Care Coordination Specialist

Baycare; Winter Haven (FL); On-site; USD 36,000 - 47,000; Part time

Benefits offered by this job

Paid time off

401k match and yearly contribution

Yearly performance appraisals

Community discounts

Equal Opportunity Employer Veterans/Di

Job summary

BayCare is seeking a part-time Care Coordination Specialist in Winter Haven to join an interdisciplinary team focused on value-based care delivery. You will coordinate comprehensive care planning, ensure smooth transitions, and optimize outcomes by integrating clinical, social, and economic determinants of health.

The role emphasizes collaboration with patients, nursing, physicians, and community partners, with a 16-hour weekly schedule (Saturday and Sunday 8:30 AM - 5:00 PM).

Qualifications

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

Responsibilities

• Coordinate care across interdisciplinary teams to optimize outcomes.
• Lead discharge planning and ensure post-acute resource utilization.
• Address barriers including social determinants of health to improve transitions of care.
• Coordinate services, referrals, and transportation to ensure continuum of care.
• Support compliance with regulatory requirements and value-based care goals.

Skills

Interdisciplinary collaboration

Care coordination

Discharge planning

Risk stratification

Education

Bachelor's degree in social work/psychology/healthcare

HS Diploma or GED with LPN license

Job description

Winter Haven:Winter Haven | Clinical | Part Time

Description

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.
• Status: Part time, 16 hours per week.
• Schedule: Saturday & Sunday 8:30 AM - 5:00 PM
• 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

Paid time off

401k match and additional yearly contribution

Yearly performance appraisals and team award bonus

Community discounts and more

Equal Opportunity Employer Veterans/Disabled