Job Description

JOB SUMMARY:

The Hospice Transition Specialist provides palliative care for patients aging, chronic, complex, and/or life-threatening conditions while building and maintaining relationships with key referral sources. This position serves as a clinical and educational team lead for patients

ESSENTIAL JOB FUNCTIONS:

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Perform routine and emergency assessments + Perform bedside palliative care patient/family evaluation
+ Order, perform, and interpret laboratory and radiology tests within scope of professional practice
+ Prescribe medications including controlled substances to the extent delegated and licensed
+ Order treatments and durable medical equipment (DME) as indicated
+ Perform other therapeutic or corrective measures as indicated
+ Consult with palliative care physician or designees as needed, inform primary physician of services provided and collaborate with other physicians as needed
+ Assist in all facets of care coordination for palliative care referrals
+ Prepare and maintain accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided
+ Comply with applicable laws and regulations with respect to Collaborative Agreements
+ Initiate reimbursement for services rendered
+ Assist in development of clinical practice guidelines/standards in support of quality palliative care
+ Advocate for improvement in palliative care through participation in professional, private, and governmental groups
+ Define goals for professional growth and participate actively in professional activities and organizations
+ Engage in active and frequent self-care activities for personal and professional growth and longevity
+ Adhere to the practice of confidentiality regarding patients, families, staff, and the Organization
+ Assist patients and families in identification of goals of treatment and ongoing plans of care
+ Communicate patient and family goals among Interdisciplinary Team (IDT)
Clinical Liaison + Facilitate initiatives that promote hospice access in the assigned hospital(s)
+ Ensure the educational needs of the hospital staff and physicians as it relates to hospice care and services are assessed and met on an ongoing basis
+ Continuously conduct education needs assessments and develop an associated plan designed to meet the needs of the assigned hospital(s)
+ Establish and monitor customer, payer, and patient perceptions of Bristol Hospice as a high-quality provider of hospice and palliative care services in the assigned hospital(s)
+ Facilitate communication with agency and referral sources as needed to promote the continuum of care
+ Promptly respond to customer and referral source requests and concerns
+ Serve as a hospice and palliative care resource to the assigned hospital(s) to promote the continuum of care
+ Provide in-services and educational programs to the assigned hospital(s) and clinics
+ Work closely with community, hospital, and facility education representatives to meet growth and development targets and maintain market acceptance and allegiance
+ Coordinate with the Executive Director and Director of Patient Care Services regarding the planning, implementation, and evaluation of in-service and continuing education programs
Assist referrals to the appropriate level of care + Attend and participate in staff meetings, educational programs, and community events, as requested
+ Explain hospice services and benefits to patients, family members, and significant others in a manner that facilitates an accurate and positive view of hospice services
+ Obtain signatures on all required forms, provides copies to patient/responsible party
+ Ensure all forms are completed, dated, signed, and turned into the Admission Coordinator
+ Ensure all available medical records are turned into the Admission Coordinator
+ Establish and maintain significant professional relationships
+ Facilitate patient discharge from hospital to home by establishing initial needs, coordinating transportation, DME, medication needs, supplies, and admission by home hospice nurse
+ Work closely with facilities and hospitals to identify, transition, and admit patients appropriate for general inpatient services
+ Provide education to hospitals and facilities on the purpose, process, and goal of general inpatient care

On an Average Day You Will:

(includes but not limited to)


Perform routine and emergency assessments Perform bedside Pediatric and palliative care patient/family evaluation Order, perform, and interpret laboratory and radiology tests within scope of professional practice Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals, and coordinating hospice care services Completes the hospice face-to-face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification Facilitate initiatives that promote hospice access in the assigned hospital(s) Ensure the educational needs of the hospital staff and physicians as it relates to hospice care and services are assessed and met on an ongoing basis Explain hospice services and benefits to patients, family members, and significant others in a manner that facilitates an accurate and positive view of hospice services Other duties as assigned

Requirements:

Graduation from an accredited School of Nursing and accredited nurse practitioner program Current nursing licensure in State and CPR certification Accreditation from an approved certifying body for advanced practice nursing as required by State. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) Experience in hospice working with pediatric & palliative care

We Got the Perks:

Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry

Join a Team that embraces the reverence of life!

EEOC Statement

Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.