Patient Transition Coordinator Home Health

Oldsmar, FL - USA

Monthly Salary: Not Disclosed

Posted on: 23 hours ago

Vacancies: 1 Vacancy

Department:

Operations

Job Summary

Are you looking to make a difference in patients lives with a company that values your expertise Join us in our mission of delivering compassionate healthcare where it matters most at home.

Pinnacle Home Care Floridas largest Medicare-certified home health provider has beendelivering high-quality patient-centered care for over two decades and were looking for a Transfer Coordinatorto join our award-winning team.

Key Responsibilities

Patient & Family Communication: Contact patients and/or families following hospital or rehab transfers to provide updates support and resumption of care guidance.
Speak clearly compassionately and effectively with elderly patients and their caregivers.
Transfer Workflow Management Process patient transfers in EMR systems (KanTime/WellSky) in accordance with SOP.
Add Transfer OASIS and transfer documentation.
Remove all future visits and approved frequency orders as appropriate.
Enter transfer details into the Transfer Waitlist immediately upon receipt.
Ongoing Monitoring & Follow-Up: Monitor the Transfer Waitlist daily ensuring updates are attempted on all transfer patients at least every 48 hours.
Send updates using the required email template to Clinical Manager Clinical Assistant and Care Coordinator.
Provide weekly Transfer Waitlist reports for branch and Sales visibility.
Resumption of Care (ROC) Coordination: Notify Intake Clinical Manager Clinical Assistant and Care Coordinator when discharge dates are received.
Confirm ROC scheduling and welcome call completion.
Remove patients from the Transfer Waitlist once ROC is complete.
Work closely with Sales Clinical Managers Clinical Assistants Care Coordinators and Authorization/Eligibility teams to ensure seamless patient care transitions.
Support weekend transfers by communicating with designated weekend Clinical Managers.
Ensure all documentation is timely accurate and compliant with Pinnacle policies ACHC standards and EMR requirements.
Participate in audits and correct deviations promptly.
Maintain a positive and professional work environment in alignment with Pinnacles Mission Vision and Values.
Adapt to process improvements and workflow changes as the EMR transition and transfer process evolves.
Perform other duties as delegated by management.

Qualifications

High school graduate: college coursework in healthcare or business preferred.
Minimum one year of healthcare experience; home health preferred.
Strong verbal communication skills with clear and empathetic phone presence.
Demonstrated ability to work collaboratively with multiple departments.
Detail-oriented with accurate data entry skills.
Proficient in Microsoft Office (Excel Outlook Teams Word) and EMR systems.
Ability to multitask in a fast-paced environment while maintaining accuracy.
Team player with flexibility to adapt to frequent changes.
Knowledge of home health regulations and ACHC standards preferred.

Why Choose Pinnacle

Growth & Stability: Over two decades as Floridas largest home health agency.
Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement.
Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
Recognized Excellence: Ranked as a USA Today Top Workplace.
Supportive & Fun Culture: Join a collaborative forward-thinking team that values both professional excellence and personal fulfillment.

Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race religion age gender national origin disability veteran status or other legally protected characteristics.

Be part of a company that empowers clinicians to make a difference in the lives of over 10000 patients across Florida every now!

Required Experience:

Are you looking to make a difference in patients lives with a company that values your expertise Join us in our mission of delivering compassionate healthcare where it matters most at home.Pinnacle Home Care Floridas largest Medicare-certified home health provider has beendelivering high-quality pa...