Care Transition Coordinator

Our Company Adoration Home Health and Hospice Overview The Care Transition Coordinator (CTC) plays a pivotal role in facilitating seamless transitions for patients from healthcare facilities to home health or hospice care. This position is responsible for evaluating patient eligibility, coordinating care plans, and ensuring all servicesu2014including ancillary needs such as DME and infusionu2014are arranged in alignment with agency protocols and patient needs. The CTC serves as a liaison between the agency, referral sources, and healthcare providers, ensuring timely communication, documentation, and patient education. By executing strategic outreach plans and managing sales-related administrative functions, the CTC supports market growth, maintains compliance with financial stewardship, and enhances patient satisfaction through personalized, informed care transitions. Responsibilities u2022 Achieve monthly personal production goals and Medicare-certified (MC) admission targets for assigned locations. Manage sales and marketing expenses to ensure financial stewardship and return on investment.u2022 Implement weekly, monthly, and quarterly strategies to increase market share within assigned facilities.u2022 Evaluate patients and physician orders for home care eligibility in accordance with Right of Choice guidelines.u2022 Conduct face-to-face patient transitions to provide agency education and identify the primary care physician responsible for the plan of care.u2022 Present identified patient needs to the Executive Director to obtain branch approval and acceptance. Complete Care Transition Coordinator (CTC) encounter documentation in Home Care Home Base.u2022 Upon patient acceptance, coordinate transfer orders and ancillary services (e.g., DME, infusion). Educate patients on home care or hospice orders and related services received from the referral source.u2022 Ensure all patient needs identified by the referral source are documented and addressed by the agency upon acceptance.u2022 Collaborate with the Executive Director and Clinical Director to promote growth by aligning team efforts with the needs and expectations of referral sources and patients. u2022 Perform sales administration duties including BOA expense entry, adherence to BOA policies and procedures, payroll timesheet submission, participation in weekly 3LS meetings, submission of PTO requests, and attendance at required sales calls and company-provided in-services. Maintain timely communication via phone and email.u2022 Educate patients on the importance of post-discharge physician appointments, obtaining necessary prescriptions prior to discharge, and understanding medication regimens, pharmacy use, and delivery methods.u2022 Act as liaison between the agency and healthcare providers for newly referred patients and existing patients transferred to hospitals from home health services.u2022 Notify discharge planning of active patients transferred from home health to a facility. Coordinate resumption of care with patients prior to discharge when applicable orders are obtained.u2022 Provide follow-up feedback to the case management team on readmission status and non-admitdecisions based on agency-provided information.u2022 Maintain patient confidentiality in accordance with applicable laws and agency policies.u2022 Demonstrate knowledge of agency services, competitive advantages, specialty programs, and Medicare guidelines. Educate medical professionals using appropriate tools and literature. Qualifications u2022 Required: Minimum of one (1) year of experience in home health or hospital-based case management.u2022 Preferred: One (1) to three (3) years of experience in medical marketing or healthcare business development.u2022 Current and active licensure in the state of practice as a Registered Nurse (RN), Licensed Practical Nurse (LPN), Social Worker (SW), or Physical Therapist (PT) is required.u2022 Respiratory Therapist (RT) certification and/or completion of a technical clinical program demonstrating strong clinical knowledge is preferred.u2022 Must possess a valid driveru2019s license, reliable transportation, and current auto insurance.u2022 Demonstrated understanding of home health eligibility criteria and Medicare/insurance coverage guidelines is required. About our Line of Business Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visitFollow us onFacebook (andLinkedIn (. ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driveru2019s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at . Click here (for additional FAQ information. Job LocationsUS-NC-CHARLOTTE ID 2025-180820 Line of Business Adoration Home Health and Hospice Position Type Full-Time

Created: 2026-01-09