Care Coordination Specialist

Baycare; Winter Haven (FL); On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Tuition reimbursement

401k match

Performance bonuses

Job summary

BayCare's Winter Haven Hospital is hiring a Care Coordination Specialist in a PRN, As Needed role. You will collaborate with an interdisciplinary team to optimize clinical, quality, and financial outcomes, coordinating discharge planning and transitions of care to ensure appropriate post-acute resources.

A social work or healthcare-related degree with LPN licensure is preferred. Responsibilities include addressing social determinants of health, coordinating referrals, and supporting regulatory

Qualifications

• Bachelor's degree in social work, psychology, or healthcare related field.
• HS/GED with LPN license acceptable.
• Experience in medical social work or LPN preferred.

Responsibilities

• Collaborate with patients, nursing, physicians, and community partners to optimize outcomes.
• Coordinate comprehensive care and discharge planning to reduce readmissions.
• Address barriers related to social determinants of health in care plans.
• Coordinate transitions of care including referrals and post-acute services.
• Support compliance with regulatory requirements and value-based care initiatives.

Skills

Care coordination

Interdisciplinary collaboration

Discharge planning

Regulatory compliance

Education

Bachelor's degree in social work / psychology / healthcare related field

HS/GED + LPN license

Job description

Details

Title

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: Winter Haven Hospital - Winter Haven, FL
• Status: PRN, As Needed.
• Schedule: Days will vary; 8:30 AM - 5:00 PM
• Weekend Requirement: Occasional
• On Call: No

Education and/or Licensure:

• Bachelor's degree in social work, psychology, or healthcare related field OR HS Graduate or Equivalent GED and 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