Hospice Transition Nurse

St. Croix Hospice; Town of Middleton (WI); On-site; USD 70,000 - 100,000; Full time

Job summary

St. Croix Hospice is seeking a Hospice Transition Nurse to partner with hospitals, nursing homes, and other providers to educate and facilitate hospice admissions. This role focuses on coordinating transitions and ensuring patients receive compassionate end-of-life care.

You will act as a case manager in hospital settings, coordinate transitions to home or hospice, mentor RNs, and participate in Interdisciplinary Care Meetings to ensure high-quality patient care.

Qualifications

• Must have current Registered Nurse (RN) license in state(s) of practice.
• Valid State Driver’s License and access to an automobile.
• Graduate of an accredited nursing program; Associate degree required; Bachelor’s degree preferred.
• 1+ years of hospice/home care experience; 2+ years nursing experience preferred.

Responsibilities

• Performs as a case manager for patients in the hospital and manages GIP as appropriate.
• Acts as a resource to hospitals and navigates hospital EMR systems to locate documentation for hospice admission.
• Conducts goals of care meetings with patients and families to explain hospice programs and services.
• Educates facilities and referral sources about hospice programs and services.
• Documents visits and calls with patients, families, and referral sources.
• Coordinates transitions of care from hospital to home or hospice, including admissions consents.
• Mentors and trains new RNs for high acuity patient needs.
• Attends Interdisciplinary Care Meetings regarding patients and families.

Skills

Case management

EMR navigation

Education to referral sources

Mentoring

Interdisciplinary collaboration

Education

Associate degree in nursing

Bachelor’s degree preferred

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. The Hospice Transition Nurse uses their knowledge of St. Croix Hospice programs and services to provide education to these referral sources.Essential Functions and SkillsPerforms 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 current Registered Nurse (RN) license in state(s) of practice.Ability to pass DHS background study.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.PreferredGraduate of an accredited school of nursing required. Associate degree required. Bachelor’s degree preferred.1+ years of recent experience in hospice/home care preferred.2+ 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.