Hospice Care Transitions Coordinator Rn – Ft 1St Shift

Overview

The Hospice Care Transition Coordinator is primarily responsible for facilitating a seamless transition for patients discharging from an acute setting to the home or inpatient facility for hospice services.

Responsibilities

Intake Duties:

• Utilize critical thinking, reflection, and conscious attention to detail to avoid reactionary behavior
• Responsible for switching out equipment from non-contracted companies either during intake or admission without compromising patient comfort.
• Demonstrate strong teamwork, respect, and communication when working with referral partner staff to maintain collaborative relationships.
• Effectively educate patient/family regarding the philosophy, CFL services, the admission procedure, crisis prevention, and right/responsibilities during the provision of hospice care.
• Work as a liaison with discharge planners/social workers and physicians at Huntsville Hospital.
• Task appropriate provider staff to coordinate patient treatment if hospice is not appropriate or desired.
• Provide a safe and welcoming atmosphere for families dealing with traumatic situations, including death.
• Participate in system-wide and community-based education utilizing peer-to-peer supportive education skills.
• Use appropriate criteria (NHPCO, Medicare, Medicaid, CFL, and/or others as required) to evaluate and determine eligibility for admission under the appropriate insurance benefit utilizing an interdisciplinary team approach to evaluation.
• Follow hospital policy and procedure when coordinating comfort care consults and discharges using multiple electronic communication tools.
• Responsible for coordination of patient needs in the home such as comfort kit medications, medical supplies, DME, infusion services and/or services identified either during intake or admission.

and risk to patient safety.

• Maintain a log of all tasks and referrals from Huntsville Hospital.
• Report all process issues, safety concerns, and obstacles to high quality patient care to your supervisor.
• Responsible for the care and use of assigned cell phone and laptop.

Admissions Duties

• Responsible for notifying pharmacies of patient’s admission and coordinating pharmacy services.
• Responsible for taking referrals, requesting permission from the attending physician to admit, and arranging admission time with patients and caregivers.
• Initiate standing orders, wound orders, etc. to ensure timely delivery of symptom management and care.
• Responsible for initiating hospice chart in skilled nursing facilities and ensuring all appropriate facility staff are notified of hospice admission.
• Responsible for accurate and timely completion of admission paperwork and admission chart.
• Responsible for assuring nursing home patients are in non-skilled beds (including letters if needed).
• Review patient medications to ensure the most clinically effective and cost effective interventions for patient comfort using the preferred CFL formulary and clinical manager support.
• Initiate a care plan to achieve patient goals. Task appropriate team members for on-going support.
• Maintain an accurately inventoried car stock of supplies to support 1-3 days of patient care on admission.
• Responsible for follow-up when someone is not admitted or declines services.
• Responsible for on-call duties and all other duties as assigned.

Qualifications

Education: Graduate from an accredited School of Nursing

License, Certification and/or Registration: Current Alabama or multistate Nursing license. BLS for Healthcare Providers required in 30 days.

Experience: 2 year of nursing experience.

Additional Skills/Abilities: Must be able to lift, position, and/or transfer patients. Must have visual acuity and hearing to perform required nursing skills. Duties also require prolonged or considerable walking or standing, reaching, stooping, bending, kneeling, and/or crouching.

About Us

Highlights of our hospitals

Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report . With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. Ask us about incentives and additional opportunities.

Huntsville Hospital Benefits

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

Learn More About Huntsville Hospital Health System

• Careers : https://careers.hhsys.org/careers-home
• Education & Professional Development : https://www.huntsvillehospital.org/education
• Benefits : https://careers.hhsys.org/careers-home#benefits
• Life In Huntsville : https://www.huntsvillehospital.org/about-huntsville-al