RN Hospice Transitional Care Manager

BAYADA Home Health Care is looking for an RN Transitional Care Manager, who will build and strengthen relationships between referral sources and BAYADA Hospice. Focus on relationships with hospital and facility contacts to educate their leaders about BAYADA services and the benefits of hospice care. Use clinical knowledge to educate patients and hospital staff about hospice eligibility and expectations. Manage referral intake and coordinate a safe discharge to next care setting or initiating GIP level of Care. Territory: Norristown and Abington PA, with flexibility to travel to Torresdale, as needed MINIMUM QUALIFICATIONS: 1. Exemplifies characteristics of _The BAYADA Way_ : compassion, excellence and reliability. 2. Current license in good standing as a Registered Nurse in the state of practice. 3. Graduate of an accredited and approved program as indicated by school transcript or diploma. 4. Two (2) year experience in health care, preferably in one these settings: Hospice RN, Clinical Liaison, RN Discharge Planner, RN Educator. 5. Completed Continuing Education Requirements (CEUs) as required by regulation. 6. Demonstrated record of building and maintaining referral relationships. 7. Demonstrated knowledge of the Medicare COPs and other program requirements, as applicable. 8. Previous discharge planning experience preferred. 9. Ability to provide excellent customer service. 10. Demonstrated ability to work well in a team environment and matrix organization 11. Working knowledge of business office technologies: PC/laptop w Microsoft Office applications, smartphone, website/internet, email PRIMARY RESPONSIBILITIES: 1. Demonstrate and communicate the core values of BAYADA and _The BAYADA Way_ . 2. Develop relationships, in accordance with _The BAYADA Way_ , with referral sources, physicians and other healthcare professionals. 3. Sell BAYADA services by clearly articulating the features and benefits of BAYADA to generate growth in the volume of referrals generated from assigned accounts. 4. Demonstrate mastery of clinical and regulatory hospice care eligibility criteria. 5. Review and compile all documentation necessary, in coordination with referral sources, to transition care from an acute care setting/ sub-acute care setting or initiate care as ordered by a physician to BAYADA Hospice. 6. Coordinate with the service office to set up the services ordered by the physician. 7. Completes the evaluation on hospital referred patients for community and for inpatient hospice admissions. 8. . Provides accurate and timely information regarding hospice team and hospice staff. 9. Participate in officeu2019s quarterly business planning and market analysis to achieve growth goals 10. . Serves as patient advocate in evaluating/developing plan of care for GIP patients and obtaining informed Consent for hospice. 11. Providing daily GIP visits and documenting to GIP eligibility. 12. Collaboration with Business Development Manager and/or Director on key and shared accounts. 13. Attend and participate in weekly team growth meetings. 14. Cross-train office field staff to cover absences, as needed. 15. Participate in community and sales activities, as needed. As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here (. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Created: 2025-12-04