Care Partner

Compassus•Torrance, CA

13d•$27 - $41•Onsite

About The Position

The Care Partner coordinates safe, efficient, patient-centered transitions of care for hospitalized patients. The role evaluates patients for appropriate post-acute home-based care services and supports timely, high-quality discharge planning in collaboration with physicians, case management, patients, families, and post-acute providers. It focuses on improving patient outcomes, reducing length of stay and readmissions, and ensuring patients receive appropriate care in the right setting and at the right time. This is an in-person role involving bedside engagement, interdisciplinary collaboration, and active participation in discharge planning workflows. A set, consistent schedule is required and must include at least one weekend day (Saturday or Sunday). Schedules may vary based on operational needs but must include weekend coverage. The position evaluates referrals and patients’ clinical, functional, psychosocial, and environmental needs; coordinates individualized discharge and transition plans; educates patients, families, and hospital stakeholders; and serves as a liaison between hospital teams and post-acute providers. Depending on the service line, the role may coordinate hospice and General Inpatient (GIP) evaluations and admissions. The Care Partner documents activities in the electronic medical record, manages referrals through designated systems, uses clinical decision-support and predictive analytics tools, and supports performance goals, quality improvement, and post-acute network optimization. An associate’s degree is required; a bachelor’s degree is preferred. No experience is required, though 2–3 years in a healthcare setting, particularly hospital or long-term care liaison, care coordination, partner, or discharge planning work, is preferred. The role requires strong written and verbal communication, English proficiency, the ability to manage multiple projects and deadlines, and compliance with JV hospital partner occupational health requirements. The posted pay range is $27.02–$40.55.

Requirements

Associate’s degree required.
No prior experience required.
Ability to read, analyze, and interpret clinical documentation, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Strong written and verbal communication skills, including the ability to present information and respond to questions from leaders, teammates, patients, families, and external parties.
Ability to understand, read, write, and speak English.
Ability to manage multiple projects simultaneously and meet deadlines.
Compliance with all JV hospital partner occupational health requirements.
Ability to meet the role’s physical demands, including regular standing and walking, manual dexterity, and lifting or moving objects up to 50 pounds.

Nice To Haves

Bachelor’s degree.
Two to three years of experience in a healthcare setting, such as a hospital or long-term care setting.
Liaison, care coordination, partner, or discharge planning experience.
Ability to design accessible and inclusive learning experiences for a diverse workforce.
Ability to articulate and embrace hospice philosophy.

Responsibilities

Evaluate patients for home-based and post-acute care services based on clinical, functional, psychosocial, and environmental factors.
Review inpatient referrals and prioritize patients using clinical judgment and predictive analytics tools.
Collaborate with physicians and care teams on appropriate level-of-care decisions and identify patients appropriate for value-based post-acute care services.
Coordinate timely, safe, and appropriate hospital discharge planning and develop individualized transition-of-care plans aligned with patient needs and clinical goals.
Partner with physicians, advanced practice providers, case management, and nursing teams.
Arrange post-acute services, including home health, hospice, durable medical equipment, medications, and follow-up care.
Ensure accurate and timely patient handoffs to post-acute providers.
Educate patients and families about post-acute care options, expectations, and available services, supporting informed choice and shared decision-making.
Educate hospital staff and clinical stakeholders on post-acute pathways, referral processes, value-based care principles, and site-of-care selection.
Serve as a liaison between hospital teams and post-acute providers to support timely referrals and placements.
Maintain relationships with physicians, case management, nursing teams, and discharge planners; participate in interdisciplinary rounds, discharge planning meetings, and care coordination discussions.
Strengthen referral network partnerships to improve access and placement efficiency.
When applicable to the service line, identify patients appropriate for hospice or General Inpatient (GIP) care; coordinate hospice evaluations, eligibility determinations, and admissions; support end-of-life transitions; and ensure alignment with hospice eligibility and physician certification requirements.
Document care coordination activities accurately and promptly in the electronic medical record; manage referrals through designated systems and maintain tracking of referrals, outcomes, and transitions.
Use clinical decision-support tools and predictive analytics platforms.
Support value-based enterprise (VBE) performance goals and care coordination strategy, including length of stay, readmissions, mortality, timely initiation of care, referral-to-admit rate, referral quality, and documentation accuracy.
Participate in quality improvement and workflow optimization initiatives and support improvements to post-acute network performance and patient outcomes.