Hospice Admissions Nurse

Lower Cape Fear LifeCare; Wilmington (NC); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Free employee-only health plan option

27 days PTO in first year

403(b) retirement plan with employer 5

Tuition reimbursement up to $5,000 per

Job summary

Lower Cape Fear LifeCare in North Carolina is seeking an experienced Nurse Navigator - Admissions RN to guide patients and families through hospice admissions. You will collaborate with clinicians, coordinate referrals, and ensure smooth transitions into care.

The role requires an accredited nursing degree and NC RN license, with strong communication and documentation skills, and comfort with extensive driving as part of patient admissions.

Qualifications

• Graduate of an accredited nursing program (AD, Diploma, or BSN).
• Current RN license in North Carolina.
• At least 2 years of nursing experience – hospice or home care preferred.
• Strong communication and documentation skills.
• Comfortable spending long amounts of time in your car – you’ll be driving a lot.

Responsibilities

• Collaborate with external medical professionals and referral sources to organize admissions into hospice care.
• Build positive relationships with referral partners to streamline admissions.
• Coordinate with outside vendors to ensure smooth transitions into care.
• Complete initial assessments and plan of care documentation during admission visits.
• Document eligibility for hospice based on clinical criteria.
• Provide education and support to caregivers and family members.
• Perform real-time documentation to ensure accuracy and compliance.
• Coordinate care with IDT including physicians, NPs, RNs, social workers, chaplains, and CNAs.
• Communicate and carry out admission orders from NPs and MDs.

Skills

Strong communication

Documentation skills

Education

AD / Diploma / BSN

Job description

Give your passion a purpose – join our amazing team!

At Lower Cape Fear LifeCare, your passion finds purpose every day. As an award-winning nonprofit hospice and palliative care provider, we've been serving families across southeastern North Carolina and northeastern South Carolina for over 40 years—rooted in heart, service, and community.

What sets us apart? Our commitment to your well-being and growth:

• Quick Benefits & Affordable Coverage: Health, dental, and vision insurance begin the first of the month after 30 days. We offer a free employee-only health plan option, and all plans include access to virtual doctor visits and mental health support at no cost.
• Generous Paid Time Off: Full-time employees start with 27 days of PTO in their first year—plus it rolls over and increases with tenure.
• Investing in Your Future: We offer a 403(b) retirement plan with employer match, along with up to $5,000 per year in tuition reimbursement to support your continued growth.
• A Culture That Values You: We believe in celebrating contributions, uplifting one another, and fostering a workplace built on respect, trust, and true compassion—for our patients, families, and each other.

We're proud to rank in the top 94% of healthcare providers nationwide in the Press Ganey employee satisfaction survey. Come see what makes Lower Cape Fear LifeCare a truly special place to grow.

Nurse Navigator - Admissions RN

Schedule

Four 10-hour shifts, including rotating weekends and holidays across a 7-day schedule. Hours: 12pm - 10pm

What You’ll Be Doing

• Collaborate with external medical professionals and referral sources to organize and complete admissions into hospice care
• Build positive relationships with referral partners to streamline the admission process and increase awareness of available services
• Coordinate with outside vendors, such as transport companies or DME providers, to ensure smooth transitions into care
• Complete initial assessments and plan of care documentation during admission visits (typically around 3.5 – 4 hours)
• Clearly document eligibility for hospice based on clinical criteria such as:
  • Uncontrolled pain
  • Advanced disease symptoms requiring increased support
  • Declining condition consistent with hospice guidelines
• Provide education and support to caregivers and family members, including:
  • What to expect at end-of-life
  • Medication guidance and symptom management
  • Recognizing changes in condition
• Perform real-time documentation to ensure accuracy and compliance
• Coordinate care with our Interdisciplinary Team (IDT), including physicians, nurse practitioners, RNs, social workers, chaplains, and CNAs
• Communicate and carry out admission orders from NPs and MDs

What We’re Looking For

• Graduate of an accredited nursing program (AD, Diploma, or BSN)
• Current RN license in North Carolina
• At least 2 years of nursing experience – hospice or home care preferred
• Strong communication and documentation skills
• Comfortable spending long amounts of time in your car – you’ll be driving a lot.