Care Transition Coordinator - Hospice

Description

Must be a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) to qualify.

Home Health or Hospice experience required.

General Position Description:

The Care Transition Coordinator acts as a liaison between the Hospice Agency and our Home Health service line. Responsibilities include growing and promoting hospice programs and services while maintaining standards of practice consistent with quality end-of-life care and maximizing human, financial, and equipment resources. The Community Liaison reports to the VP of Sales & Strategic Partnerships.

Role Expectations:

• Fosters good working relationships within our Home Health and Hospice agencies
• Identifies high-risk patients who require an alternate level of care provided by our Hospice service line.
• Effectively communicates with our Home Health Clinical team and provides education.
• Demonstrates an in-depth knowledge of, and ensures compliance with, all local, state, and federal laws relating to the operations of the Agency.
• Provides clear education to patients and families on our service lines and the resources available.
• Completes all necessary paperwork for patients to service line transfer care.
• Communicate with attending physicians, hospice physicians, and other physicians involved in the patient’s care.
• Timely submission of all required paperwork.
• Always demonstrates commitment and professional growth.
• Provides timely updates and documentation to leadership on all patients during the transition process.
• Promotes the Hospice’s philosophy and administrative policies.
• Meets productivity standards.
• Utilizes both HH and Hospice software for documentation as required.
• Carries out other duties as assigned by leadership.
• Knowledge of HH and Hospice regulations.
• Following physician order, coordinates organization of transfer until admission.
• Observes patient confidentiality at all times.

Requirements

Education and experience:

Education:

• Graduate of an accredited college/university school of nursing.
• Must have a current Nursing license in good standing.

Experience:

• Experience in the healthcare field, relationship management, delivering high-quality outcomes, and growth.

Skills:

• The ability to establish and maintain professional and effective relationships with internal and external teams.

Physical Requirements:

1. Environmental and Working Conditions: Works in medical practice locations and homes in various conditions; possible exposure to blood, bodily fluids, and infectious diseases; ability to work a flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency calls.
2. Physical and Mental Effort: Prolonged standing and walking required, with the ability to lift up to 50lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity.
3. Ability to communicate with patients, families, physicians, co-workers, and visitors to be able to exchange accurate information regarding patient condition and health status. Ability to exchange and express information by means of language and communicate information effectively.
4. Ability to hear the nature of sounds. Ability to give full attention to what other people are saying, take time to understand the points being made, ask questions as appropriate, and not interrupt at inappropriate times.
5. Ability to view, record, or type data quickly and accurately.
6. Ability to determine resources needed to provide quality patient care.
7. Ability to travel to community locations, clinics, hospitals, homes, and office/support center locations as needed to promote and educate on hospice services.