Post-Acute Care Transitions Specialist

Palm Beach Accountable Care Organization; Atlanta (GA); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Travel reimbursement

Collaborative work environment

Opportunities for career growth

Job summary

Palm Beach Accountable Care Organization in Atlanta, Georgia is looking for a Post Acute Transition Coordinator to enhance patient outcomes and facilitate effective transitions from hospital to home or post-acute care. This role requires a Bachelor’s degree and at least 2 years of relevant experience in a healthcare setting. The Coordinator will develop personalized care plans, monitor post-discharge progress, and actively support patients and families. The position involves significant local travel to care facilities, making flexibility and reliability essential for success.

Qualifications

• 2+ years of experience in care coordination, case management, or discharge planning within a healthcare environment.
• Strong understanding of post-acute care services and patient discharge processes.
• Proficiency with EHR systems and care management software.

Responsibilities

• Coordinate seamless care transitions from hospital discharge to skilled nursing or rehab services.
• Develop individualized care plans by collaborating with healthcare professionals.
• Monitor progress post-discharge and address barriers to care.

Skills

Care coordination

Case management

Strong communication skills

Organizational skills

EHR system proficiency

Education

Bachelor’s degree in Nursing, Social Work, or related field

Tools

MS Office

Healthcare data tools (MS Project, Smartsheet, Asana)

Job description

Palm Beach Accountable Care Organization in Atlanta, Georgia is looking for a Post Acute Transition Coordinator to enhance patient outcomes and facilitate effective transitions from hospital to home or post-acute care. This role requires a Bachelor’s degree and at least 2 years of relevant experience in a healthcare setting. The Coordinator will develop personalized care plans, monitor post-discharge progress, and actively support patients and families. The position involves significant local travel to care facilities, making flexibility and reliability essential for success.