Care Transitions & Community Care Manager (Hybrid)

Hartford HealthCare; Wethersfield (CT); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Hybrid work model

Career advancement opportunities

Job summary

Hartford HealthCare's Integrated Care Partners (ICP) is seeking a dedicated Community Care Manager to join the ICP Community Care Management team. This role coordinates transitions of care for ICP attributed patients, supports discharge planning, and provides education to patients, families, and providers to ensure high‑quality, continuous care.

Work will occur across Hartford HealthCare sites in a hybrid office and primary care setting, with focus on chronic disease management and reducing

Qualifications

• Bachelor's degree in Nursing OR Master's degree in Social Work required
• Minimum 2 years of experience working in a healthcare setting
• Current Connecticut RN License or other healthcare license as deemed appropriate

Responsibilities

• Performs transition of care services for ICP attributed patients admitted to acute inpatient settings
• Participates in care planning, family, and discharge planning meetings throughout patient's inpatient stay
• Partners with inpatient care coordination team to address barriers to discharge and provides timely communication back to the patient's primary care provider
• Collaborates other HHC system partners upon patient's discharge from acute inpatient setting to the community
• Identifies resources within HHC system and larger community to address patient care needs
• Provide education for patients, families, community, and other professionals regarding disease prevention, impact of illness and advocacy for benefits and health maintenance

Skills

Customer service

Teamwork

Adaptability

Communication

Education

Bachelor's degree in Nursing

Master's degree in Social Work

Job description

Hartford HealthCare's Integrated Care Partners (ICP) is seeking a dedicated Community Care Manager to join the ICP Community Care Management team. This role coordinates transitions of care for ICP attributed patients, supports discharge planning, and provides education to patients, families, and providers to ensure high‑quality, continuous care.

Work will occur across Hartford HealthCare sites in a hybrid office and primary care setting, with focus on chronic disease management and reducing