Admissions RN/Hospital Liaison bei Centrica Care Navigators

1.         Is a graduate of an accredited school of professional (registered) nursing.   BSN preferred.

2.        Maintains license as a Registered Nurse from the State of Michigan. 

3.         At least one (1) year's general nursing experience is required with current Hospice; medical, surgical, or critical care experience.  Experienced in providing pain/symptom management, IV skills preferred.

4.        Maintains current BLS certification.

5.        Experience with issues concerning the terminally ill, and death/dying, and pain and symptom management.

6.        Presents a negative TB skin test and/or chest X-ray and other tests as required by Centrica Care Navigators.

7.         Maintains a valid Michigan driver’s license and has the availability of a reliable, licensed and insured vehicle for use on the job, vehicle must be insured in accordance with the State of Michigan.

8.        Remains up-to-date on all routine immunizations required by LARA and agency policy. 

 SUMMARY OF JOB RESPONSIBILITIES

 The Admissions Registered Nurse coordinates and plans admissions, provides information to health care providers, and provides skilled nursing assessment care to the patient as prescribed by the attending physician or designee and in compliance with the policies and procedures of Centrica Care Navigators.

RESPONSIBILITIES AND DUTIES

Primary Duties

1.         Huddles daily at the start of the shift with admissions coordinators and SOC RNs to provide information on planned discharges or possible discharges from the hospital for the day.

2.        Takes referrals from hospital case manager, RN, social work, or physician and notifies medical records and billing using the referral email.

3.         Hospital liaison assigned to triage will answer calls, enter referrals, update report throughout the day, assign hospital liaisons at the hospital to information visits, and maintain hospital liaison visit calendar. 

4.        Serves as a consultant to the hospital staff by providing clinical expertise in hospice care. Consults and collaborates with physicians as appropriate. 

5.        Assesses patient’s condition and past medical history, conducts initiation visits, and obtains appropriate documentation to support hospice eligibility. 

6.        During initiation visit, provides information on benefit/insurance options, hospice criteria, hospice philosophy, and services provided by Centrica Care Navigators.

7.         Documents appropriate information in the patient’s electronic medical record.

8.        Responsible for coordinating and communicating discharge planning and patient’s plan of care with hospital staff including the RN caring for the patient, case manager, social worker, physician, and palliative care team as appropriate. 

9.        Responsible for collaborating with admission coordinators for hospital discharges going to Centrica Arbors Place.

10.    Responsible for communication with nursing facilities, adult foster homes, and assisted living facilities when a patient is discharging from the hospital with our service.

11.     Responsible for collaborating with families and patients for home discharges.

12.     If indicated, coordinates appropriate medications that need to be ordered and obtained prior to discharge.

13.     Assess DME needs and coordinate delivery prior to discharge.

14.    Responsible for completing the appropriate consents and admissions paperwork with the patient or Durable Power of Attorney. 

15.    Makes visits to all current hospice patients that are admitted to the hospital. Communicates with hospital staff and assigned Centrica Care clinical manager to establish a plan of care. 

16.    Required to be fully vaccinated against COVID -19.

17.     Stays informed about changes in the field of Hospice care; shares information with appropriate Hospice personnel and administrative personnel.

18.    Promotes Hospice referrals in the community; maintains a good standing in the community.

19.    Individualizes and teaches the patient /family/caregiver self-care techniques as appropriate.

20.   Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continu­ing education and in-service classes.

21.    Fulfills the obligation of requested and/or accepted case assignments