RN Transitional Care Manager, Hospice

BAYADA Home Health Care•Norristown, PA

1d•Onsite

About The Position

Jefferson Health at Home by BAYADA Hospice is seeking an RN Transitional Care Manager. This role involves building and strengthening relationships with referral sources, particularly hospital and facility contacts, to educate them about BAYADA services and the benefits of hospice care. The manager will use their clinical knowledge to educate patients and hospital staff on hospice eligibility and expectations, manage referral intake, and coordinate safe discharges to the next care setting or initiate GIP (General Inpatient) level of Care.

Requirements

Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability
Current license in good standing as a Registered Nurse in the state of practice
Graduate of an accredited and approved program as indicated by school transcript or diploma
Two (2) year experience in health care, preferably in one these settings: Hospice RN, Clinical Liaison, RN Discharge Planner, RN Educator
Completed Continuing Education Requirements (CEUs) as required by regulation
Demonstrated record of building and maintaining referral relationships
Demonstrated knowledge of the Medicare COPs and other program requirements, as applicable
Ability to provide excellent customer service
Demonstrated ability to work well in a team environment and matrix organization
Working knowledge of business office technologies: PC/laptop w Microsoft Office applications, smartphone, website/internet, email

Nice To Haves

Previous discharge planning experience preferred

Responsibilities

Demonstrate and communicate the core values of BAYADA and The BAYADA Way
Develop relationships, in accordance with The BAYADA Way, with referral sources, physicians and other healthcare professionals
Sell BAYADA services by clearly articulating the features and benefits of BAYADA to generate growth in the volume of referrals generated from assigned accounts
Demonstrate mastery of clinical and regulatory hospice care eligibility criteria
Review and compile all documentation necessary, in coordination with referral sources, to transition care from an acute care setting/ sub-acute care setting or initiate care as ordered by a physician to BAYADA Hospice
Coordinate with the service office to set up the services ordered by the physician
Completes the evaluation on hospital referred patients for community and for inpatient hospice admissions
Provides accurate and timely information regarding hospice team and hospice staff
Participate in office’s quarterly business planning and market analysis to achieve growth goals
Serves as patient advocate in evaluating/developing plan of care for GIP patients and obtaining informed Consent for hospice
Providing daily GIP visits and documenting to GIP eligibility
Collaboration with Business Development Manager and/or Director on key and shared accounts
Attend and participate in weekly team growth meetings
Cross-train office field staff to cover absences, as needed
Participate in community and sales activities, as needed