HOSPICE TRANSITION LIASON

Custom Home Health Inc
Taylor, MI

Job Description

Job Description

Hospice General In-Patient Hospital Liaison

Job Description

The Hospice Hospital Liaison will be a Registered Nurse (RN) who will act as liaison between the referral sources and the hospice team. This role will perform pre-admission evaluations for appropriateness of hospice services, obtain informed consents, initiates the admission process by educating and informing patient/family of hospice, and its services. This role will work directly with the consultant team to develop and maintain referral source relationships between Custom & Downriver Corwell Hospitals.

Please note that all clinical decisions must be made under the direction and supervision of the Director, Clinical Operations and in accordance with regulation admission/eligibility by the Medical Director.

Hospice Principal Accountabilities

  • Promotes philosophy for hospice and its available services.
  • Explains services and benefits to patients, family members, and significant others in a manner that facilitates an accurate and positive view of services.
  • Assesses referred patient’s clinical needs and disease status and if needed confers with patient’s attending physician and leadership regarding assessment to establish eligibility.
  • Facilitates patient discharge to home by establishing initial needs and coordinating transportation, DME, medication needs, supplies and admission.
  • Ability to speak to hospice consent forms and to articulate in a clear manner to hospice patients, family members and/or caregivers.
  • Represents Custom and its services in a competent, professional manner consistent with the organization’s service and teamwork culture.
  • Communicates identified patient needs to appropriate leadership as well as potential solutions.
  • Establishes and maintains significant professional referral source relationships leading to patient referrals.
  • Ensures all available medical records, referral forms are completed, dated, and signed, and turns in to referral management.
  • Works closely with community, hospital, and facility education representatives to meet growth and development targets and maintain market acceptance and allegiance.
  • Promotes a positive working relationship between program and corporate personnel.
  • Independently attends and participates in staff meetings, educational programs and community events.
  • Proactively provides education to facilities on the purpose, process, and goal of general Custom Hospice Care.

General Requirements

  • Proactive and effective problem-solving skills.
  • Outstanding interpersonal and communication skills, both verbal and written.
  • Expertise in agency and community resources and practices.
  • Excellent working knowledge or regulatory standards and reimbursement issues in home care and hospice.
  • Proven organizational skills.
  • Demonstrated knowledge of payer sources.
  • Demonstrated knowledge of the referral source types and community resources.
  • Accurate and timely documentation skills.
  • Demonstrated management/leadership skills.
  • Willingness to work a flex schedule and serve patients/families in the geographic service area.
  • Detail oriented with good time management skills.

Registered Nurse Qualifications

  • Registered Nurse license in state(s) practicing.
  • Has 1+ years’ experience as a General In-patient Liaison for Hospice settings.
  • Preferred board Certification or working toward board certification in hospice and palliative care.

#LI-JM1

Posted 2025-09-24

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