Care Transition Specialist - Home Health & Hospice

Res-Care, Inc.; Columbia (MD); On-site; USD 80,000 - 90,000; Full time

Job summary

Adoration Health, a BrightSpring Health Services affiliate, seeks a Care Transition Coordinator in Maryland to facilitate patient transitions from facility to home health or hospice. You will evaluate eligibility, coordinate care plans, and arrange services in alignment with agency protocols.

The role requires strong liaison skills with referral sources and providers, attention to documentation, and patient education. Medicare guidelines knowledge is essential for success.

Qualifications

• Minimum 1 year of home health or hospital-based case management.
• Active licensure as RN/LPN/SW/PT in state of practice.
• Valid driver’s license and reliable transportation.
• Understanding of Medicare eligibility and insurance guidelines.

Responsibilities

• Achieve monthly production goals and MC admission targets for assigned locations.
• Coordinate care plans and supervise transitions to home health or hospice.
• Evaluate patient eligibility for home care per Right of Choice guidelines.
• Conduct face-to-face transitions and educate patients on plans of care.
• Coordinate transfer orders and ancillary services (DME, infusion).
• Maintain documentation and communicate with referral sources and providers.
• Support market growth through outreach and adherence to policies.

Skills

Home health experience

Case management

Communication skills

Care coordination licensure

Education

RN/LPN/SW/PT licensure

Job description

Adoration Health, a BrightSpring Health Services affiliate, seeks a Care Transition Coordinator in Maryland to facilitate patient transitions from facility to home health or hospice. You will evaluate eligibility, coordinate care plans, and arrange services in alignment with agency protocols.

The role requires strong liaison skills with referral sources and providers, attention to documentation, and patient education. Medicare guidelines knowledge is essential for success.