Discharge & Care Transitions Specialist

Compassus; Everett (WA); On-site; USD 43,000 - 63,000; Full time

Benefits offered by this job

Competitive pay

Flexible time off

Tuition reimbursement

Wellness programs

Job summary

This in-person role emphasizes bedside engagement and interdisciplinary collaboration, with responsibilities across referral evaluation, discharge coordination, education, and managing post-acute service arrangements such as home health and equipment. Active RN or LMSW/LCSW LICSW licensure and CPR are required; Epic experience is preferred.

Qualifications

• Active and unencumbered RN, LMSW, LCSW, or LICSW licensure.
• CPR certification.
• 2–3 years of experience in care coordination, discharge planning, or healthcare services.
• Experience working with EMR systems (Epic) and referral platforms.
• Ability to read, write, and interpret clinical documentation and governmental regulations.

Responsibilities

• Coordinate safe discharge planning and transitions for hospitalized patients.
• Evaluate patients for home-based and post-acute care services.
• Collaborate with physicians and care teams for appropriate level-of-care decisions.
• Educate patients and families on post-acute care options and services.

Skills

Written & verbal communication

Discharge coordination

Care coordination

Team collaboration

Education

RN licensure

LCSW/LMSW licensure

Tools

Epic EMR

Job description

This in-person role emphasizes bedside engagement and interdisciplinary collaboration, with responsibilities across referral evaluation, discharge coordination, education, and managing post-acute service arrangements such as home health and equipment. Active RN or LMSW/LCSW LICSW licensure and CPR are required; Epic experience is preferred.