Transitional Care Navigator

Addus HomeCare

. Expand the reach and impact of clinical hospice services .

Posted 11/6/2026full-timeColumbia • Tennessee • United StatesJuniorMid-Level💰 $95,000 - $115,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical hospice services, upstream referral development, and patient assessment. Proven ability to build relationships with healthcare providers and educate on hospice care appropriateness while maintaining compliance with policies and ethical guidelines.

Highest-signal resume keywords

Clinical Hospice ServicesUpstream Referral DevelopmentPatient AssessmentBusiness DevelopmentRegistered Nurse License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ReviewEMR ProficiencyPatient Eligibility AssessmentQuality Assessment ProceduresConsultative Education

Soft Skills

Relationship BuildingIndependent Decision-MakingTactful CommunicationCollaborationOrganizational Skills

Tools & Technologies

HCHB

Certifications & Qualifications

Registered Nurse License

Industry Keywords

Hospice CareHealthcare ProvidersPatient OutcomesEnd-of-Life CareSales Experience

About the role

Key responsibilities & impact

Expand the reach and impact of clinical hospice services
Identify and secure new upstream referral sources and education and awareness opportunities
Build relationships and drive appropriate and dignified hospice care for patients across physicians, providers, and hospitals
Operate in an assigned market territory and work with assigned physicians and hospitals
Assess clinical information and drive upstream hospice referrals
Provide upstream and downstream education and awareness to physicians, hospitals, and other providers
Build upstream-referral relationships and transition hospice referrals from physicians and other referral sources
Serve as a hospice clinical consultant and educator, extending hospital and physician care teams
Review hospital clinical documentation, EMR, and HCHB
Engage patients and providers to build clinical patient profiles and admission assessments
Identify decline patterns, including frequent hospitalizations and functional deterioration
Consult with hospital care teams by sharing clinical profiles and educating on hospice appropriateness
Identify attending and consulting providers associated with referred patients
Provide patient assessment, eligibility, discharge education, and awareness
Collaborate with field sales representatives on consultative meetings with external care teams
Maintain workflows for patient information, clinical assessment and documentation, consultation and education planning, and meetings
Identify trends, needs, and partnership opportunities for earlier hospice engagement
Foster trusted relationships with external care teams to improve patient outcomes and end-of-life satisfaction
Communicate with hospital leadership and care coordination teams
Organize, track, and prioritize high-value patient comprehensive reviews
Meet productivity requirements for medical-record review and hospital/provider consultation and education
Collaborate cross-functionally with internal hospice departments and leadership teams
Uphold hospice policies, privacy practices, and ethical guidelines
Represent the organization professionally in hospitals, community, and partner interactions
Perform other duties as assigned

Requirements

What you’ll need

Physician Office sales and hospice experience preferred
Clinically trained
Experienced business development and sales professional
Bachelor’s degree in marketing, business administration, or other related fields is preferred
An acceptable combination of experience and/or training may be considered instead of formal education
Licensed as a registered nurse in the state of practice, preferred
Minimum of two years relevant experience
Ability to make independent decisions when circumstances warrant
Ability to deal tactfully with patients, family members, visitors, agency personnel, and public
Knowledge of quality assessment and assurance procedures
Valid driver’s license and proof of insurance is required

Benefits

Comp & perks

Competitive salaries
401K + match
Great culture and team atmosphere
Comprehensive benefits (medical, dental, vision, life/AD&D, disability), effective on the first of the month
401(k) retirement plan with a generous company match
Generous time off accruals
Paid holidays
Mileage reimbursement
Tuition Reimbursement
Employee Referral Program
Merit Increases
Employee Discount Programs
Work/life balance