Care Transitions Nurse | Legacy Hospice

Legacy Hospice believes each employee makes a significant contribution in enhancing the quality of life for our clients and enabling the success of the organization. Employee contributions are not limited by assigned job responsibilities. Therefore, this job description is designed to outline essential functions, qualifications, and job scope, but not to limit the employee to the identified responsibilities. It is Heritage’s expectation that each individual will be flexible in offering their services to ensure the highest quality of care to our clients.

Responsibilities

• Conduct hospice eligibility assessments based on thorough knowledge of Medicare Hospice Regulations.
• Educate patients, families, and facility staff about hospice services and patient-specific care plans.
• Act as a primary point of contact to ensure coordination and continuity of care.
• Utilize strong communication and time management skills to effectively manage multiple cases and priorities.
• Participate in interdisciplinary team meetings to review patient plans and compliance with hospice criteria.
• Provide ongoing support and education on the hospice process to healthcare providers within the community

Nurses already doing similar transition-heavy work

• Hospital case managers / discharge planners
• ICU, ER, oncology, and cardiac nurses (high exposure to end-of-life care)
• Palliative care nurses
• Home health nurses ready for a more relationship-based role

Qualifications

• Must possess an active RN license.
• Proven hospice experience with a deep understanding of Medicare regulations and eligibility requirements for hospice care.
• Exceptional interpersonal, communication, and presentation skills.
• Robust organizational and time management skills are essential.
• Must be adaptable, patient-focused, and capable of handling challenging situations with tact and empathy.