Hi Hannah
I am admittedly not very good with astrological career advice - or with regular career advice, for that matter. However, our charts have a few things in common, so I wonder if some of the ideas that I found valuable for me may have some value for you too.
What really helped me the most was spending a lot of time meditating on my chart and the various strengths and weaknesses in it, and considering roles almost as archetypes. Tons of fruit came from this.
As a Sag, I have found that being in positions where I can garner some kind of respect is important to me; I really enjoy cultivating expertise in some area and being able to relay that to others, whether via direct training, offering advisement/consulting, etc - something that helps advance the group I'm a part of. The two ideas go hand in hand for me.
Your Sag Sun is also tightly octile Jupiter, so you've definitely got the good intentions and the inclination to be a benediction to others, as well as a tendency to grow and blossom in situations where you're held in high regard. I think these themes, or other articulations of them, are surely important, and I could definitely see these being fulfilled in death midwifery.
I don't know if this applies to you in this way, but in myself, I know that I would rather make a good amount of money, if I can help it. Jupiter is kingly or queenly. If the lifestyles made possible by high income are something that you feel is important to you, then it's a relevant factor to consider. Just from knowing you, you don't seem like a person who is particularly concerned with this - but I'm just mentioning it astrologically as a Jupiter thing.
If your Moon-Mercury conjunction (though it's a bit wide) is anything like my Virgo Moon, then you're naturally drawn to detail work. That's where I usually thrive. I prefer that over very high-level planning or management that is removed from "the frontlines," generally.
Moon-Saturn aspects definitely bestow an urge towards self-sacrifice in the name of other-service, and work ethic tending to reflect that. I was considering psychology or social work while I was in college, and ended up being a psych minor (and still toy with the idea of going back to school for that). I seem to recall you mentioning psychology previously - or am I mis-remembering that?
Moon-Saturn also needs control over situations. The roles I seem to gravitate toward allow me a high degree of control, and in doing so allow me to accomplish important things for the benefit of others. It's sort of - "listen, I got this. Don't worry about it." I definitely have a thing of needing to "save people." I feel most motivated when I feel like I'm saving the day for someone - which inevitably involves control (otherwise, someone else would've just done it already).
Your Moon-Saturn trine is pretty close, too, at 0*25', so these themes are in there somewhere (although I suspect your control-seeking is much more mellow, since you have a soft aspect). I think finding the main ways that this aspect manifests for you will go a long way towards helping you identify roles that you thrive in, but you'll certainly have a strong work ethic no matter where you end up. That will take you far.
I've also got the close Moon-Neptune thing going on. For me, it's been a challenge to keep my sensitivity under control. Roles where emotion is acceptable are better for me. While the careers I've been in aren't directly related to that - at all - I make sure that I end up in roles where it's okay for the human emotional element to be present.
If you go in a direction where the emotional or artistic element is a key feature, you would be able to really exercise this aspect to powerful effect, I think. Having Neptune foreground (though widely) emphasizes this even more so. You can create a reality for others.
Besides that, your chart looks to me like you're averse to confrontational roles - at least in the sense of human confrontation (as opposed to idea confrontation). If that's true, I think that's important to recognize and keep in mind. You'd probably have much less fun in anything like sales, law, policing, security, highly competitive business ventures, or other professions that involve that type of thing.
Overall, death midwifery really sounds like it checks a lot of these types of boxes for you - including, I think, the Scorpio Moon box, in the surgical sense of "blood doesn't scare me." It seems like a really solid direction to explore. On a personal level, I think you'd be really great at it, too.
