Job Description

Are you a compassionate and dedicated nurse with a passion for helping patients navigate the transition from home health care to hospice? We are seeking a Transition Nurse to provide guidance, support, and expert care to patients and their families as they prepare for hospice care. If you have strong clinical skills and a heart for end-of-life care, this could be a great opportunity for you.

Key Responsibilities

• Coordinate and ensure smooth transitions for patients moving from home health services to hospice care.
• Collaborate with home health clinicians to assess patients for hospice care eligibility and facilitate timely transitions.
• Educate patients and their families about hospice care options, addressing concerns with empathy and understanding.
• Conduct on-site informational sessions for patients, families, and caregivers, helping them understand the hospice transition process and available resources.
• Provide education and training to the home health care team on hospice eligibility and appropriateness, ensuring staff can identify when hospice care is the best option.
• Lead in-services and educational workshops in the community to raise awareness of hospice care and its benefits.
• Collaborate with multidisciplinary teams, including physicians, therapists, and social workers, to address patient needs during the transition process.
• Perform comprehensive assessments of patients' physical, emotional, and psychosocial needs during the transition.
• Serve as a primary point of contact for patients and families, offering support, resources, and counseling during this critical time.
• Maintain accurate documentation of assessments and communications in accordance with healthcare regulations.

Qualifications

• Valid RN or LVN license in CA.
• Minimum of 3 years of nursing experience, with a preference for home health, palliative, or hospice care experience.
• Strong communication and interpersonal skills to provide compassionate care and education.
• Ability to work both autonomously and as part of a multidisciplinary team.
• In-depth knowledge of hospice and end-of-life care principles.