Hospice Transition Nurse: Hospital Liaison & Case Manager

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

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.