RN Hospice Coordinator - West and South Region

Cleveland Clinic; Independence Township (OH); On-site; USD 42,000 - 64,000; Full time

Job summary

Cleveland Clinic’s Hospice Coordinator role supports the Home Care and Hospice operations, coordinating inpatient referrals, discharge plans, and services for patients in their homes. The position works with an interdisciplinary team to ensure smooth transitions from hospital to community settings and to educate families about hospice benefits.

The role requires an RN license, 1+ year of acute care experience, and ability to travel to hospitals and referral sources.

Qualifications

• Graduate from an accredited school of Professional Nursing.
• Current state licensure as a Registered Nurse (RN).
• One year of current clinic experience as an RN.
• One year of experience in an acute med/surg or critical care setting.
• Basic Life Support (BLS) Certification through the American Heart Association or the American Red Cross.
• Knowledge of JCAHO and Medicare standards and regulations.
• Ability to work irregular/varying hours as needed.
• Ability to travel to hospitals and community referral sources.

Responsibilities

• Act as a member of the interdisciplinary team for the assigned functions related to the coordination of services with internal and external referral sources.
• Process inpatient referrals into hospice, ensure continuity of care and coordinate discharge planning in contract facilities.
• Actively educate potential customers about the benefits and appropriateness of hospice care.
• Ensure patients and their families have adequate knowledge and an understanding of the hospice benefit.
• Process inquiries for all new referrals (internal and external).
• Ensure a seamless transition from hospital to the community setting by ordering medical supplies and DME, handing off communication with the field team and documenting in the electronic medical record.
• Perform assessment of potential patients consistent with Cleveland Clinic Hospice policies, procedures and admission criteria alongside the physician.
• Perform admission assessments for new admissions into contracted facilities and document information in the EMR within specified time frame.
• Plan the delivery of patient care in collaboration with other disciplines to provide comfort and symptom management.
• Perform daily assessment and coordinate the plan of care with inpatient staff for General Inpatients (GIP).
• Assess patient for safety risks, abuse and neglect.
• Assess and document pain using the appropriate pain scale and manage patient’s pain.
• Document changes in patient condition and effectiveness/timeliness of care/interventions.
• Evaluate, update and revise the plan of care to facilitate achievement of expected outcomes.
• Know action, usual dosage, indications and side effects of medications administered.
• Attend interdisciplinary meetings as assigned.

Skills

RN licensure

Travel to hospitals

Coordination

Interdisciplinary team

Education

Registered Nurse degree

BSN (preferred)

Tools

EMR navigation

Job description

Cleveland Clinic’s Business Operations Center serves as a key hub for our Home Care and Hospice operations as well as many administrative and support teams. This collaborative workplace supports a wide range of caregivers, clinical professionals, and operational teams. While many positions are based within the center, numerous home-visiting roles—including case managers, nurses, and therapists—travel throughout the Greater Cleveland and Akron/Canton areas to deliver exceptional care directly to patients in their homes. A caregiver in this position works 3-10s, 8:00am to 6:30pm, including every 4th weekend and 2 holidays per year (1 winter, 1 summer). This role will provide coverage to our west and south region hospitals. Keeping patients connected to the highest quality care as they transition from the hospital to home or a facility is part of the Cleveland Clinic innovative approach to value-based care. As a Hospice Coordinator, you will be at their side the whole way, ensuring a smooth adjustment to their new routine. Through our Center for Connected Care, you will help provide a full continuum of care by processing inpatient referrals, coordinating discharge plans, coordinating services and more. Your efforts directly enhance the quality of life for patients and their families every day.

• Act as a member of the interdisciplinary team for the assigned functions related to the coordination of services with internal and external referral sources.
• Process inpatient referrals into hospice, ensure continuity of care and coordinate discharge planning in contract facilities.
• Actively educate potential customers about the benefits and appropriateness of hospice care.
• Ensure patients and their families have adequate knowledge and an understanding of the hospice benefit.
• Process inquiries for all new referrals (internal and external).
• Ensure a seamless transition from hospital to the community setting by ordering medical supplies and DME, handing off communication with the field team and documenting in the electronic medical record.
• Perform assessment of potential patients consistent with Cleveland Clinic Hospice policies, procedures and admission criteria alongside the physician.
• Perform admission assessments for new admissions into contracted facilities and document information in the EMR within specified time frame.
• Plan the delivery of patient care in collaboration with other disciplines to provide comfort and symptom management.
• Perform daily assessment and coordinate the plan of care with inpatient staff for General Inpatients (GIP).
• Assess patient for safety risks, abuse and neglect.
• Assess and document pain using the appropriate pain scale and manage patient’s pain.
• Document changes in patient condition and effectiveness/timeliness of care/interventions.
• Evaluate, update and revise the plan of care to facilitate achievement of expected outcomes.
• Know action, usual dosage, indications and side effects of medications administered.
• Attend interdisciplinary meetings as assigned.

Minimum qualifications for the ideal future caregiver include:

• Graduate from an accredited school of Professional Nursing
• Current state licensure as a Registered Nurse (RN)
• One year of current clinic experience as an RN
• One year of experience in an acute med/surg or critical care setting
• Basic Life Support (BLS) Certification through the American Heart Association (AHA) or the American Red Cross
• Knowledge of JCAHO and Medicare standards and regulations
• Ability to work irregular/varying hours as needed
• Ability to travel to hospitals and community referral sources

Preferred qualifications for the ideal future caregiver include:

• Bachelor’s of Science in Nursing (BSN)

Physical Requirements:

• Requires full range of body motion including handling and lifting packages, manual and finger dexterity and eye hand coordination. Occasionally lifts and carries items up to 50 pounds. Requires corrected vision and hearing to normal range.
• Requires standing and walking for extensive periods of time.

Pay Range Minimum hourly: $30.41 Maximum hourly: $46.38 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).