Care Transition Navigator for Home Health & Hospice

Haven Hospice; Tennessee; On-site; USD 65,000 - 85,000; Full time

Job summary

Adoration Health in Tennessee is seeking a Care Transition Coordinator to facilitate patient transitions from facilities to home health or hospice. You will evaluate eligibility, coordinate care plans, and arrange services in line with agency protocols.

The role requires coordinating with referral sources, physicians, and the care team, documenting encounters, and educating patients. Experience in home health or hospital case management is preferred, with active licensure in RN/LPN/SW/PT.

Qualifications

• Minimum of one year in home health or hospital-based case management.
• Current licensure as RN, LPN, SW, or PT in state of practice.
• Knowledge of Medicare guidelines and eligibility criteria.
• Must possess a valid driver's license, reliable transportation, and current auto insurance.

Responsibilities

• Achieve monthly production goals and MC admission targets for assigned locations.
• Implement strategies to increase market share within assigned facilities.
• Evaluate patients and physician orders for home care eligibility.
• Coordinate transfer orders and ancillary services (e.g., DME, infusion) and educate patients on home care or hospice orders.

Skills

Care coordination

Communication

Education

RN/LPN/SW/PT licensure

Job description

Adoration Health in Tennessee is seeking a Care Transition Coordinator to facilitate patient transitions from facilities to home health or hospice. You will evaluate eligibility, coordinate care plans, and arrange services in line with agency protocols.

The role requires coordinating with referral sources, physicians, and the care team, documenting encounters, and educating patients. Experience in home health or hospital case management is preferred, with active licensure in RN/LPN/SW/PT.