Care Transitions Specialist - Registered Nurse OR Social Worker

Pinnacle Rehab Staffing • Keene, NH

9d • Remote

About The Position

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.

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

Responsibilities

• 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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level