Transitional Care Navigator - RN jobs in United States
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Addus HomeCare · 1 month ago

Transitional Care Navigator - RN

Addus HomeCare is seeking a Hospice Transitional Care Navigator to enhance the reach and impact of clinical hospice services. The role involves building relationships with hospitals and providers, serving as a clinical consultant, and educating teams on hospice care appropriateness to improve patient outcomes.

Hospital & Health Care

Responsibilities

Serve as hospice clinical consultant and educator, acting as extensions of hospital and physician care team
Review hospital clinical documentation/EMR/HCHB, engage with patients and providers to build clinical patient profiles and clinical-admission-assessments and identify decline patterns (i.e. frequent hospitalizations, functional deterioration, etc.)
Consult with hospital care teams by sharing clinical profiles and educating on hospice appropriateness
Identify attending and consulting providers associated with referred patients – to provide patient assessment, eligibility and discharge education and awareness
Collaborate with field sales representatives to schedule and conduct consultative meetings with external care teams
Initiate and maintain care team workflows for: Patient information / clinical assessment and documentation, Consultation / education planning and delivery, External and internal meetings and preparations
Identify trends, needs, and partnership opportunities for earlier hospice engagement
Foster effective and trusted relationships with external care teams to improve patient outcomes and enhance end-of-life satisfaction
Communicate clearly and consistently with hospital leadership and care coordination teams
Effectively organize, track and prioritize high-value patient comprehensive reviews
Meet all productivity requirements, including: Timely review of medical records, Hospital and provider consultation and education, Promote a collaborative and team-focused environment
Uphold hospice policies, privacy practices, and ethical guidelines
Professionally represent the organization in all hospitals, community, and partner interactions
Collaborate cross-functionally with internal hospice departments and leadership teams
Perform other duties as assigned

Qualification

Registered Nurse LicenseClinical AssessmentBusiness DevelopmentQuality Assessment KnowledgeIndependent Decision-MakingCommunication SkillsProblem-Solving SkillsRelationship BuildingAdaptability

Required

Licensed as a registered nurse in the state of practice, preferred
Minimum of two years relevant experience
Must possess the ability to make independent decisions when circumstances warrant
Must possess the ability to deal tactfully with patients, family members, visitors, agency personnel, and public
Must be knowledgeable of quality assessment and assurance procedures
Valid driver's license and proof of insurance is required

Preferred

Bachelor's degree in marketing, business administration, or other related fields is preferred. An acceptable combination of experience and/or training may be considered instead of formal education

Benefits

Generous time off packages
401K + match
Comprehensive benefits (medical, dental, vision, life/AD&D, disability), effective on the first of the month
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs
Work/life balance

Company

Addus HomeCare

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Addus HomeCare is one of the nation's largest and fastest growing providers of personal home care and support services.

Funding

Current Stage
Late Stage

Leadership Team

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Brian Poff
Chief Financial Officer
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Brad Bickham
President and Chief Operating Officer
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Company data provided by crunchbase