Care Transitions Specialist - Discharge & Post-Acute

Compassus; Pensacola (FL); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible time off

Tuition reimbursement

Wellness programs

Job summary

Compassus is seeking a Clinical Care Partner to coordinate safe transitions of care for hospitalized patients in Pensacola. You will evaluate patients for home-based and post-acute services, support discharge planning, and collaborate with physicians, case managers, families and post-acute providers to optimize outcomes.

In this in-person role, you will engage bedside teams, participate in rounds, and help design individualized transition plans, ensuring timely handoffs and adherence to

Qualifications

• Associate’s degree in Nursing, Health Sciences, or related field. Alternatively, equivalent degree and healthcare experience.
• Bachelor’s degree in nursing, Health Sciences, or related field.
• 2–3 years of experience in care coordination, discharge planning, or healthcare services. Hospital, home health, hospice, or post-acute care experience. Experience working with EMR systems (i.e., Epic) and referral platforms.

Responsibilities

• Evaluate patients for home-based and post-acute care services based on clinical, functional, psychosocial, and environmental factors.
• Coordinate timely, safe hospital discharge planning and develop individualized transition-of-care plans.
• Educate patients and families on post-acute care options, care expectations, and available services.

Skills

Discharge planning

Care coordination

Clinical assessment

Communication skills

Education

Associate’s degree in Nursing/Health Sciences

Bachelor’s degree in nursing/Health Sciences

Job description

Compassus is seeking a Clinical Care Partner to coordinate safe transitions of care for hospitalized patients in Pensacola. You will evaluate patients for home-based and post-acute services, support discharge planning, and collaborate with physicians, case managers, families and post-acute providers to optimize outcomes.

In this in-person role, you will engage bedside teams, participate in rounds, and help design individualized transition plans, ensuring timely handoffs and adherence to