Onsite Care Transitions Navigator

Optum; Los Alamitos (CA); On-site; USD 100,289,000 - 180,521,000; Full time

Job summary

Optum Home & Community Care is seeking a Care Coordinator, Onsite, to help optimize patient recovery journeys and coordinate discharge planning. The role involves engaging patients and families, collaborating with interdisciplinary teams, and ensuring timely SNF assessments.

Requirements include a current unrestricted clinical license, 5+ years of clinical experience, and willingness to work on-site within a 30‑mile radius of the home location. A valid driver's license is also required.

Qualifications

• Active, unrestricted clinical license in state of hire.
• 5+ years of clinical experience.
• Reside within or near the county listed on the job description; on-site within 30 miles.
• Driver's license and reliable transportation.

Responsibilities

• Engage with patients and families weekly, on-site or telephonically.
• Coordinate discharge goals with interdisciplinary teams.
• Review discharge plans with providers and families.
• Perform SNF assessments using CMS criteria.
• Monitor patient appropriateness for SNF settings.
• Document all care transitions accurately in the system.
• Maintain HIPAA compliance and protect PHI information.

Skills

Clinical license

Clinical experience

Driver's license

Excellent communication

Job description

Optum Home & Community Care is seeking a Care Coordinator, Onsite, to help optimize patient recovery journeys and coordinate discharge planning. The role involves engaging patients and families, collaborating with interdisciplinary teams, and ensuring timely SNF assessments.

Requirements include a current unrestricted clinical license, 5+ years of clinical experience, and willingness to work on-site within a 30‑mile radius of the home location. A valid driver's license is also required.