Hospice Bridge Coordinator (RN, Registered Nurse)- HomeCare

Hartford Healthcare•Norwich, CT

27d•Onsite

About The Position

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our colleagues to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home. Most importantly, our colleagues are appreciated for the real differences they make in both the lives of their clients and their clients’ families. This role facilitates the identification of patients receiving certified home health services for whom it may be appropriate to consider goals of care and potential transition to hospice. Serves as a resource to all staff in how to conduct conversations to assist a patient/family in identifying goals of care and as a resource regarding eligibility for the hospice benefit and services covered by the benefit. Uses data analytic resources to assist in identification of patients for whom a goals of care conversation and end of life planning may be appropriate. Collaborates with certified home health team and community providers to assess patient readiness for goals of care conversations. Participates in goals of care conversations and joint visits as appropriate. Uses data analytics tools to identify transitions from certified home care to hospice program. Identifies trends and opportunities to improve patient family experience. Provides regular updates to leadership as well as certified and hospice teams. Collaborates with management to implement and evaluate programs ensuring clinical disciplines have the necessary clinical competencies to provide optimal care to patients who may be approaching end of life. Develops/coordinates curriculum to meet learning needs of clinical staff and conducts competency testing based on annual needs assessment and strategic initiatives.

Requirements

Graduate of NLN-approved BSN program
Three years of clinical experience in hospice and/or palliative care
Current RN Licensure State of CT

Nice To Haves

Master’s Degree
Background in nursing education
Clinical training and education background

Responsibilities

Facilitates the identification of patients receiving certified home health services for whom it may be appropriate to consider goals of care and potential transition to hospice.
Serves as a resource to all staff in how to conduct conversations to assist a patient/family in identifying goals of care and as a resource regarding eligibility for the hospice benefit and services covered by the benefit.
Uses data analytic resources to assist in identification of patients for whom a goals of care conversation and end of life planning may be appropriate.
Collaborates with certified home health team and community providers to assess patient readiness for goals of care conversations.
Participates in goals of care conversations and joint visits as appropriate.
Uses data analytics tools to identify transitions from certified home care to hospice program.
Identifies trends and opportunities to improve patient family experience.
Provides regular updates to leadership as well as certified and hospice teams.
Collaborates with management to implement and evaluate programs ensuring clinical disciplines have the necessary clinical competencies to provide optimal care to patients who may be approaching end of life.
Develops/coordinates curriculum to meet learning needs of clinical staff and conducts competency testing based on annual needs assessment and strategic initiatives.