The Palliative Care Nurse Specialist collaborates with physicians, Mid-level providers, nurses, social workers, and other appropriate staff within the hospital organization, as well as with outside agency staff to ensure team-based, coordinated, comprehensive care and seamless transitions for patients in any setting (hospital, home, nursing home). The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.