Discharge & Care Transition Coordinator

Banner Health Corporate; Tucson (AZ); On-site; USD 52,000 - 73,000; Full time

Job summary

Banner Health is seeking a Transition Care Assistant to guide patients and families through discharge planning, coordinating post‑acute care from review of holdovers to rounds and care plan communication.

The role requires a Bachelor’s degree in social work or a related field, hospital healthcare experience, and strong communication & time-management skills. BLS certification is required.

Qualifications

• Bachelor’s degree in social work or related field.
• Experience in hospital or healthcare settings; knowledge of government/community resources such as Medicare/Medicaid and long‑term care.
• Effective communication, customer‑service, human‑relations, and time‑management skills.
• Ability to work flexible hours and weekends on rotation.
• BLS certification required (not required for employees in the Insurance Division).

Responsibilities

• Process and facilitate timely discharge/transfer of clients from hospital to identified post‑acute settings.
• Notify care coordination team if a patient or caregiver expresses inability or concern about managing post‑acute care.
• Implement and communicate the care plan with interventions in collaboration with the healthcare team.
• Participate in performance improvement projects and collect data for project measurement.
• Document all interventions and transfer accurate, pertinent information in the patient medical record.
• Assist and support patients and families in scheduling post‑acute arrangements; perform follow‑up calls as indicated and report concerns to leadership.
• Serve as an intermediary providing community resources to patients, caregivers, and families.
• Maintain knowledge of Medicare, Medicaid, and other program benefits to assist with transition planning.
• Determine how best to accomplish functions within established procedures and implement the discharge plan under delegated authority.

Education

Bachelor’s degree in social work or related field

Licensed Practical Nurse (LPN) or other licensed healthcare professional

Job description

Banner Health is seeking a Transition Care Assistant to guide patients and families through discharge planning, coordinating post‑acute care from review of holdovers to rounds and care plan communication.

The role requires a Bachelor’s degree in social work or a related field, hospital healthcare experience, and strong communication & time-management skills. BLS certification is required.