Discharge Transitions Coordinator - Milford Regional - 40 hours, Days

UMass Memorial Health•Milford, MA

13d•$23 - $42•Onsite

About The Position

Under the direction of Case Managers and Social Workers, the Discharge Transitions Coordinator supports safe and timely patient discharge by managing key administrative tasks. The role facilitates post-acute referrals, tracks referral progress, completes required documentation and regulatory notifications, and documents discharge activities to help prevent delays, support communication and improve patient flow.

Requirements

Bachelor's degree
One to three years’ experience in a healthcare setting assisting with discharge planning, care coordination support, or a related health science role
Basic Life Support (BLS) certification active or within 30 days of hire
Excellent verbal and written communication, collaboration and organizational skills. Ability to multi-task and follow-up independently.
Working knowledge of common office software products (Outlook, Excel, PowerPoint)

Responsibilities

Support daily discharge planning by coordinating and communicating with care teams, identifying post-acute options, and updating Estimated Discharge Date (EDD) and placement details.
Initiate, coordinate, and track referrals and transfers as assigned while maintaining accurate documentation in required systems.
Complete essential discharge workflows and regulatory steps, including Medicare notices and compliance tasks as assigned.
Coordinate post-acute services such as rehab, Skilled Nursing Facilities (SNF) placement, Visting Nurse Association (VNA), Durable Medical Equipment (DME), and MassHealth forms.
Identify and escalate discharge barriers, including insurance, transportation, or placement delays.
Maintain effective relationships with post-acute providers and ensure up-to-date resource lists for care teams.
Facilitate access to behavioral health, substance use treatment, housing supports, and community resources.
Assist with insurance coordination, prescription support, form preparation, collateral gathering, and notary needs as required.