Care Coordination & Discharge Specialist

Physicians Regional Healthcare System; Naples (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

Physicians Regional Healthcare System in Naples, FL seeks a Care Management Specialist to provide administrative and operational support to the Care Management team. You will assist with care coordination, discharge planning, insurance verification, and documentation management to ensure timely access to resources and smooth transitions of care.

The role involves collaboration with Care Managers, Social Workers, and healthcare providers, maintaining EMR documentation, and ensuring regulatory

Qualifications

• 1-2 years of experience in care coordination, case management support, patient access, or healthcare administration.
• Experience in a hospital, insurance, or post-acute care setting with knowledge of healthcare payers and authorizations preferred.

Responsibilities

• Assists the Care Management team in coordinating discharge planning, referrals, and follow-up services.
• Communicates with insurance providers, payers, and authorization departments to verify coverage and obtain approvals.
• Maintains accurate documentation of care management activities in the EMR.
• Supports patient and family communication about discharge instructions and follow-up appointments.
• Coordinates with home health agencies and post-acute care services to facilitate smooth transitions.
• Reviews patient charts and required forms to ensure information is available for staff.
• Tracks pending authorizations and follow-ups, escalating concerns as needed.
• Assists with patient screenings and assessments, ensuring regulatory compliance.
• Maintains HIPAA compliance and adheres to hospital policies.

Skills

Care management processes

Discharge planning

HIPAA compliance

Communication skills

EMR documentation

Tools

EMR systems

Documentation software

Job description

Physicians Regional Healthcare System in Naples, FL seeks a Care Management Specialist to provide administrative and operational support to the Care Management team. You will assist with care coordination, discharge planning, insurance verification, and documentation management to ensure timely access to resources and smooth transitions of care.

The role involves collaboration with Care Managers, Social Workers, and healthcare providers, maintaining EMR documentation, and ensuring regulatory