Geriatric Care Transition Specialist

Community Physicians; Arlington Heights (IL); On-site; USD 30,307 - 42,705; Full time

Benefits offered by this job

401(k) match

Health, dental, and vision insurance

Health Savings Account (HSA)

Life insurance

Paid Time Off (PTO)

Job summary

Community Physicians seeks a Discharge Planner to guide patient transitions across care settings, partnering with clinicians, patients, families, and facilities to craft comprehensive, patient-centered plans of care.

This role emphasizes addressing social determinants of health, arranging timely follow-ups, and clearly communicating care plans to incoming providers to improve outcomes and reduce readmissions.

Qualifications

• Must have reliable HIPAA compliance and patient data handling.
• Experience with electronic medical records and basic typing.
• Strong communication and organizational skills with attention to detail.

Responsibilities

• Coordinate patient transitions with clinical teams and families.
• Facilitate follow-up appointments and communicate care plans to receiving providers.
• Assess social determinants of health and anticipate post-discharge needs.
• Identify high-risk patients for transitional care and remote monitoring.

Skills

HIPAA compliance

EMR proficiency

Google Workspace

Education

High school diploma or equivalent

Associate's or Bachelor's in Medical Health Sciences preferred

Tools

EMR software

Job description

Community Physicians seeks a Discharge Planner to guide patient transitions across care settings, partnering with clinicians, patients, families, and facilities to craft comprehensive, patient-centered plans of care.

This role emphasizes addressing social determinants of health, arranging timely follow-ups, and clearly communicating care plans to incoming providers to improve outcomes and reduce readmissions.