Transitional Care Navigator, RN

Addus HomeCare

. Expand the reach and impact of clinical hospice services by identifying and securing new upstream referral sources and education and awareness opportunities .

Posted 9/29/2026full-timeOak Lawn • Illinois • United StatesJuniorMid-Level💰 $85,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in hospice care, clinical assessment, and relationship building with healthcare providers to enhance patient outcomes. Proficient in navigating clinical documentation and engaging with interdisciplinary teams to facilitate hospice referrals and education.

Highest-signal resume keywords

Hospice Care ExperienceClinical AssessmentRelationship BuildingPatient EducationQuality Assessment Procedures

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ReviewEMR ProficiencyPatient Admission AssessmentHospice Policies KnowledgeIndependent Decision-Making

Soft Skills

Tactful CommunicationCollaborationOrganizational SkillsProblem-Solving

Tools & Technologies

HCHB

Certifications & Qualifications

Registered Nurse License

Industry Keywords

Hospice ServicesReferral SourcesPatient OutcomesEnd-of-Life CareHealthcare Collaboration

About the role

Key responsibilities & impact

Expand the reach and impact of clinical hospice services by identifying and securing 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
Build upstream-referral relationships and transition hospice referrals from physicians and other referral sources
Serve as hospice clinical consultant and educator, acting as an extension of hospital and physician care teams
Review hospital clinical documentation, EMR, and HCHB
Engage with patients and providers to build clinical patient profiles and clinical admission assessments
Identify decline patterns such as 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 to provide assessment, eligibility, and discharge education
Collaborate with field sales representatives on consultative meetings with external care teams
Initiate and maintain workflows for patient information, clinical assessment, documentation, consultation, education, and meetings
Identify trends, needs, and partnership opportunities for earlier hospice engagement
Foster 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 comprehensive patient reviews
Meet productivity requirements, including timely medical-record review and hospital/provider consultation and education
Uphold hospice policies, privacy practices, and ethical guidelines
Represent the organization professionally in hospitals, the community, and partner interactions
Collaborate with internal hospice departments and leadership teams
Perform other duties as assigned

Requirements

What you’ll need

Physician Office sales and hospice experience preferred
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

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