Care Transition Coordinator, Care Management II - 26-67

Care Transition Coordinator works across inpatient, Welcome Home, and Case Management functions to facilitate pre- and post-acute care, aiming to avoid readmissions and ER visits. Serves as a liaison between hospital clinicians, providers, vendors, nursing facilities, and Hill Physicians Care Management staff. Manages administrative tasks such as authorizations, discharge planning, scheduling PCP/specialist appointments, and coordinating care at hospital bedside and PCP offices. Tracks and communicates status to referral sources, calculates LACE scores at admission and discharge, and ensures timely transitions with appropriate follow-up within 7- days. Responsibilities include traveling to hospitals in Sacramento, San Joaquin, and the Bay Area to support discharge planning and care coordination. Requires strong organizational and communication skills, HIPAA/privacy adherence, and proficiency with EHRs (Epic) and CPT/ICD codes. Minimum 3-5 years managed care experience, high school diploma or GED, and the ability to work independently or in a team.