Start here at Hartford HealthCare and work where every moment matters! Hartford HealthCare at Home doesn’t just take great care of our patients; we take great care of our colleagues too! Our benefit options at Hartford HealthCare at Home are designed so you can care for yourself and your family, just as you care for others when you are here. What our colleagues love about HHCAH: • Automatic enrollment into the Nurse Residency Program for all graduate RNs with less than one year of experience. • Tuition Reimbursement up to $5,250.00 after six months of employment and up to 40% tuition discounts with partnering institutions for colleague AND dependents • Loan forgiveness for qualifying existing student loans • Employee assistance and wellness programs including a strong focus on promoting mental health • Paid time off and health insurance packages • All clinicians are provided a cellphone and laptop • Discounts on services, products and optional coverages – movie tickets, pet insurance, travel and more! Job summary: Facilitates the identification of patients receiving certified home health services for whom it may be appropriate to consider goals of care and potential transition to hospice. Serves as a resource to all staff in how to conduct conversations to assist a patient/family in identifying goals of care and as a resource regarding eligibility for the hospice benefit and services covered by the benefit. Job responsibilities: * Uses data analytic resources to assist in identification of patients for whom a goals of care conversation and end of life planning may be appropriate. Collaborates with certified home health team and community providers to assess patient readiness for goals of care conversations. * Participates in goals of care conversations and joint visits as appropriate. * Uses data analytics tools to identify transitions from certified home care to hospice program. Identifies trends and opportunities to improve patient family experience. Provides regular updates to leadership as well as certified and hospice teams. * Collaborates with management to implement and evaluate programs ensuring clinical disciplines have the necessary clinical competencies to provide optimal care to patients who may be approaching end of life. * Develops/coordinates curriculum to meet learning needs of clinical staff and conducts competency testing based on annual needs assessment and strategic initiatives. * Assists management with developing and coordinating clinical orientations across affiliates. * Participates in quality assurance audits, committees, and projects as needed. * Participates in training clinical staff to ensure proficiency in the organization’s EMR * Develops, facilitates, and/or provides in-service offerings to assist clinical specialty service development and delivery. * Perform other related duties as required. Minimum Education Requirements: Graduate of NLN-approved BSN program Preferred Education - Master’s Degree Experience required: Three years of clinical experience in hospice and/or palliative care Experience preferred: Clinical training and education background Licensure, Certification, Registration: Current RN Licensure State of CT Knowledge, Skills and Ability Requirements: * Knowledge of end-of- life care planning and hospice services. * Knowledge of regulatory requirements as relates to hospice eligibility criteria and benefits. * Exceptional communication skills with ability to approach difficult conversations in a professional and thoughtful manner. **Job:** **Health Professionals* **Organization:** **Hartford HealthCare at Home* **Title:** *Bridge Coordinator (RN, Registered Nurse, Hospice) - HomeCare* **Location:** *Connecticut-Southington-81 Meriden Ave Bradley Memoria (10003)* **Requisition ID:** *25157913*