Transitional Care Navigator - RN

Addus Home Care / JourneyCare Hospice is seeking a Hospice Transitional Care Navigator. Competitive salaries, 401K + match, and so much more! Physician Office sales and hospice experience preferred.

A clinically trained – experienced business development and sales professional that will focus on expanding the reach and impact of clinical hospice services, by identifying and securing new upstream referral-sources and education and awareness opportunities, building relationships, and driving the most appropriate and dignified hospice care for the patient – across physicians, providers and hospitals.

A successful candidate must be self-driven, hunter-sales mentality and drive, and have a strong sense of curiosity, resilience, adaptability, and the ability to find, develop, build and leverage referring-relationships. Experienced communicator, strategic thinking, and problem-solving, always looking for ways to expand and create value for the patient and organization.

This is not a virtual role – based in a market territory and assigned physicians, hospitals, assessing clinical information, finding and driving upstream hospice referrals and providing upstream and downstream education and awareness to Physicians, hospitals, and other providers.

A clinical-sales transitional care navigator/TCN - who will build upstream-referral relationships and transition hospice referrals from physicians and other referral sources.

Serve as hospice clinical consultant and educator, acting as extensions of hospital and physician care team.

Review hospital clinical documentation/EMR/HCHB, engage with patients and providers to build clinical patient profiles and clinical-admission-assessments and identify decline patterns (i.e. frequent hospitalizations, functional deterioration, etc.).

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 External and internal meetings and preparations

Patient information / clinical assessment and documentation

Consultation / education planning and delivery

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 Hospital and provider consultation and education

Timely review of medical records

Hospital and 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.

Great culture and team atmosphere

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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Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index .