Hospice Transition Nurse

St-Croix-Hospice-; Mequon (WI); On-site; USD 70,000 - 95,000; Full time

Job summary

St. Croix Hospice is hiring a Hospice Transition Nurse to coordinate hospital-to-home transitions and to educate hospitals, nursing homes, and physicians about hospice options. You will manage complex cases, navigate EMR systems, and collaborate with an interdisciplinary team to ensure smooth admissions and quality end-of-life care.

The role requires an active RN license, 1+ year hospice/home care experience, and a valid driver's license. Travel to facilities is expected as part of the position.

Qualifications

• Must have an RN license in the practicing state.
• 1+ year of hospice/home care experience.
• Multistate license acceptable with primary state license.
• Valid State Driver’s License and reliable vehicle.

Responsibilities

• Serve as case manager for hospital patients and GIP cases.
• Navigate hospital EMR to locate admission documents.
• Conduct goals-of-care meetings with patients and families.
• Educate hospitals and referral sources about hospice programs.
• Follow up with visits and calls to referral sources and patients.
• Document visits, calls, and transitions in the system.
• Coordinate care transitions from hospital to home or ongoing hospice care.
• Mentor and train new RNs for high acuity needs.
• Attend Interdisciplinary Care Meetings with care teams.

Skills

RN licensure

Hospice/home care

Travel willingness

EMR navigation

Interdisciplinary collaboration

Patient goals discussions

Education

Nursing degree

Tools

EMR systems

Job description

Work Where You Matter!At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.Hospice Transition NursePosition OverviewThe Hospice Transition Nurse is a resource Registered Nurse to patients, family members and staff of hospitals, physicians, and nursing homes. They are responsible for sustaining and increasing referral sources from the hospitals and nursing homes and other community sources. TheHospice Transition Nurse uses their knowledge of St. Croix Hospice programs and services to provide education to these referral sources.Essential Functions and SkillsResponsibilitiesPerforms as a case manager for patients in the hospital including managing GIP patients when appropriate. Acts as a resource to the hospital and able to navigate hospital EMR systems to locate appropriate documentation needed to support hospice admission.Conducts initial goals of care meetings with patients and families to inform them about St. Croix Hospice programs and services.Collaborates with business development in the community by providing education to facilities and other referral sources regarding Hospice programs and services.Performs follow-up meetings and phone calls from information visits.Sustains and increases referral sources with hospitals, nursing homes and other community sources.Documents visits and phone calls with patients, families, and referral sources.Assists with transition of care for patients out of the hospital that are being transferred home or admitted onto care with St. Croix Hospice including coordination with admission nurse and Hospice Medical Director, coordination of comfort medications and DME needs, and completion of hospice admission consents.Mentors and trains new Registered Nurses as appropriate for high acuity patient needs.Attends Interdisciplinary Care Meetings regarding patients and families in the hospital.Establishes and maintains relationships with hospital Case Mangers, Social Workers, and Physicians including attending any necessary daily rounds.Other duties may be assigned or required for the performance of this position up to and including completing routine visits, admissions and other clinical tasks.Requirements/QualificationsMust have a current Registered Nurse (RN) license in state(s) of practice.1+ years of recent experience in hospice/home careNurses holding a multistate license can practice in other states without obtaining additional licenses while maintaining their Registered Nurse (RN) license in their primary state of residence (PSOR). Minnesota, Michigan, and Illinois are not in the Nursing Licensure Compact.Graduate of a professional school of nursing and is currently licensed, certified or registered in the state(s) of practice.Ability to pass DHS background, consumer report, and drug test.Valid State Driver’s License, access to an automobile in good working order, automobile insurance in accordance with state and organizational requirements, and an acceptable driving record required.Preferred2+ years' experience in Nursing, preferredPhysical RequirementsThe physical requirements described are representative of those that must be met to successfully perform the essential responsibilities of this position. Reasonable accommodation may be made.Pushing/Pulling and Lifting/carrying up to 30 pounds. Occasionally up to 50 pounds.Ability to adapt to a variety of work conditions to ensure the highest quality of patient care in a home setting.May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations. Travel required. OSHA exposure category: Category I - Position includes tasks that involve exposure to blood, body fluids, tissues. Category II - Position includes tasks that involve no exposure to blood, body fluids, tissues, but employment may require unplanned Category I tasks. Category III - Position includes tasks that involve no exposure to blood, body fluids, tissues; would not be required to perform Category I tasks.