Care Transitions Coordinator (LPN/LVN)

Compassus; California (MO); On-site; USD 62,000 - 79,000; Full time

Benefits offered by this job

Competitive pay

Tuition reimbursement

Wellness programs

Flexible time off

Job summary

Providence at Home with Compassus seeks a Clinical Care Partner I to coordinate safe, efficient transitions of care for hospitalized patients and evaluate post-acute home-based care needs.

You will collaborate with physicians, case management, and post-acute providers to ensure timely discharge planning, appropriate levels of care, and patient-centered education. This in-person role emphasizes bedside engagement and interdisciplinary teamwork.

Qualifications

• Associates degree required in nursing, health sciences, or related field.
• Preferred: Bachelor's degree in nursing, health sciences, or related field.

Responsibilities

• Coordinate safe transitions of care for hospitalized patients.
• Assess post-acute home-based care needs and plan accordingly.
• Collaborate with physicians, case management, and post-acute teams.
• Document care coordination activities in EMR and referral systems.
• Engage patients and families with education on post-acute options.
• Manage referrals and strengthen network partnerships.

Skills

Care coordination

Discharge planning

Post-acute care

Team collaboration

Education

Associate's degree in Nursing or related field

Bachelor's degree in Nursing or related field

Tools

Epic EMR

Referral platforms

Job description

Providence at Home with Compassus seeks a Clinical Care Partner I to coordinate safe, efficient transitions of care for hospitalized patients and evaluate post-acute home-based care needs.

You will collaborate with physicians, case management, and post-acute providers to ensure timely discharge planning, appropriate levels of care, and patient-centered education. This in-person role emphasizes bedside engagement and interdisciplinary teamwork.