Care Coordination Specialist

BayCare; Florida; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401k match

Community discounts

Job summary

BayCare is seeking a Care Coordination Specialist at Plant City, FL to join our interdisciplinary team and support a value-based care model. You will coordinate care with patients, families, and the care team to optimize outcomes and to ensure smooth transitions to post-acute resources.

This PRN role involves coordinating discharge planning, identifying barriers such as social determinants of health, and linking patients to community resources.

Qualifications

• Bachelor's degree in social work, psychology, or healthcare field or LPN license.
• Medical Social Work or LPN experience preferred.

Responsibilities

• Coordinate care with patients, nursing, physicians, and community partners to improve outcomes.
• Provide comprehensive care coordination and discharge planning for post-acute resources.
• Identify barriers including social determinants of health to improve transitions of care.
• Coordinate transition of care and referrals, including post-acute authorizations when needed.
• Support regulatory compliance and efficient length of stay in value-based models.

Skills

Care coordination

Discharge planning

Interdisciplinary collaboration

Patient advocacy

Education

Bachelor's degree in social work, psychology, or healthcare related field OR LPN License

Job description

Case Management

Case Management

PRN

Job Code Minimum Salary

Minimum Salary

Maximum Salary

Plant City:South Florida Baptist

Details

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence

The Care Coordination Specialist will:

• Function as a key member of an interdisciplinary, value-based care delivery model, collaborating with patients, nursing, physicians, advanced practitioners, caregivers, and community partners to optimize clinical, quality, and financial outcomes.
• Provide comprehensive care coordination and interdisciplinary discharge planning processes for patients ensuring appropriate utilization of post-acute resources, reduce avoidable readmissions, and support accurate risk stratification. Integrates clinical, social, and economic determinants of health into individualized care planning, ensuring alignment with patient acuity, developmental stage, and payer requirements.
• Proactively identify and address barriers impacting transitions of care, including social determinants of health (SDOH), to enhance patient outcomes and support appropriate risk adjustment and reimbursement optimization.
• Perform transition of care management, including timely coordination of services, facilitation of medically necessary referrals, initiating post-acute authorizations if applicable, assisting with transportation needs, and effective linkage to community-based resources to ensure continuum of care.
• Apply strong organizational and operational management skills to coordinate multiple high-impact workflows, supporting compliance with regulatory requirements, efficient length of stay management, and improved performance in value-based reimbursement models.

Position details:

• Location: South Florida Baptist Hospital - Plant City, FL
• Status: PRN, As Needed.
• Schedule: Days will vary - 8:00 AM - 4:30 PM
• Weekend Requirement: Occasional
• On Call: No

Education and/or Licensure:

• Bachelor's degree in social work, psychology, or healthcare related field OR LPN License.

Experience:

• Medical Social Work or LPN experience preferred

Benefits:

• 401k match and additional yearly contribution
• Community discounts and more

Equal Opportunity Employer Veterans/Disabled