Advocate for the patient’s voice—especially when it’s fading.

  • Communicate clearly and compassionately with families in distress.

  • Coordinate with an interdisciplinary team to create space for comfort, dignity, and grace.

  • Refuse unnecessary sedation or life-shortening practices without full informed consent and clarity.

  • Participate in legacy and memory rituals if requested (we honor presence as care).

Qualifications

  • Current RN license in the state of Oregon

  • 1+ years in hospice, palliative, geriatric, or acute care settings preferred

  • Willingness to unlearn protocols that prioritize convenience over conscience

  • Deep understanding of trauma-informed care, grief literacy, and relational medicine

  • Calm under pressure, kind without pretense, and courageous in complexity

We Offer

  • A supportive team who believes in the spiritual and emotional heart of hospice

  • Low caseloads to ensure real presence, not just check-ins

  • Ongoing training in relational engagement, presence language, and ritual-based care

  • Flexible hours, strong boundaries, and a culture of ethical care above all

To apply, send your resume and a short letter sharing what brought you to this work. We want to hear the real story—not just your credentials.







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