Care Transition & Discharge Specialist

Jackson Health System; Miami (FL); On-site; USD 50,000 - 70,000; Full time

Job summary

Jackson Health System in Miami, FL is seeking a Care Transition Coordinator to determine eligibility for the Early Discharge Program and to coordinate post‑acute care services with interdisciplinary teams. The role involves reviewing cases, collaborating with patients, families, and hospital staff to ensure seamless transitions.

You will document progress, assist with barriers to discharge, and support timely transfers while maintaining patient confidentiality and compliance with departmental

Qualifications

• 3 to 5 years of related experience.
• Bachelor’s degree in related field; nursing education preferred.
• Ability to analyze, organize and prioritize work; communicate effectively.

Responsibilities

• Provides Care Transition services to patients and effective interactions with families as needed.
• Identifies potential patients for program inclusion through rapid recognition of clinical/social determinants that indicate patient eligibility.
• Screens patient records to identify adverse events, sub‑optimal patterns or care and/or utilization.
• Facilitates communication and coordination between care team to coordinate discharge plans and placement program.
• Maintains daily/accurate statistical data and identification of barriers to managing independent workload.
• Contacts nursing homes and community agencies as needed for placement purposes.

Skills

Care coordination

Communication

Organization

Attention to detail

Empathy

Education

Bachelor's degree in related field

Nursing education preferred

Job description

Jackson Health System in Miami, FL is seeking a Care Transition Coordinator to determine eligibility for the Early Discharge Program and to coordinate post‑acute care services with interdisciplinary teams. The role involves reviewing cases, collaborating with patients, families, and hospital staff to ensure seamless transitions.

You will document progress, assist with barriers to discharge, and support timely transfers while maintaining patient confidentiality and compliance with departmental