Care Transitions Coordinator (Hybrid) - PT/OT/SLP/RN

Optum; Glendora (CA); Híbrido; USD 48.000 - 87.000; Jornada completa

Descripción de la vacante

Optum Home & Community Care, part of the Optum family, is hiring a Care Coordinator for onsite/hybrid roles in Glendora, CA. You will drive discharge planning and coordinate with an interdisciplinary PAC team to support patients’ recovery journeys.

The role emphasizes engaging patients and families, CMS-based SNF assessments, and ensuring timely documentation while maintaining HIPAA compliance.

Formación

• Active, unrestricted clinical license in the state of hire (RN, PT, OT, or SLP).
• Minimum 5 years of clinical experience with care coordination or transitions.
• Experience in discharge planning and working with interdisciplinary teams.

Responsabilidades

• Engage with patients, families, or caregivers weekly or on-site to support discharge goals.
• Coordinate with care teams in interdisciplinary meetings for patient plan.
• Review discharge plans with providers and families.
• Perform SNF assessments using CMS criteria on admission and during stay.
• Monitor continued SNF stay and update authorizations promptly.
• Ensure HIPAA compliance and accurate, timely documentation.

Conocimientos

RN/PT/OT/SLP license

Active unrestricted license

5+ years clinical experience

Discharge planning experience

Care transitions experience

Strong communication skills

Herramientas

MS Office

Descripción del empleo

Optum Home & Community Care, part of the Optum family, is hiring a Care Coordinator for onsite/hybrid roles in Glendora, CA. You will drive discharge planning and coordinate with an interdisciplinary PAC team to support patients’ recovery journeys.

The role emphasizes engaging patients and families, CMS-based SNF assessments, and ensuring timely documentation while maintaining HIPAA compliance.