Care Transitions Coordinator — Hospital to Home

Compassus; Santa Rosa (CA); Sur place; USD 26 000 - 38 000; Plein temps

Avantages offerts par ce poste

Medical

Dental

Vision

401k

Bonus opportunities

Résumé du poste

Providence at Home with Compassus seeks a Care Partner to coordinate safe transitions of care from hospital to home-based services. This in-person role focuses on discharge planning, patient education, and collaboration with physicians, case management, and post-acute providers.

The role emphasizes reducing readmissions and ensuring appropriate site-of-care decisions. Strong communication and documentation skills are essential for success in this interdisciplinary environment.

Qualifications

• Associate's degree required; Bachelor's degree preferred.
• 2–3 years healthcare liaison or discharge planning experience preferred.
• Experience in hospital or long-term care settings beneficial.

Responsabilités

• Coordinate safe hospital discharge planning and transitions of care.
• Evaluate patients for home-based/post-acute care services and coordinate with care teams.
• Educate patients and families on post-acute options and care plans.
• Maintain relationships with physicians, case management, and discharge planners.
• Document care coordination activities in the EMR and track referrals.

Connaissances

Communication

Discharge planning

Stakeholder collaboration

Documentation

Formation

Associate's degree

Bachelor's degree

Description du poste

Providence at Home with Compassus seeks a Care Partner to coordinate safe transitions of care from hospital to home-based services. This in-person role focuses on discharge planning, patient education, and collaboration with physicians, case management, and post-acute providers.

The role emphasizes reducing readmissions and ensuring appropriate site-of-care decisions. Strong communication and documentation skills are essential for success in this interdisciplinary environment.