Palliative Care Transitions Specialist

Ennoble Care

. Review incoming referrals for palliative appropriateness based on diagnosis, prognosis, and treatment status; classify referrals and escalate unclear notes for provider review.

Posted 10/24/2026full-timeRemote • United StatesMid-LevelSenior💰 $40,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in palliative care management, including patient eligibility assessment, care plan development, and coordination of transitions between palliative and hospice care. Proficient in utilizing EMR systems and CRM tools to track patient communications and manage care effectively.

Highest-signal resume keywords

Direct Clinical Experience In Hospice Or Palliative CareWorking Knowledge Of Healthcare TerminologyProficient With EMR Systems (OA/MatrixCare)Highly Organized And Efficient MultitaskingEffective Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient Eligibility AssessmentCare Plan DevelopmentChart ReviewChronic Care Management DocumentationPalliative Care Coordination

Soft Skills

Highly OrganizedAdaptable Team PlayerEffective CommunicationMultitasking AbilityPositive Attitude

Tools & Technologies

Zoho CRMMicrosoft OfficeOutlookEMR SystemsSecure Email

Industry Keywords

Palliative CareHospice Eligibility CriteriaGoals-Of-Care ConceptsPatient Care ManagementHealthcare Terminology

About the role

Key responsibilities & impact

Review incoming referrals for palliative appropriateness based on diagnosis, prognosis, and treatment status; classify referrals and escalate unclear notes for provider review.
Confirm patient eligibility and coverage windows before care begins.
Tag referrals as palliative in Zoho and expedite urgent referrals through appropriate market channels and scheduling contacts.
Complete chart reviews using the standard review template.
Manage transitions from palliative care to hospice, including identifying patients approaching hospice eligibility, coordinating goals-of-care and hospice discussions, and arranging handoffs.
Coordinate urgent palliative-care and telehealth visits.
Track patients across transition points between palliative, hospice, and primary care.
Complete individualized care plans and perform care management using Ennoble Care's EMR systems.
Serve as a point of contact among providers, patients and families, SNFs, and partner facilities.
Communicate emergent patient needs and life-threatening episodes to the primary care clinician or designee.
Track and document Chronic Care Management minutes; support monthly CCM summaries and flag reporting discrepancies.
Document patient communications accurately and promptly.
Support review reports, CREST reports, and end-of-month reviews.
Keep the Director of Palliative Care informed of care-plan, transition-process, and risk issues.
Support cross-market coordination as a member of the palliative team.

Requirements

What you’ll need

No specific professional license is required; candidates may hold 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, palliative and hospice eligibility criteria, and goals-of-care concepts.
Comfortable on the phone for large portions of the day.
Highly organized; able to multitask across patients, markets, and workstreams while remaining accurate and efficient.
Proficient with computers, Outlook, and Microsoft Office; able to learn EMR (OA/MatrixCare), Zoho CRM, secure email, and telephone systems.
Thrives in a fast-paced, changing environment; positive, adaptable team player willing to learn continuously.
Must pass a background check.
Candidates must disclose any current or future need for employment-based immigration sponsorship, including OPT, STEM OPT, or visa sponsorship, before an offer of employment is extended.

Benefits

Comp & perks

Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
Paid Time Off
Paid Office Holidays
Paid Sick Time
401(k) with up to 3% company match
Referral Program
Payactiv: pay-on-demand. Cash out earned money when and where you need it!