St Croix Hospice is hiring a Hospice Transition Nurse for our branch in Troy. The Hospice Transition Nurse is a resource Registered Nurse to patients, family members and staff of hospitals, physicians, and nursing homes. They are responsible for sustaining and increasing referral sources from the hospitals and nursing homes and other community sources. The
Hospice Transition Nurse uses their knowledge of St. Croix Hospice programs and services to provide education to these referral sources.

This is meant to be a general description of the most essential functions of this role. Other duties may be assigned.

1. Performs as a case manager for patients in the hospital. Acts as a resource to the hospital.
2. Conducts initial goals of care meetings with patients and families to inform them about St. Croix Hospice programs and services.
3. Performs follow-up meetings and phone calls from information visits.
4. Sustains and increases referral sources with hospitals, nursing homes and other community sources.
5. Documents visits and phone calls with patients, families, and referral sources.
6. Conducts discharge planning of hospital patients that are being transferred home or admitted onto care with St. Croix Hospice.
7. Mentors and trains new Registered Nurses.
8. Attends Interdisciplinary Care Meetings regarding patients and families in the hospital.
9. Establishes and maintains relationships with hospital Case Mangers, Social Workers, and Physicians.
10. Other duties may be assigned or required for the performance of this position.