Discharge & Post-Acute Care Coordinator

Compassus; Edmonds (WA); On-site; USD 129,946,000 - 194,877,000; Full time

Job summary

Providence at Home with Compassus is seeking a Clinical Care Partner to coordinate safe transitions of care for hospitalized patients at Providence Swedish Edmonds Hospital. This in-person role focuses on discharge planning, post-acute home-based services, and collaboration with physicians, case management, and families to ensure appropriate care settings.

You will evaluate referrals, arrange post-acute services, and educate patients and families on options, value-based pathways, and

Qualifications

• Associate’s degree in Nursing, Health Sciences, or related field is required.
• Preferred: Bachelor’s degree in nursing, Health Sciences, or related field.
• Active RN, LMSW, LCSW, or LICSW licensure with CPR certification.
• Experience with EMR systems (Epic) and post-acute referrals is preferred.

Responsibilities

• Coordinate safe transitions of care for hospitalized patients.
• Evaluate patients for home-based post-acute care services.
• Collaborate with physicians, case management, and post-acute providers.
• Coordinate discharge planning and handoffs to post-acute services.
• Educate patients and families on post-acute options.

Skills

Care coordination

Discharge planning

Communication

Team collaboration

Education

Associate’s degree in Nursing, Health Sciences, or related field

Bachelor’s degree in nursing, Health Sciences, or related field

Tools

Epic EMR

Referral platforms

Job description

Providence at Home with Compassus is seeking a Clinical Care Partner to coordinate safe transitions of care for hospitalized patients at Providence Swedish Edmonds Hospital. This in-person role focuses on discharge planning, post-acute home-based services, and collaboration with physicians, case management, and families to ensure appropriate care settings.

You will evaluate referrals, arrange post-acute services, and educate patients and families on options, value-based pathways, and