Travels to patients’ locations, including resident sites and hospital rooms, to assess eligibility for Hospice care. Partners with hospital Case Management staff to meet patient and hospital staff needs and gain new referrals. Assesses the emotional condition of patients and families to determine readiness for Hospice and address questions and concerns. Coordinates patient treatment efforts and promote quality improvement and educational initiatives. Obtains required signatures and generate necessary electronic or paper documents for regulatory compliance and reimbursement. Assesses patients’ physical condition, medical needs, current medications, and equipment requirements. Determines patients’ primary physician, personal information, and special needs, and obtain necessary orders. Obtains approval from Hospice and primary care physicians to admit patients to the program and communicate care plan initiation. Updates Hospice Intake office and referral sources on the status of admissions and review referral documents prior to consultation visits. Communicates effectively with the Care Team, Home Medical Equipment, and Pharmacist regarding patient-related equipment and medications. Travels to hospital room or location of hospice patient for assessments, symptom management, and update plan of care as needed. Collaborates with hospital Case Management, Physicians, and Nursing Staff to facilitate discharge from the hospital to the appropriate level of care. Other duties as assigned