Managing patient transitions through the palliative continuum, the full-time remote Palliative Care Transitions Specialist will handle referral and eligibility screening, coordinate care transitions to hospice, and ensure effective communication among providers and families. Key responsibilities Review and classify incoming referrals for palliative appropriateness and confirm patient eligibility Coordinate transitions from palliative care to hospice, including goals-of-care discussions and handoffs between providers Complete individualized care plans and manage care using the organization's EMR systems Required qualifications No specific professional license required; candidates may have an LPN, RN, or Social Worker (BSW or greater) background Direct clinical experience or hands-on patient care in hospice or palliative care is required Working knowledge of healthcare terminology and palliative and hospice eligibility criteria Proficient with computers, Microsoft Office, and able to learn EMR and CRM systems Highly organized and able to multitask effectively in a fast-paced environment