Hospice Transition Nurse: Care Navigator & Educator

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

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.