Care Transition Coordinator RN/LPN

BEACON HOME HEALTHSmyrna, TN
Onsite

About The Position

The Care Transition Coordinator's primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to home health care, while executing a strategy to increase access to care, and minimize barriers. This role coordinates patient admissions, assess and plans options and services, and ensures all documentation is complete to support timely transitions to home health care. A few position highlights include: Assist patients in the process of navigating their post-discharge and transition needs. Meet admissions and account goals, maintain accurate CRM records, attend community events, respond promptly to patient and provider concerns, and report progress on growth strategies. Assist the agency with preparing for and accepting the patient, and assist the Administrator with execution of contracts for facility-based services for home health patients. Explain home health services and agency procedures to the patient and their family members and assess post-discharge educational coaching needs.

Requirements

  • One (1) year of home health experience.
  • Current RN or LPN license in TN.
  • Thorough understanding of home health qualifying criteria and coverage guidelines.
  • Current driver's License, vehicle insurance, and access to a dependable vehicle or public transportation.
  • Must be able to reliably commute to multiple locations daily within the region assigned.

Responsibilities

  • Facilitate a seamless transition for patients discharging from a facility setting to home health care.
  • Execute a strategy to increase access to care and minimize barriers.
  • Coordinate patient admissions.
  • Assess and plan options and services for patients.
  • Ensure all documentation is complete to support timely transitions to home health care.
  • Assist patients in navigating their post-discharge and transition needs.
  • Meet admissions and account goals.
  • Maintain accurate CRM records.
  • Attend community events.
  • Respond promptly to patient and provider concerns.
  • Report progress on growth strategies.
  • Assist the agency with preparing for and accepting the patient.
  • Assist the Administrator with execution of contracts for facility-based services for home health patients.
  • Explain home health services and agency procedures to the patient and their family members.
  • Assess post-discharge educational coaching needs.

Benefits

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Disability
  • Pre-Tax Savings Accounts
  • Ancillary benefits
  • 100% Employer Paid Basic Life Insurance
  • Employee Assistance Program
  • Generous Paid Time Off plan
  • 6 paid holidays annually
  • Employee Referral Bonuses
  • 401K Retirement Plan & Employer Match
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service