Care Coordination Specialist

BayCare Health System

St. Pauls (NC)

On-site

USD 30,000 - 41,000

Part time

3 days ago
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Benefits offered by this job

Health insurance
Dental
Vision
Paid time off
Tuition reimbursement
401k match
Bonus program
Community discounts

Job summary

BayCare Health System in Florida is seeking a Care Coordination Specialist to support interdisciplinary, value-based care delivery. This part-time, non-exempt role focuses on optimizing clinical outcomes, coordinating transitions of care, and integrating social determinants of health into patient planning.

The position emphasizes collaboration with nursing, physicians, and community partners, with duties including post-acute referrals and ensuring appropriate utilization of resources to reduce

Qualifications

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

Responsibilities

  • 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.

Skills

Interdisciplinary collaboration
Discharge planning

Education

Bachelor's degree in social work/psychology/healthcare or LPN license

Job description

  • Location: St Josephs Hospital North - Lutz, FL

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 is 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: St Josephs Hospital North - Lutz, FL
  • Status: Part time; Non Exempt.
  • Schedule: Friday, Saturday & Sunday 8:00 AM - 4:30 PM
  • Every other Monday 8:00 AM - 4:30 PM
  • Flexibility in weekdays. Weekends are firm
  • 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
  • Benefits (Health, Dental, Vision)
  • Paid time off
  • Tuition reimbursement
  • 401k match and additional yearly contribution
  • Yearly performance appraisals and team award bonus
  • Community discounts and more

Equal Opportunity Employer Veterans/Disabled

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