Hospice Transition Nurse (RN)

St. Croix Hospice; Saint Peters, St. Louis (MO, MO); On-site; USD 65,000 - 85,000; Full time

Job summary

St. Croix Hospice is seeking a Hospice Transition Nurse to coordinate patient transitions from hospitals and nursing homes to home-based hospice care. The role involves teaching referral sources about hospice programs and supporting admissions with EMR navigation.

The RN must manage goals of care, document visits, and mentor junior staff while building strong relationships with hospital teams and physicians.

Qualifications

• Must 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.

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 by educating facilities and other referral sources about Hospice programs and services.
• Documents visits and phone calls with patients, families, and referral sources.
• Assists with transition of care for patients discharged from hospital to home or onto hospice care.
• Mentors and trains new RNs for high acuity patient needs.
• Attends Interdisciplinary Care Meetings regarding patients and families.
• Establishes and maintains relationships with hospital Case Managers, Social Workers, and Physicians.

Education

Associate degree in nursing

Bachelor’s degree in nursing

RN license

DHS background check

Job description

Job Details: Job Location: St Peters, MO 63376, Position Type: Full Time, 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

• 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 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.

Preferred

• Graduate 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, preferred

Physical Requirements

The 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.