Hospice Transitional Nurse Liaison

Residential Home Health and Residential Hospice•Detroit, MI

About The Position

Residential Home Health and Hospice is seeking a Hospice Transitional Nurse Liaison to partner with field staff and leaders in a team-based care environment. The role supports patients and families by assessing hospice needs, coordinating services and start-of-care visits, providing education, determining hospice eligibility and level of care, and communicating with the clinical team to help prevent re-hospitalizations. The position is based in Troy, Michigan, with Detroit, Michigan, listed as an additional location. The role is listed at 27 working hours per week. Benefits may vary based on employment status.

Requirements

  • Associate degree from an accredited School of Nursing.
  • At least two years of experience working as a Registered Nurse, including acute care or oncology experience.
  • Ability to transfer patients as needed using proper body mechanics to promote patient and staff safety.
  • Ability to accept different lifestyles, cultures, beliefs, and values.
  • Proficiency with computers.

Nice To Haves

  • Hospice experience preferred.
  • Experience with Microsoft Office Suite, EPIC, and HCHB preferred.

Responsibilities

  • Complete initial, comprehensive, and ongoing assessments of patients and families to determine hospice needs, including physical assessments and histories of current and previous illnesses.
  • Obtain complete and accurate demographic information and medical history, including the diagnosis for care and primary care physician information.
  • Introduce the agency to patients and caregivers, explain the scope of services and requested skilled services, and coordinate the start-of-care visit.
  • Order requested durable medical equipment, supplies, and medications related to hospice care.
  • Deliver community education as requested for assisted living facilities, skilled nursing facilities, and hospitals.
  • Provide bedside patient education about hospice, disease progression, and end-of-life care.
  • Attend discharge planning meetings as requested and work with facility teams to support a safe and successful discharge home.
  • Determine hospice eligibility and the appropriate level of care.
  • Communicate with the clinical team about complex, chronically ill patients and assist staff and referral sources with preventing re-hospitalizations.

Benefits

  • Up to 24 paid holiday and personal days off in year one.
  • Company-funded pension, with up to $50,000 credit after three years of service.
  • DailyPay access to earned money.
  • Industry-leading 360 You™ benefits program.
  • Option to lease a new Toyota or Ford vehicle at a significantly discounted price below MSRP.
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