Transition Nurse - LVN

The role

The Transitions Nurse works with Home Health clinical teams to identify patients with changing healthcare needs. This person connects patients to appropriate levels of care, services, and support such as hospice or palliative care.

What you will do

• Work with Home Health clinicians to identify patients requiring additional services or different levels of care.
• Contact patients and families to identify changing needs and provide education.
• Assist patients and families in navigating transitions to hospice, palliative care, or other resources.
• Maintain communication and follow-up with patients and families during transitions.
• Collaborate with clinical teams to recognize patients who may benefit from hospice evaluation.
• Provide in-person informational sessions to patients, families, and caregivers.
• Support and coordinate transitions from Home Health to Hospice.
• Educate Home Health teams on recognizing changing patient needs and transition resources.
• Provide hospice education and in-services to Home Health teams and community partners.
• Collaborate with multidisciplinary healthcare professionals to support timely transitions.

Required qualifications

• Current and unrestricted California Licensed Vocational Nurse (LVN) license.
• Minimum of 1 year of nursing experience.
• Knowledge of hospice, palliative care, and end-of-life care principles.
• Ability to recognize and communicate changes in patient condition and care needs.
• Excellent communication and interpersonal skills.
• Strong organizational, follow-up, and care coordination skills.
• Ability to work independently while collaborating with multidisciplinary teams.
• Comfortable providing education and presentations to clinical teams and community partners.
• Valid driver’s license and reliable transportation for patient and community visits.

Nice to have

• Home Health, Hospice, palliative care, care transitions, or care coordination experience

Benefits

• Health, Dental, and Vision Insurance
• 401(k) with matching
• Life Insurance
• Paid Time Off (PTO)
• Flexible Schedule
• Flexible Spending Account (FSA)

About the company

Health Link Home Health & Hospice is seeking an experienced Licensed Vocational Nurse (LVN) to join our growing Transitions Department.