Discharge & Care Transitions Specialist (RN/LCSW)

Providence at Home with Compassus; Olympia (WA); On-site; USD 57,000 - 86,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

401k plan

Job summary

Compassus is seeking a Clinical Care Partner III to coordinate safe, efficient transitions of care for hospitalized patients, evaluating home-based post-acute options and guiding discharge planning in collaboration with physicians, case management, and families. This in-person role emphasizes bedside engagement and interdisciplinary collaboration.

The position focuses on reducing length of stay and readmissions while ensuring patients receive appropriate care in the right setting.

Qualifications

• Requires RN, LCSW, or Speech Therapist licensure.
• CPR certification required.
• Experience with care coordination and discharge planning preferred.

Responsibilities

• Evaluate patients for home-based and post-acute care services.
• Coordinate discharge planning and transitions of care.
• Educate patients and families on post-acute options and care expectations.
• Manage referrals and maintain relationships with hospital and post-acute providers.
• Coordinate hospice or GIP coordination when applicable.

Skills

Care coordination

Discharge planning

Hospice philosophy

Strong written/verbal communication

Education

RN licensure

LCSW licensure

Speech Therapist licensure

CPR certification

Tools

Epic EMR

Referral platforms

Job description

Compassus is seeking a Clinical Care Partner III to coordinate safe, efficient transitions of care for hospitalized patients, evaluating home-based post-acute options and guiding discharge planning in collaboration with physicians, case management, and families. This in-person role emphasizes bedside engagement and interdisciplinary collaboration.

The position focuses on reducing length of stay and readmissions while ensuring patients receive appropriate care in the right setting.