Transitional Care Navigator - RN

ambercare

$85K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in marketing, business administration, or related fields preferred
  • Licensed registered nurse in the state of practice preferred
  • Minimum of two years relevant experience
  • Ability to make independent decisions as circumstances warrant
  • Tactful communication with patients, families, and personnel
  • Knowledgeable of quality assessment and assurance procedures
  • Valid driver's license and proof of insurance required

Responsibilities

  • Build upstream-referral relationships to transition hospice referrals
  • Serve as a clinical consultant and educator for hospital care teams
  • Review clinical documentation and engage with patients and providers
  • Consult with hospital teams on hospice appropriateness
  • Identify providers associated with referred patients for assessment and education
  • Collaborate with sales representatives for consultative meetings
  • Initiate care team workflows for patient assessment and education

Benefits

  • Great culture and team atmosphere
  • Comprehensive benefits including medical, dental, and vision
  • 401(k) retirement plan with company match
  • Generous time off accruals and paid holidays
  • Mileage reimbursement
  • Tuition reimbursement for continued education
  • Employee referral program and merit increases
  • Employee discount programs
  • Focus on work/life balance
Full Job Description
Location: In the assigned market (DuPage County/West Suburbs).

Salary: $85,000 - $95,000 Annually

What we are looking for:

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.

What You'll Do:
  • 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
  • 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
  • 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.

We offer:
  • 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

Qualifications:
  • 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.
  • 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 public.
  • Must be knowledgeable of quality assessment and assurance procedures.
  • Valid driver's license and proof of insurance is required.



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