Coordinator Care Transitions

Independent Living Systems • Sarasota, FL

64d

About The Position

The Coordinator Care Transitions plays a critical role in ensuring seamless and effective movement of members between healthcare settings, such as from hospital to home or rehabilitation facilities. This position focuses on coordinating care plans, communicating with multidisciplinary teams, and addressing barriers to successful transitions to improve member outcomes and reduce readmission rates. The coordinator acts as a liaison between member, families, and healthcare providers to facilitate understanding and adherence to post-discharge instructions. By managing resources and tracking member progress, the role supports continuity of care and enhances member satisfaction. Ultimately, this position contributes to the overall quality and efficiency of healthcare delivery within the organization.

Requirements

• Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
• Minimum of 2 years experience in care coordination, case management, or a related healthcare role.
• Strong knowledge of healthcare systems, discharge planning, and community resources.
• Proficiency in electronic health records (EHR) and basic computer applications.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.

Nice To Haves

• Master’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
• Certification in Care Transitions, Case Management, or related specialty (e.g., CCM, ACM).
• Experience working in a hospital or post-acute care setting.
• Familiarity with Medicare, Medicaid, and other insurance programs related to care transitions.
• Advanced knowledge of social determinants of health and strategies to address them.
• Bilingual abilities or experience working with diverse members populations.

Responsibilities

• Coordinate and manage member transitions between acute care, post-acute care, and community-based services to ensure continuity of care.
• Collaborate with healthcare professionals to develop and implement individualized care transition plans.
• Conduct member and family education regarding discharge instructions, medication management, and follow-up appointments.
• Identify and address potential barriers to successful care transitions, including social determinants of health.
• Monitor member outcomes post-discharge and communicate with care teams to adjust plans as needed to prevent readmissions.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees