Transitional Care Navigator

Addus HomeCareMason, OH
Onsite

About The Position

Queen City Hospice is seeking a Hospice Transitional Care Navigator. This role is based in the assigned market (Mason, OH 45040) and is not a virtual role. The ideal candidate will be a clinically trained and experienced business development and sales professional focused on expanding the reach and impact of clinical hospice services. This involves identifying and securing new upstream referral sources, creating education and awareness opportunities, building relationships, and driving appropriate and dignified hospice care for patients across physicians, providers, and hospitals. A successful candidate must be self-driven with a hunter-sales mentality, possess strong curiosity, resilience, adaptability, and the ability to find, develop, build, and leverage referring relationships. They should be an experienced communicator with strong strategic thinking and problem-solving skills, always seeking to expand and create value for patients and the organization. The role requires assessing clinical information, finding and driving upstream hospice referrals, and providing upstream and downstream education and awareness to physicians, hospitals, and other providers.

Requirements

  • Minimum of two years relevant experience.
  • Must possess the ability to make independent decisions when circumstances warrant.
  • Must possess the ability to deal tactfully with patients, family members, visitors, agency personnel, and the public.
  • Must be knowledgeable of quality assessment and assurance procedures.
  • Valid driver's license and proof of insurance is required.

Nice To Haves

  • Clinically trained and experienced business development and sales professional.
  • Self-driven with a hunter-sales mentality and drive.
  • Strong sense of curiosity, resilience, and adaptability.
  • Ability to find, develop, build, and leverage referring-relationships.
  • Experienced communicator, strategic thinking, and problem-solving skills.
  • Bachelor's degree in marketing, business administration, or other related fields is preferred.
  • An acceptable combination of experience and/or training may be considered instead of formal education.
  • Licensed as a registered nurse 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/EMR/HCHB, engage with patients and providers to build clinical patient profiles and clinical-admission-assessments, and identify decline patterns (e.g., frequent hospitalizations, functional deterioration).
  • Consult with hospital care teams by sharing clinical profiles and educating on hospice appropriateness.
  • Identify attending and consulting providers associated with referred patients to provide patient assessment, eligibility, and discharge education and awareness.
  • Collaborate with field sales representatives to schedule and conduct consultative meetings with external care teams.
  • Initiate and maintain care team workflows for patient information/clinical assessment and documentation, consultation/education planning and delivery, and external and internal meetings and preparations.
  • Identify trends, needs, and partnership opportunities for earlier hospice engagement.
  • Foster effective and trusted relationships with external care teams to improve patient outcomes and enhance end-of-life satisfaction.
  • Communicate clearly and consistently with hospital leadership and care coordination teams.
  • Effectively organize, track, and prioritize high-value patient comprehensive reviews.
  • Meet all productivity requirements, including timely review of medical records and hospital/provider consultation and education.
  • Promote a collaborative and team-focused environment.
  • Uphold hospice policies, privacy practices, and ethical guidelines.
  • Professionally represent the organization in all hospitals, community, and partner interactions.
  • Collaborate cross-functionally with internal hospice departments and leadership teams.
  • Perform other duties as assigned.

Benefits

  • Competitive salaries
  • 401K + match
  • Comprehensive benefits (medical, dental, vision, life/AD&D, disability), effective on the first of the month
  • 401(k) retirement plan with a generous company match
  • Generous time off accruals
  • Paid holidays
  • Mileage reimbursement
  • Tuition Reimbursement
  • Employee Referral Program
  • Merit Increases
  • Employee Discount Programs
  • Work/life balance
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