Patient Care Transition Specialist

BrightSpring Health Services Corporation; Columbia (MD); On-site; USD 80,000 - 90,000; Full time

Job summary

Adoration Health is seeking a Care Transition Coordinator in Columbia, MD to facilitate seamless transitions from facilities to home health or hospice. You will evaluate eligibility, coordinate care plans, and ensure DME and infusion services align with patient needs and agency protocols.

You will serve as a liaison among the agency, referral sources, and healthcare providers, driving outreach and ensuring compliant, patient-centered care transitions that support market growth.

Qualifications

• Minimum of 1 year of experience in home health or hospital-based case management.
• One to three years in medical marketing or healthcare business development is preferred.
• Current active licensure in RN/LPN/SW/PT in the state of practice is required.
• Respiratory Therapist certification and/or related clinical program knowledge is a plus.
• Must have a valid driver's license, reliable transportation and auto insurance.
• Strong understanding of home health eligibility criteria and Medicare guidelines.

Responsibilities

• Achieve monthly personal production goals and MC admission targets for assigned locations.
• Plan and implement strategies to increase market share within facilities.
• Evaluate patient and physician orders for home care eligibility per guidelines.
• Conduct face-to-face transitions to educate patients and identify the primary PCP.
• Coordinate transfer orders and ancillary services (DME, infusion) after acceptance.
• Educate patients on post-discharge care and medications; liaise with referral sources.
• Document encounter details in the required system and coordinate with leadership.
• Maintain timely communication with referrals, patients, and care team.

Skills

Home health experience

Case management

Education

RN/LPN/SW/PT licensure required

Job description

Adoration Health is seeking a Care Transition Coordinator in Columbia, MD to facilitate seamless transitions from facilities to home health or hospice. You will evaluate eligibility, coordinate care plans, and ensure DME and infusion services align with patient needs and agency protocols.

You will serve as a liaison among the agency, referral sources, and healthcare providers, driving outreach and ensuring compliant, patient-centered care transitions that support market growth.