Discharge Transitions Coordinator - Milford Regional - 40 hours, Days

Umass-Memorial-Health-; Milford (MA); On-site; USD 32,000 - 58,000; Full time

Job summary

UMass Memorial Health is seeking a Discharge Transitions Coordinator to support safe and timely patient discharge by coordinating referrals, tracking progress, and completing required documentation under the direction of Case Managers and Social Workers.

The role includes coordinating post-acute services, addressing barriers, and aiding care teams with insurance coordination, discharge workflows, and regulatory tasks to improve patient flow and reduce delays.

Qualifications

• Bachelor's degree required.
• 1–3 years’ healthcare discharge planning or care coordination experience.
• BLS certification active or within 30 days of hire.

Responsibilities

• Initiate, coordinate, and track referrals and transfers with accurate documentation.
• Complete essential discharge workflows and regulatory steps, including Medicare notices and compliance tasks.
• Coordinate post-acute services such as rehab, SNF placement, VNA, DME, and MassHealth forms.
• Identify and escalate discharge barriers, including insurance, transportation, or placement delays.
• Maintain relationships with post-acute providers and ensure up-to-date resource lists.
• Facilitate access to behavioral health, housing supports, and community resources.
• Assist with insurance coordination, prescription support, form preparation, collateral gathering, and notary needs.

Skills

Verbal communication

Written communication

Collaboration

Organizational skills

Outlook

Excel

PowerPoint

Care coordination

Education

Bachelor's degree

Tools

Outlook

Excel

PowerPoint

Job description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.Exemption Status:Non-ExemptHiring Range:$23.28 - $41.90Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations .Schedule Details:Monday through FridayScheduled Hours:8:00am - 4:30pmShift:1 - Day Shift, 8 Hours (United States of America)Hours:40Cost Center:26000 - 4402 Case ManagementThis position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.Everyone Is a CaregiverAt UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Under the direction of Case Managers and Social Workers, the Discharge Transitions Coordinator supports safe and timely patient discharge by managing key administrative tasks. The role facilitates post‑acute referrals, tracks referral progress, completes required documentation and regulatory notifications, and documents discharge activities to help prevent delays,support communication and improve patient flow.I Major Responsibilities:Support daily discharge planning by coordinating and communicating with care teams, identifying post ‑ acute options, and updating Estimated Discharge Date (EDD) and placement details.1) Initiate, coordinate, and track referrals and transfers as assigned while maintaining accurate documentation in required systems.2) Complete essential discharge workflows and regulatory steps, including Medicare notices and compliance tasks as assigned.2) Coordinate post ‑ acute services such as rehab, Skilled Nursing Facilities (SNF) placement, Visting Nurse Association (VNA), Durable Medical Equipment (DME), and MassHealth forms.3) Identify and escalate discharge barriers, including insurance, transportation, or placement delays.4) Maintain effective relationships with post ‑ acute providers and ensure up ‑ to ‑ date resource lists for care teams.5) Facilitate access to behavioral health, substance use treatment, housing supports, and community resources.6) Assist with insurance coordination, prescription support, form preparation, collateral gathering, and notary needs as required.All responsibilities are essential job functions.II Position Qualifications:License/Certification/Education:Required:1. Bachelor's degree2. One to three years ’ experience in a healthcare setting assisting with discharge planning, care coordination support, or a related health science role3. Basic Life Support (BLS) certification active or within 30 days of hirePreferred:1. N/AExperience/Skills:Required:1. Excellent verbal and written communication, collaboration and organizational skills. Ability to multi-task and follow-up independently.2. Working knowledge of common office software products (Outlook, Excel, PowerPoint)Preferred:1. N/AUnless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.