Patient Transition Coordinator

Compassus; Saint Petersburg (FL); On-site; USD 54,000 - 75,000; Full time

Benefits offered by this job

Tuition reimbursement

Wellness programs

Flexible time off

Competitive pay

Job summary

Bon Secours Home Care and Hospice by Compassus seeks a Patient Transition Coordinator to streamline transitions to hospice, home health, home infusion, and palliative services. You will work with Care Transition Coordinators to ensure timely services and maintain Compassus values in all partner interactions.

The role emphasizes organizing medical records, identifying post-acute needs, and coordinating referrals with care teams while upholding patient confidentiality and high-quality service.

Qualifications

• Bachelor’s degree in a health-related field preferred.
• Minimum of one year of experience in a related health care setting preferred.
• One year experience in home health, hospice and/or palliative preferred.
• Prior experience with electronic medical records preferred.

Responsibilities

• Organizes, tracks, and builds a complete medical record for patient transition to home health providers and confirms SOC.
• Identifies post-acute care needs and collaborates with the Care Transition Coordinator.
• Collaborates with intake teams across Compassus/Ascension at Home.
• Completes transition of care including submission of referrals and outside agency placement when needed.
• Handles confidential information and produces clear correspondence and associated materials.

Skills

English proficiency

Communication

Attention to detail

Education

Bachelor’s degree in health-related field

Tools

MS Word

Excel

Access

PowerPoint

Job description

Company: Bon Secours Home Care and Hospice by Compassus

Position Summary

The Patient Transition Coordinator supports seamless care transitions by coordinating referrals to hospice, home health, home infusion, and palliative services. This role works closely with Care Transition Coordinators and Home Health Care Transition Coordinators to ensure patients receive timely and appropriate services. The Coordinator promotes Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation, upholds the Code of Ethical Conduct, and fosters positive working relationships across the organization and with external partners.

Position Specific Responsibilities

• Organizes, tracks, and builds a complete medical record for appropriate patient transition to the home health providers; and confirms start of care (SOC) for each patient referred.
• Responsible for identifying all post-acute care needs and collaborating with the Care Transition Coordinator.
• Collaborates with all Compassus/Ascension at Home intake teams.
• Responsible for completing the transition of care, including submission of complete referral, and, securing outside agency placement if Compassus/Ascension at Home is unable to service the patient.
• Organizes and prioritizes large volumes of information.
• Displays exceptional customer service to our patients/families/referral sources.
• Handles confidential and non-routine information.
• Manages and creates general correspondences, memos, charts, tables, graphs, business plans, etc.
• Utilizes computer software applications effectively in word processing, spreadsheets, database, and presentation software (MS Word, Excel, Access, PowerPoint). Work requires continual attention to detail in composing, typing, and proofing materials, establishing priorities, and meeting deadlines.
• Performs other duties as assigned.

Education and/or Experience

Bachelor’s degree in a health-related field preferred. An equivalent combination of education and experience will be considered. Minimum of one (1) year of experience in a related health care setting preferred. One (1) year experience in home health, hospice and/or palliative preferred. Prior experience with electronic medical records preferred. Knowledge of home health, hospice, and palliative eligibility requirements preferred.

Skills

Mathematical Skills

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percentage.

Language Skills

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties.
• Strong written and verbal communications.

Other Skills and Abilities

• Ability to understand, read, write, and speak English.
• Articulates and embraces hospice philosophy.

Physical Demands and Work Environment

The demands of this role necessate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus.

Diversity, Equity, and Inclusion

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Build a Rewarding Career with Compassus

At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters

We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage

• Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
• Career Development: Access leadership pathways, mentorship, and personalized professional development.
• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join?

At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Compassus provides a continuum of integrated home-based services including home health, home infusion, palliative and hospice care. Thousands of teammates and hundreds of access points nationwide provide high-quality care and manage patients’ advanced illnesses in partnership with health systems and long-term care partners. The Compassus Care for who I am culture reflects its unique care delivery model, which focuses on each person as an individual as well as a patient, to improve their quality of life in a meaningful way.

Learn more at compassus.com or follow @Compassus on Facebook, LinkedIn, Instagram or Twitter.