Care Transition Coordinator-RN

The Care Transition Coordinator (RN Registered Nurse ) primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to the care of an LHC Group Hospice agency for end-of-life care needs. The CTC will verify Hospice orders, assess for appropriate care needs, and confirm acceptance with the Hospice agency care based on the Hospice agency’s ability to meet the patient’s needs. Following transition and agency acceptance, the CTC will begin best practice intervention and education to improve end-of-life outcomes and promote patient comfort.

At LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here. As a Registered Nurse, you can expect:

· flexibility for true work-life balance

· opportunities for career growth

· the ability to build trusted nurse-patient relationships

· employee-focused wellness and support programs

If you love nursing and want to strengthen your experience, this is a great opportunity for you.

Heart of Hospice, a part of the LHC Group is the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose: “It's all about helping people.”

Essential Funcitons

• Successfully executes a weekly, monthly, and quarterly strategy to increase market share through key account development including prospecting|diversification and call frequency|routing. Plans activity to maximize territory coverage of both existing and prospective accounts
• Responsible for achievement of admission goals|expectations as established at hire or at review of annual agency budget goals
• Assists the LHC Group agency with the preparation for accepting care of the patient post discharge from the hospital
• Coordinates other services for the patient with ancillary service providers (DME|Infusion)
• Ensures the availability of a attending physician to follow the patients care in the home or the transfer of primary care to the hospice medical director
• Assists the Administrator with execution of contracts for facility based services for hospice patients
• Explains hospice services and agency procedures to the patient and his|her family members
• Involves the family|caregivers in the educational process and assesses post-discharge educational|coaching needs
• Knowledgeable about state specific admission criteria and timelines for admission
• Monitors the status of all patients receiving Respite or General Inpatient Care and facilitate the communication between the agency|hospital|physician
• Participate in bi-weekly IDG meetings, as necessary to give an update regarding accounts, customer needs, and progress towards agency growth strategies
• Participates in weekly one-on-one meetings with Administrator
• Responsible for the initial medication reconciliation with appropriate hand off and communication to visiting staff
• Schedules a follow-up phone call to the FCC in the system 48 hours post admit
• Serves as a liaison between the LHC Group agency, the facility care setting and the referring physician
• Serves as an educational resource for hospital staff and physicians regarding the hospice benefit and related regulations, including, consulting with hospital staff or physicians regarding an individual patients suitability for hospice benefit provided there is NO contact with the patient or the patients family members prior to the referral to hospice
• Visits and communicates with the patient in the hospital to obtain necessary information to facilitate the transfer

Equal Opportunity Employer – vets, disability.

Must be fully vaccinated or be willing to complete full vaccination by date of hire and proof of vaccination will be required.  If permitted by state law, the company will consider requests for religious or medical exemptions.

Salary : $0