Discharge & Care Coordination Specialist

PACS; United States; On-site; USD 60,000 - 85,000; Full time

Job summary

PACS is seeking a dedicated Care Coordination Specialist to work with residents, families, healthcare providers, and payers to develop and implement patient-centered plans while balancing costs and resources.

You will communicate plans of care, participate in daily huddles, document accurately, and coordinate admissions, discharges, and referrals. Strong communication, organization, and empathy are essential to success in a fast-paced facility.

Qualifications

• Bachelor’s Degree in Social Work, Human Services, Nursing, or related field preferred (non‑licensed candidates accepted).
• Prior experience in healthcare, case management, or social services strongly preferred.
• Knowledge of Medicare, Medi‑Cal, and Medicaid programs and benefits.
• Familiarity with PCC (PointClickCare) or other electronic medical record systems preferred.
• Certificate as a Certified Case Manager (CCM) a plus.
• Strong communication skills with the ability to read and comprehend policy and procedure manuals, and effectively present information to residents, families, and staff.
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a fast‑paced environment.
• Compassionate, professional demeanor with commitment to resident‑centered care.

Responsibilities

• Communicate regularly with residents and families about Plans of Care, PT, OT, and other treatment protocols.
• Attend and participate in morning meetings/stand‑ups to facilitate communication with the team.
• Answer residents’ questions about their care, treatment plans, illness progression, and other issues to ensure they feel safe and secure in our care.
• Monitor and adjust residents’ statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing new, current, and discharging residents’ needs in areas of responsibility.
• Complete documentation as required.
• Perform utilization review activities to provide residents with appropriate, timely, and cost‑effective care.
• Coordinate care with residents, care providers, facility financial services, and third‑party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from the facility.
• Relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues.
• Ensure accurate charting and timely completion of necessary paperwork.
• Work independently and exercise sound judgment in interactions with physicians, providers, payers, residents, and families.
• Communicate effectively and promote cooperation and collaboration among residents/families/caretakers, physicians, nurses, and other ancillary partners.
• Demonstrate excellent time management skills to develop organized work processes in a high‑volume environment with rapidly changing priorities.
• Utilize intermediate computer skills.
• Maintain professional, respectful, and honest interactions with residents, families, staff, and partners.

Skills

Communication skills

Multitasking

Time management

Team collaboration

Reading comprehension

Policy & procedures

Computer skills

Empathy

Interpersonal skills

Education

Bachelor’s Degree in Social Work, Human Services, Nursing, or related field

CCM certification preferred

Job description

PACS is seeking a dedicated Care Coordination Specialist to work with residents, families, healthcare providers, and payers to develop and implement patient-centered plans while balancing costs and resources.

You will communicate plans of care, participate in daily huddles, document accurately, and coordinate admissions, discharges, and referrals. Strong communication, organization, and empathy are essential to success in a fast-paced facility.