Home Care & Hospice Referral Specialist, RN (Care Access Center)- Full Time, Days, 8 AM - 4 PM, Atlantic Health Visiting Nurse Home Care Newton/Hackettstown Medical Center

About the role

Atlantic Visiting Nurse is seeking a compassionate and clinically experienced Home Care & Hospice Referral Specialist RN to join our Care Access Center. In this highly collaborative role, you'll serve as the clinical bridge between hospitals, physicians, patients, families, and our home care and hospice teams. You'll assess referrals, determine the appropriate level of care, coordinate admissions, and ensure patients receive timely, compassionate services that support safe transitions from hospital to home.

If you thrive in a fast-paced environment, enjoy building relationships, and want to positively impact patients during some of life's most important moments, we'd love to hear from you.

Responsibilities

• Conduct comprehensive clinical assessments to determine patient eligibility for Home Care or Hospice services.
• Review medical documentation to ensure referrals meet admission criteria and regulatory requirements.
• Meet with patients and families to educate them on Home Care and Hospice services, benefits, and care philosophy.
• Collaborate with physicians, case managers, discharge planners, and interdisciplinary teams to coordinate seamless transitions of care.
• Complete timely referrals and documentation within Epic.
• Coordinate durable medical equipment and other services needed prior to discharge.
• Participate in interdisciplinary care planning and clinical case discussions.
• Support accurate diagnosis coding and documentation.
• Monitor referral activity and contribute to departmental growth initiatives.
• Maintain current knowledge of home care regulations, hospice standards, reimbursement guidelines, and payer requirements.
• Serve as a clinical resource for referral specialists, physicians, and internal stakeholders.

Requirements

• Current New Jersey Registered Nurse (RN) License.
• Minimum five (2) years of Home Care or Hospice nursing experience preferred.
• Strong clinical assessment and critical thinking skills.
• Excellent communication and relationship-building abilities.
• Experience collaborating with physicians, case managers, and multidisciplinary teams.
• Knowledge of Medicare, Hospice regulations, and discharge planning.
• Strong organizational and documentation skills.

Preferred Qualifications

• Bachelor's Degree in Nursing (BSN).
• Epic experience.
• Experience with hospice admissions or intake.
• Knowledge of ICD coding.
• Experience coordinating transitions of care across the continuum.

Skills

We're looking for someone who has:

• Extensive Home Care or Hospice nursing experience.
• Enjoys educating patients and families during important healthcare decisions.
• Is confident making clinical admission determinations.
• Builds strong relationships with physicians and hospital partners.
• Thrives in a fast-paced referral environment.
• Has exceptional communication and customer service skills.
• Is highly organized and detail-oriented.

Why Join Us

At Atlantic Visiting Nurse, you'll become part of an organization committed to delivering compassionate, patient-centered care throughout every stage of the healthcare journey. As a Referral Specialist, you'll play a critical role in helping patients receive the right care at the right time while collaborating with an experienced interdisciplinary team dedicated to clinical excellence and exceptional service.

About Us

At Atlantic Health, our promise to our communities is: Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development, and opportunities we give to our more than 22,000 team members.

Headquartered in Morristown, New Jersey, we are one of the leading non-profit healthcare systems in the nation. Our facilities and sites of care include:

• Atlantic Health Morristown Medical Center, Morristown, NJ
• Atlantic Health Overlook Medical Center, Summit, NJ
• Atlantic Health Newton Medical Center, Newton, NJ
• Atlantic Health Chilton Medical Center, Pompton Plains, NJ
• Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
• Atlantic Health Goryeb Children's Hospital, Morristown, NJ
• Atlantic Health CentraState Healthcare System, Freehold, NJ
• Atlantic Medical Group
• Atlantic Visiting Nurse
• Atlantic Mobile Health
• Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

Awards and Recognition

Below are just a few of our accolades:

• Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For.”
• Atlantic Health Morristown and Atlantic Health Overlook named by Newsweek as two of the “World’s Best Hospitals” in 2026.
• Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings.
• Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades.
• Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
• Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026."
• Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton, and Atlantic Health Newton all Forbes Top Hospitals for 2026.
• Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025.
• Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

Benefits

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary:

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members).
• Life & AD&D Insurance.
• Short-Term and Long-Term Disability (with options to supplement).
• 403(b) Retirement Plan: Employer match, additional non-elective contribution.
• PTO & Paid Sick Leave.
• Tuition Assistance, Advancement & Academic Advising.
• Parental, Adoption, Surrogacy Leave.
• Backup and On-Site Childcare.
• Well-Being Rewards.
• Employee Assistance Program (EAP).
• Fertility Benefits, Healthy Pregnancy Program.
• Flexible Spending & Commuter Accounts.
• Pet, Home & Auto, Identity Theft, and Legal Insurance.