Patient Care Transition Specialist

University of Toledo Physicians; Toledo, Northern (OH, KY); Hybrid; USD 48,000 - 64,000; Full time

Job summary

University of Toledo Physicians is seeking a Transitional Care Coordinator in Toledo, OH. This full-time role collaborates with physicians and the care team to coordinate patient care through the nursing process, emphasizing safety, efficiency, and patient-centered service.

The candidate will organize care transitions, support self-management, and engage with community resources to improve health outcomes. Strong organizational and communication skills are essential.

Qualifications

• Education: Graduate of an accredited LPN program.
• RN or RN BSN preferred as additional qualification.
• Current Ohio Practical Nursing Licensure is required.
• BLS Certification is required.

Responsibilities

• Supports the patient’s transition from ED discharge to primary care or ambulatory specialists as appropriate.
• Performs health/self-management/risk status assessments and supports treatment adherence.
• Communicates with agencies and community service providers to help access needed care and services.
• Maintains a professional, collaborative relationship with providers and the care team.
• Participates in quality improvement projects and implements quality improvement initiatives.
• Promotes collaboration amongst care team members, including the patient and family.
• Effectively uses EMRs and other tools to support care coordination.
• Willing to shift responsibilities within a team of health care professionals.
• Participates in program, department, and clinic team meetings and other duties as assigned.

Skills

Interpersonal skills

Written communication

Verbal communication

Collaborative

Time management

Education

Graduate of an accredited LPN program

RN or RN BSN preferred

Job description

University of Toledo Physicians is seeking a Transitional Care Coordinator in Toledo, OH. This full-time role collaborates with physicians and the care team to coordinate patient care through the nursing process, emphasizing safety, efficiency, and patient-centered service.

The candidate will organize care transitions, support self-management, and engage with community resources to improve health outcomes. Strong organizational and communication skills are essential.