Patient Care Transition Specialist

Adoration Health; Cleveland (MS); On-site; USD 52,000 - 72,000; Full time

Job summary

Adoration Health in Cleveland, MS seeks a Care Transition Coordinator to oversee patient transitions from facilities to home health or hospice. You will evaluate eligibility, coordinate care plans, and ensure ancillary services are arranged per agency protocols, acting as a liaison among the agency, referral sources, and healthcare providers.

Responsibilities include achieving admissions targets, coordinating transfers, and educating patients on discharge orders and medications, while

Qualifications

• Minimum 1 year in home health or hospital-based case management.
• Current active licensure in RN, LPN, SW, or PT.
• Must have valid driver’s license and reliable transportation.

Responsibilities

• Meet monthly production and Medicare-admission targets.
• Coordinate care transitions including DME and infusion services.
• Educate patients on post-discharge plans and follow up with case management.

Skills

Home health knowledge

Medicare guidelines

Customer service

Education

Registered Nurse (RN) license

Licensed Practical Nurse (LPN) license

Social Worker (SW) license

Physical Therapist (PT) license

Job description

Adoration Health in Cleveland, MS seeks a Care Transition Coordinator to oversee patient transitions from facilities to home health or hospice. You will evaluate eligibility, coordinate care plans, and ensure ancillary services are arranged per agency protocols, acting as a liaison among the agency, referral sources, and healthcare providers.

Responsibilities include achieving admissions targets, coordinating transfers, and educating patients on discharge orders and medications, while