Hospice Transition Specialist
Bristol Hospice
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn.
The Hospice Transition Specialist provides palliative care for patients aging, chronic, complex, and/or end of life conditions while building and maintaining relationships with key referral sources. This position serves as a clinical and educational team lead for patients Our Culture Our culture is cultivated using the following values:- Integrity: We are honest and professional.
- Trust: We count on each other.
- Excellence: We strive to always do our best and look for ways to improve and excel.
- Accountability: We accept responsibility for our actions, attitudes, and mistakes.
- Mutual Respect: We treat others the way we want to be treated.
(Includes, but not limited to)
- Perform routine and emergency assessments
- Perform bedside palliative care patient/family evaluation
- Order, perform, and interpret laboratory and radiology tests within scope of professional practice
- Prescribe medications including controlled substances to the extent delegated and licensed
- Order treatments and durable medical equipment (DME) as indicated
- Perform other therapeutic or corrective measures as indicated
- Consult with palliative care physician or designees as needed, inform primary physician of services provided and collaborate with other physicians as needed
- Assist in all facets of care coordination for palliative care referrals o Prepare and maintain accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided
- Comply with applicable laws and regulations with respect to Collaborative Agreements
- Other duties as assigned
- Initiate reimbursement for services rendered
- Assist in development of clinical practice guidelines/standards in support of quality palliative care
- Advocate for improvement in palliative care through participation in professional, private, and governmental groups
- Define goals for professional growth and participate actively in professional activities and organizations
- Engage in active and frequent self-care activities for personal and professional growth and longevity
- Adhere to the practice of confidentiality regarding patients, families, staff, andthe Organization
- Assist patients and families in identification of goals of treatment and ongoing plans of care
- Communicate patient and family goals among Interdisciplinary Team (IDT)
- Facilitate initiatives that promote hospice access in the assigned hospital(s)
- Ensure the educational needs of the hospital staff and physicians as it relates to hospice care and services are assessed and met on an ongoing basis
- Continuously conduct education needs assessments and develop an associated plan designed to meet the needs of the assigned hospital(s)
- Establish and monitor customer, payer, and patient perceptions of Bristol Hospice as a high-quality provider of hospice and palliative care services in the assigned hospital(s)
- Facilitate communication with agency and referral sources as needed to promote the continuum of care
- Promptly respond to customer and referral source requests and concerns
- Serve as a hospice and palliative care resource to the assigned hospital(s) to promote the continuum of care
- Provide in-services and educational programs to the assigned hospital(s) and clinics
- Work closely with community, hospital, and facility education representatives to meet growth and development targets and maintain market acceptance and allegiance
- Coordinate with the Executive Director and Director of Patient Care Services regarding the planning, implementation, and evaluation of in-service and continuing education programs
- Attend and participate in staff meetings, educational programs, and community events, as requested
- Explain hospice services and benefits to patients, family members, and significant others in a manner that facilitates an accurate and positive view of hospice services
- Obtain signatures on all required forms, provides copies topatient/responsible party
- Ensure all forms are completed, dated, signed, and turned into the Admission Coordinator
- Ensure all available medical records are turned into the Admission Coordinator
- Establish and maintain significant professional relationships
- Facilitate patient discharge from hospital to home by establishing initial needs, coordinating transportation, DME, medication needs, supplies, and admission by home hospice nurse
- Work closely with facilities and hospitals to identify, transition, and admit patients appropriate for general inpatient services
- Provide education to hospitals and facilities on the purpose, process, and goal of general inpatient care
- Must be a graduate of an accredited School of Nursing and accredited Nurse Practitioner Program
- Must have current licensure in the state
- Must have a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative experience
- Must have accreditation from an approved certifying body for advanced practice nursing as require by the State
- Must have excellent observation, verbal and written communication skills, problem solving skills, basic math skills, and nursing skills per competency checklist
- Must possess a comprehensive working knowledge regarding information systems and applicable software program
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