Clinical Care Transitions Partner

Compassus; Santa Monica (CA); On-site; USD 85,217,000 - 127,797,000; Full time

Job summary

Compassus is seeking a Clinical Care Partner I to coordinate safe, patient-centered transitions from hospital to home-based care. The role requires bedside engagement, interdisciplinary collaboration, and active participation in discharge workflows.

The position emphasizes evaluating patients for post-acute services, coordinating care plans, and educating families. Strong communication and EMR experience are valued in a compassionate, team-based environment.

Qualifications

• Language skills to read, analyze, and interpret clinical documentation.
• Ability to educate patients and families about post-acute care options.
• Strong written and verbal communication with diverse stakeholders.

Responsibilities

• Coordinate hospital discharge planning and transitions to post-acute care.
• Evaluate patient suitability for home-based and post-acute services.
• Collaborate with physicians and care teams on level-of-care decisions.
• Arrange post-acute services and ensure timely handoffs to providers.
• Educate patients, families, and hospital staff on pathways and processes.

Skills

Language skills

Interdisciplinary collaboration

Communication

Patient education

Education

Associate's degree (Nursing/Health Sciences)

Bachelor's degree preferred

Job description

Compassus is seeking a Clinical Care Partner I to coordinate safe, patient-centered transitions from hospital to home-based care. The role requires bedside engagement, interdisciplinary collaboration, and active participation in discharge workflows.

The position emphasizes evaluating patients for post-acute services, coordinating care plans, and educating families. Strong communication and EMR experience are valued in a compassionate, team-based environment.