Purpose Statement / Position Summary

This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center’s strategic plan and participate in and advocate performance improvement/patient safety activities.

Coordinates services, to facilitate a smooth transition from medical facility to Hospice or Palliative Services. Promotes continuity of care between medical facility, physician and home. Educates and assesses patients referred to hospice/palliative program to ensure hospice criteria is met and informed decisions regarding participation in hospice are made. Facilitates prompt and appropriate delivery of Hospice/Palliative patient care in accordance with Medicare Conditions of Participation , in Orange ,Long Beach and surrounding LA areas.

Essential Functions and Responsibilities of the Job

1. Establish positive & constructive working relationship with referral sources, with employees and physicians of medical center, skilled nursing facility and home care department and with patients and families.
2. Educate patient, family, staff, physicians and other referral sources regarding Hospice and Palliative coverage and services available after discharge to insure appropriate level of care and utilization of services.
3. Provides agency management with information related to areas of potential growth and methods of improving relationships with medical facilities, referral sources and the community.
4. Accepts and coordinates agency referrals and assesses patients to determine level of care and admission criteria appropriateness, documents pertinent information clearly and accurately according to hospice & palliative guidelines. Prioritize and multitask.
5. Actively participate in Hospice activities including in-services, performance improvement and appropriate committees.
6. Maintains standards of productivity
7. Be at work on time
8. Follow company policies, procedures and directives

Essential Job Outcomes

1. Assist prospective patient/family in making informed decisions regarding Hospice and or Palliative care via assessment and education.
2. Establish initial plan of care with Patient/family/IDT and establish realistic goals of care.
3. Completes Liaison, Marketing contacts and documents appropriately.
4. Evaluate level of comprehension/response to treatment plan and modify as needed
5. Documentation meets timeliness standards as set by the agency.
6. Meets productivity standards as set by the agency.
7. Meets goals of the CAHPS score
8. “Other duties as assigned”