Care Transitions Navigator: Post-Acute & Home Care

Compassus; Fullerton (CA); On-site; USD 37,000 - 56,000; Full time

Job summary

Providence at Home with Compassus seeks a Care Partner to coordinate safe transitions of care for hospitalized patients. This in-person role engages bedside, collaborates with physicians, case management and post-acute providers to ensure timely discharge planning and appropriate post-acute services.

You will educate patients and families about post-acute options, document activities in the EMR, and support value-based care goals.

Qualifications

• Associate's degree required; Bachelor's preferred.
• Experience in healthcare setting preferred: 2–3 years.
• Strong communication and discharge planning skills.

Responsibilities

• Evaluate patients for home-based and post-acute care services.
• Coordinate timely hospital discharge planning.
• Educate patients and families on post-acute care options.
• Maintain relationships with physicians, case management, and post-acute providers.
• Document activities in the EMR and tracking systems.

Skills

Clinical assessment

Discharge planning

Communication

Team collaboration

Education

Associate's degree

Bachelor's degree

Tools

EMR systems

Predictive analytics tools

Job description

Providence at Home with Compassus seeks a Care Partner to coordinate safe transitions of care for hospitalized patients. This in-person role engages bedside, collaborates with physicians, case management and post-acute providers to ensure timely discharge planning and appropriate post-acute services.

You will educate patients and families about post-acute options, document activities in the EMR, and support value-based care goals.