Hospice Care Transitions Coordinator

Trinity Health At Home; Columbus (OH); On-site; USD 52,000 - 78,000; Full time

Job summary

Trinity Health At Home is seeking a Home Care / Hospice Coordinator to bridge acute care and post‑acute home care and hospice services. You will ensure smooth, timely transitions for patients and families while partnering with hospital staff and providers to grow referrals and uphold service excellence.

The role emphasizes collaboration, education, and patient advocacy, with prior hospice experience strongly preferred, and requires a Bachelor’s degree or equivalent, two years in related roles,

Qualifications

• Bachelor's degree or equivalent experience.
• Minimum of 2 years of experience in acute care, care coordination, customer service, sales/marketing, or related role.
• Excellent verbal and written communication skills.
• Valid driver’s license and reliable transportation.
• Preferred: Hospice experience is critical to success.
• Graduate of an approved clinical education program.
• Current clinical license in the state of employment.
• Experience with discharge planning, case management, or post‑acute care services.

Responsibilities

• Serve as the primary point of contact for hospital case managers, discharge planners, physicians, and care teams regarding home care and hospice services.
• Facilitate and coordinate referrals from the acute care setting to home care or hospice.
• Educate hospital staff, physicians, patients, and families on available services and care options.
• Conduct initial assessments of home care needs and document care plans in compliance with policy.
• Obtain physician orders and coordinate timely initiation of services.
• Gather, review, and transmit clinical documentation to agency intake.
• Communicate insurance coverage details and explain financial responsibility to patients and families.
• Maintain ongoing communication with physicians, intake teams, families, and care partners.
• Participate in quality improvement initiatives and support new program development.
• Build and maintain referral relationships through hospital rounding and provider visits.
• Meet established referral or sales performance expectations.
• Uphold confidentiality, compliance standards, and organizational values at all times.

Skills

Communication skills

Customer service

Discharge planning

Travel readiness

Education

Bachelor’s degree or equivalent experience

Job description

Trinity Health At Home is seeking a Home Care / Hospice Coordinator to bridge acute care and post‑acute home care and hospice services. You will ensure smooth, timely transitions for patients and families while partnering with hospital staff and providers to grow referrals and uphold service excellence.

The role emphasizes collaboration, education, and patient advocacy, with prior hospice experience strongly preferred, and requires a Bachelor’s degree or equivalent, two years in related roles,