Associate Program Director LCSW Kingston

Hospice Inpatient Clinical Coordinator (RN)   (Liaison) 

Responsible for developing and strengthening business relationships with hospital partners, assessing patients referred for hospice enrollment, and providing General Inpatient (GIP) level of care to hospice in-patients with specialized clinical skills and compassion. The HICC evaluates patients referred for hospice and/or community based palliative care services and facilitates the admission of eligible patients to hospice in accordance with applicable law, regulations and agency policies and procedures. Key responsibilities include conducting comprehensive assessments, collaborating with inpatient providers and staff, developing individualized care plans with an interdisciplinary team, educating referrers, patients and families about hospice, coordinating with healthcare providers, and maintaining accurate and detailed documentation.

Conduct comprehensive clinical assessments for patients referred for hospice or community-based palliative care services.

Evaluate eligibility for hospice in accordance with federal/state regulations and MJHS policies.

Complete and close assessments for patients seeking end-of-life care services.

Collaborate with the Admissions Access Center to obtain required medical documentation and ensure smooth processing of admissions.

Provide General Inpatient (GIP) level of care to hospice inpatients using advanced clinical judgment and specialized skills.

Educate patients, families, and caregivers about MJHS hospice services, philosophy of care, goals, and expectations.

Communicate available benefits, levels of care, and what to expect throughout the hospice experience.
Offer emotional support, counseling, and guidance with compassion and cultural sensitivity.

Partner with hospital staff, inpatient providers, physicians, social workers, and interdisciplinary team (IDT) members to create individualized care plans.

Coordinate transitions of care for patients moving from hospital to hospice (inpatient, facility-based, or home).

Advocate for patients' needs while maintaining professional boundaries and nonjudgmental care practices.

Monitor patient condition and ensure timely updates and adjustments to care plans based on clinical status.

Serve as a liaison between MJHS and partnering hospitals/facilities across assigned territories.

Develop and strengthen relationships with referral sources to increase awareness of hospice services.

Educate hospital staff and providers about MJHS programs, admission criteria, and referral processes.

Identify opportunities to support hospital teams in improving the referral workflow.

Rotate across up to three facility sites within assigned territory to assess patients and support hospital partners.

Maintain daily communication with MJHS admissions nurses, care coordinators, and leadership regarding referrals and ongoing cases.
Work independently to prioritize daily workload while ensuring timely, patient-centered care.

Complete accurate, timely, and detailed documentation in accordance with regulatory and agency requirements.

Utilize EMR systems effectively and maintain proficiency in Microsoft Office applications.

Uphold all healthcare, safety, and regulatory standards, including ethical and legal obligations.

Demonstrate advanced physical assessment, interviewing, and critical thinking skills.

Maintain excellent written and verbal communication across teams, patients, and families.

Exercise sound clinical judgment, even in high-pressure situations.

Work independently with minimal supervision while managing time and tasks efficiently.

Maintain professionalism, reliability, and integrity in all interactions.

Participate in weekend/holiday rotations as required by the role.

QUALIFICATION:RN 
A minimum of two years’ experience in either Medical-Surgical or Community Health. Hospice or Oncology nursing experience preferred. 

License/Certification: New York State RN licensure, CPR-BLS 
Valid NYS Driver's license preferred.
Familiarity with Microsoft Office applications.
Ability to work flexible hours to meet the needs of the position, including weekend hours. Ability to coordinate the resources and personnel involved in a comprehensive interdisciplinary team environment.
Ability to work non-judgmentally with patient/family members of any culture, religion, socio-economic background or lifestyle.
Excellent communication, listening, and organizational skills.
Ability to speak in public.
Ability to demonstrate effective critical thinking skills.
Ability to solve problems independently.