Care Transitions Specialist - Registered Nurse OR Social Worker

Overview

Join a mission-driven hospice team serving the Keene, Peterborough, and Charlestown, NH communities. As a Care Transitions Specialist, you'll build relationships with hospitals and healthcare facilities, support patients and families during critical transitions, and help ensure timely access to hospice care.

What You'll Do

• Build relationships with hospitals, assisted living facilities, and skilled nursing facilities
• Identify patients who may benefit from hospice services
• Coordinate care plans with patients, families, nurses, physicians, and discharge planners
• Educate referral partners and community members about hospice services
• Support timely admissions and smooth transitions of care
• Collaborate with the hospice team to improve patient outcomes
• Track referral activity, goals, and outcomes
• Stay current on healthcare trends and changes impacting patient care

Pay & Benefits:

• Generous base pay

• Health Insurance (2 plan options)

• Health Savings Account (HSA)

• Flexible Spending Accounts (FSA & DCA)

• Dental & Vision Insurance

• Paid Time Off (PTO) – increases with longevity + 1 sick day/month

• Long-Term Disability (Employer Paid)

• Voluntary Short-Term Disability, Cancer, and Accident Insurance

• Employee Assistance Program

• Long-Term Care Insurance

• 403(b) Retirement Plan with 30% Employer Match

• Life Insurance – 100% Employer Paid

• Employee Wellness Program

• Paid Mileage + Company iPhone Provided

• Electronic Charting

• Continuing Education Benefits

Requirements:

• Bachelor’s degree in Nursing or Social Work
• At least 3 years of experience, preferably in home health, hospice, acute care, hospital, or community health settings.
• Valid driver’s license, reliable vehicle, and auto insurance required

To Apply, Please Include Answers to the Following:

1. This is a full-time position. Are you willing and able to work full-time hours?

2. What days and times are you available for an in-person interview?

3. Do you have a Bachelor’s degree in Nursing or Social Work?

4. What is your best email address for follow-up?