Hospice Care Transition Specialist

FALCON HOME HEALTH AND HOSPICE; El Paso (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Remarkable Hospice seeks a Transitional Care Coordinator to manage hospital-to-hospice transitions, coordinating with hospital staff, hospice teams, patients, and families. This role ensures continuity of care, adherence to care plans, and clear communication across all parties.

The coordinator will lead comprehensive assessments, develop individualized plans, and supervise timely transfer of medical information while collaborating with physicians, nurses, social workers, and therapists to

Qualifications

• Bachelor's degree in related field (Healthcare Administration, Business, or Marketing preferred).
• 2 years nursing or social work experience.
• 1 year of home care, intake or case management experience.
• Driver’s license and proof of current auto liability insurance; no listing in the OIG Excluded Provider listing.
• Registered Nurse license in the state practicing. Additional certification in case management or transitional care coordination are a plus.

Responsibilities

• Conduct comprehensive assessments of patients transitioning from hospital to hospice care.
• Develop and implement individualized care plans in collaboration with healthcare providers, patients, and their families.
• Evaluate the patient's home environment to ensure it is suitable for their care needs.
• Serve as the primary liaison between hospital staff, hospice care teams, patients, and their families.
• Ensure timely and accurate transfer of medical information and care plans.
• Coordinate the discharge process from the hospital, ensuring all necessary medical equipment, medications, and supplies are arranged.
• Monitor patients’ progress and address any issues that arise during the transition period.
• Educate patients and their families about the hospice care process, care plans, and self-care techniques.

Education

Bachelor's degree in Healthcare Administration, Business, or Marketing preferred

Job description

Remarkable Hospice seeks a Transitional Care Coordinator to manage hospital-to-hospice transitions, coordinating with hospital staff, hospice teams, patients, and families. This role ensures continuity of care, adherence to care plans, and clear communication across all parties.

The coordinator will lead comprehensive assessments, develop individualized plans, and supervise timely transfer of medical information while collaborating with physicians, nurses, social workers, and therapists to