Care Coordinator Advance Illness Program - Palliacare

Step into a meaningful role within our Hospice Care Team as a Care Coordinator Advance Illness Program dedicated to supporting patients and families during some of life’s most vulnerable moments. You’ll serve as a trusted resource for nurses, physicians, caregivers, and loved ones, helping maintain comfort, dignity, and continuity of care.

Hospice of Cincinnati – 4310 Cooper Rd, Cincinnati, OH 45242

• Part Time 8am-5:00pm (hours can vary)
• Day Shift Monday thru Friday

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

Facilitates advanced care management for an identified client population to improve quality of life, prevent re‑hospitalization, and provide social connection. Coordinates patient care services, engages in advanced care planning, telephone social support, and information on community resources, collaborating with the palliative care team and community professionals to enhance services.

• Associate’s degree or diploma in Nursing
• RN / Registered Nurse
• Strong oral and written communication skills
• Customer service skills
• Ability to work with physicians and other professional colleagues
• Ability to collect data, generate reports, and provide analysis
• Comfortable working with computers and EMR
• 3-4 years experience Clinical Nursing
• Two years of care management experience or equivalent in healthcare
• Hospice/Palliative care experience highly preferred
• Home health experience preferred
• 2-3 years experience professional nursing in community health, palliative or hospice care

• Guide the multidisciplinary palliative team and coordinate comprehensive care plans for patients and families.
• Collaborate with primary and specialty providers, home health agencies, DME teams, and hospice team to ensure continuity of care.
• Communicate with all relevant service lines to facilitate coordination across the care continuum.
• Identify barriers such as education, language, financial concerns, and family dynamics; address these with appropriate resources.
• Support goals of care initiated by APRN and facilitate hospice referrals as needed.
• Gather data and assess patient care needs; assist APRN with ongoing assessments of physiological, cognitive, emotional, spiritual, and social needs.
• Participate in interdisciplinary team discussions and provide input for optimal patient service.
• Promote evidence‑based practices and share new knowledge with the advanced illness team.
• Provide patient and family education related to goals of care and treatment plans.
• Serve as a leader and contribute to the development of the care coordinator role within the practice.
• Apply performance‑improvement techniques to implement changes that improve patient care and office operations.