Care Transition Coordinator

Prestera Health Services; Charleston (WV); On-site; USD 26,000 - 34,000; Full time

Job summary

Prestera Health Services in Charleston, WV seeks a discharge planning coordinator to work with hospital staff to ensure smooth transitions to appropriate care and community reintegration. You will coordinate services, review plans, and support families and individuals to reduce avoidable ER visits and readmissions.

The role involves screening, transportation arrangements, referrals, and documentation, with emphasis on educating individuals and families about rights and resources in the community.

Qualifications

• Bachelor’s degree in Behavioral Health or related field (e.g., Psychology, Social Work, Counseling, or Criminal Justice).
• Maintains current knowledge of standards of care through continuing education.
• Valid state driver’s license is required.
• Proficiency with Word, Excel and PowerPoint; familiarity with EHR and scheduling systems.
• Strong organizational, communication, and diplomatic skills.

Responsibilities

• Screening and assessment to identify discharge needs and goals.
• Coordinate services with families and treatment teams for successful transitions.
• Arrange transportation and refer individuals to agency programs.
• Prepare and maintain documentation within program guidelines.
• Provide education to individuals, families, and hospital staff to explain needs and resources.

Skills

Communication

Organizational skills

Analytical reasoning

Diplomacy

Education

Bachelor’s degree in Behavioral Health or related field

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

EHR systems

Scheduling systems

Job description

Prestera Health Services in Charleston, WV seeks a discharge planning coordinator to work with hospital staff to ensure smooth transitions to appropriate care and community reintegration. You will coordinate services, review plans, and support families and individuals to reduce avoidable ER visits and readmissions.

The role involves screening, transportation arrangements, referrals, and documentation, with emphasis on educating individuals and families about rights and resources in the community.