Hospice Transition Nurse

St. Croix Hospice; Neenah (WI); On-site; USD 75,000 - 95,000; Full time

Job summary

St. Croix Hospice is seeking a Hospice Transition Nurse in Neenah, WI to serve as a resource RN for patients, families, staff, and referral sources from hospitals and nursing homes. The role focuses on education and expanding referrals through hospital and community partnerships.

Responsibilities include case management, goals of care discussions, care coordination, and mentoring other RNs. A valid RN license in practice states and ability to pass required screenings are essential.

Qualifications

• RN license in state(s) of practice required.
• 1+ years of hospice/home care experience preferred.
• Multistate license may be used without additional licenses in some states.
• Graduate of a professional school of nursing and licensed/certified/registered.
• Ability to pass DHS background, consumer report, and drug test.

Responsibilities

• Acts as case manager for patients in the hospital and manages GIP patients as appropriate.
• Conducts initial goals of care meetings with patients and families.
• Collaborates with business development to educate facilities and other referral sources.
• Documents visits and phone calls with patients, families, and referral sources.
• Coordinates care transitions from hospital to home or hospice/admission.
• Mentors and trains new RNs for high acuity patient needs.
• Attends Interdisciplinary Care Meetings for patients and families.

Skills

Nursing knowledge

Hospice care experience

Interdisciplinary collaboration

EMR documentation

Education

RN license (state(s) of practice)

Graduate of professional school of nursing

Job description

Job Details

Job Location: Neenah, WI 54956, Position Type: Full Time, 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 Nurse

Position Overview

The 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. The Hospice Transition Nurse uses their knowledge of St. Croix Hospice programs and services to provide education to these referral sources.

Essential Functions and Skills

Responsibilities

• Performs 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.

Qualifications: Requirements/Qualifications

• Must have a current Registered Nurse (RN) license in state(s) of practice.
• 1+ years of recent experience in hospice/home care
• Nurses 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.

Preferred

• 2+ years' experience in Nursing, preferred

Physical Requirements

• 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.