Transitional Care Navigator
About The Position
Addus Home Care / Alamo Hospice is seeking a clinically trained, experienced business development and sales professional to expand access to clinical hospice services. The role focuses on identifying and securing upstream referral sources, creating education and awareness opportunities, building relationships, and supporting appropriate hospice care for patients across physician, provider, and hospital settings. The position is based in an assigned market territory in San Antonio, Texas, and is not virtual. The Transitional Care Navigator serves as a hospice clinical consultant and educator, extending the hospital and physician care team. The navigator reviews clinical records, develops patient profiles and admission assessments, identifies signs of decline, consults with care teams about hospice appropriateness, and provides education about patient assessment, eligibility, and discharge. The role works closely with field sales representatives and internal hospice departments, maintains care-team workflows, and builds trusted external partnerships to support patient outcomes and end-of-life satisfaction.
Requirements
- Minimum of two years of relevant experience.
- Ability to make independent decisions when circumstances warrant.
- Ability to deal tactfully with patients, family members, visitors, agency personnel, and the public.
- Knowledge of quality assessment and assurance procedures.
- Valid driver's license and proof of insurance.
- Self-driven, with a hunter-sales mentality and drive, curiosity, resilience, adaptability, and ability to identify, develop, build, and leverage referral relationships.
- Strong communication, strategic-thinking, and problem-solving abilities.
Nice To Haves
- Physician-office sales and hospice experience preferred.
- Bachelor's degree in marketing, business administration, or a related field preferred; an acceptable combination of experience and/or training may be considered instead of formal education.
- Registered nurse license in the state of practice preferred.
Responsibilities
- Build upstream referral relationships and transition hospice referrals from physicians and other referral sources.
- Serve as a hospice clinical consultant and educator, acting as an extension of hospital and physician care teams.
- Review hospital clinical documentation and electronic medical records, including HCHB, and engage with patients and providers to build clinical patient profiles and admission assessments.
- Identify patient decline patterns, such as frequent hospitalizations and functional deterioration.
- Consult with hospital care teams by sharing clinical profiles and educating them about hospice appropriateness.
- Identify attending and consulting providers associated with referred patients and provide education about patient assessment, eligibility, and discharge.
- Collaborate with field sales representatives to schedule and conduct consultative meetings with external care teams.
- Initiate and maintain workflows for patient information, clinical assessment and documentation, consultation and education planning and delivery, and internal and external meetings.
- Identify trends, needs, and partnership opportunities for earlier hospice engagement.
- Build effective, trusted relationships with external care teams to improve patient outcomes and end-of-life satisfaction.
- Communicate with hospital leadership and care coordination teams.
- Organize, track, and prioritize high-value comprehensive patient reviews.
- Meet productivity requirements, including timely medical-record reviews and hospital and provider consultation and education.
- Promote a collaborative, team-focused environment.
- Follow hospice policies, privacy practices, and ethical guidelines.
- Represent the organization professionally in hospitals, the community, and partner interactions.
- Collaborate with internal hospice departments and leadership teams.
- Perform other duties as assigned.
Benefits
- 401(k) retirement plan with a generous company match
- Medical, dental, vision, life/AD&D, and disability benefits effective on the first of the month
- Generous time-off accruals
- Paid holidays
- Mileage reimbursement
- Tuition reimbursement
- Employee referral program
- Merit increases
- Employee discount programs
- Work/life balance
- Competitive salaries
- Great culture and team atmosphere
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
