Job Description

The Transitions Coordinator will report directly to the Transitions Team Leader. They will function as a member of a team and complete all daily tasks to ensure smooth day-to-day operations in a busy office location.

Conduction post-discharge phone calls for targeted discharges for Steward risk patients. Ensure appropriate post-discharge appointments are scheduled; schedule as needed. Validate post-discharge services are in place; e.g. VNA, Elder Services, etc. Utilizing and algorithm, refer patient to appropriate care management programs as needed. Escalate issues to RN supervisor as needed. Additional duties as assigned.


High School Diploma or equivalent

Licensed Practical Nurse, Social Worker, or Certified Medical Assistant preferred

One (1) or more years of experience as an LPN, Social Worker, or Medical Assistant preferred

Strong interpersonal skills, including patient interviewing skills

Experience with EMR strong preferred; Athena/ECW a plus

Experience with Microsoft Office (Word, Excel, etc.) preferred

Application Instructions

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