Hospice Transition Nurse Liaison — Care Coordination Expert

Graham Healthcare Group; Troy (MI); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Paid holidays

Pension plan

DailyPay

360 You benefits

Vehicle discount program

Job summary

Residential Home Health and Hospice is seeking a Hospice Transitional Nurse Liaison to partner with field staff and leaders in delivering exceptional hospice support. The role focuses on comprehensive patient assessments, care coordination, and education to ensure a smooth transition of care.

The position requires an ADN, RN license, and at least two years of nursing experience with hospice preferred. Proficiency with EPIC, HCHB, and MS Office is desirable.

Qualifications

• Associate degree from an accredited School of Nursing.
• A minimum of two years of experience as a Registered Nurse including acute care or oncology; hospice experience preferred.
• Experience with Microsoft Office Suite, EPIC, and HCHB.
• Ability to transfer patients using proper body mechanics to promote safety.

Responsibilities

• Perform initial and ongoing patient and family assessments to determine hospice needs.
• Collect demographics, medical history, diagnosis, and PCP information.
• Introduce the agency, explain services, and coordinate start-of-care visit.
• Order DME, supplies, and medications related to hospice care.
• Deliver community education to facilities, hospitals, and organizations.
• Provide bedside patient education on hospice, disease progression, and end-of-life care.
• Attend discharge planning meetings with facility teams for safe transitions.
• Determine hospice eligibility and level of care; communicate with the clinical team to prevent readmissions.

Skills

RN practice

Patient assessment

Care coordination

Computer proficiency

Education

Associate degree in Nursing

RN license

Tools

EPIC

HCHB

Microsoft Office Suite

Job description

Residential Home Health and Hospice is seeking a Hospice Transitional Nurse Liaison to partner with field staff and leaders in delivering exceptional hospice support. The role focuses on comprehensive patient assessments, care coordination, and education to ensure a smooth transition of care.

The position requires an ADN, RN license, and at least two years of nursing experience with hospice preferred. Proficiency with EPIC, HCHB, and MS Office is desirable.