Care Transition Coordinator - RN or LVN

Encompass Health

Houston, TX, USA

Full time

Healthcare / Community Health & Mental Health

Feb 7

This job is no longer accepting applications.

Encompass Health - Home Health & Hospice is searching for a Registered Nurse (RN) or Physical Therapist (PT) to join our team as a Care Transition Coordinator.


Responsibilities include:

  • Assist patients in the process of navigating post-acute care.
  • Assess, plan, implement, coordinate, monitor, and evaluate options and services with a primary goal of providing a safe transition from acute care to home for home health or hospice services.
  • Integrate evidence-based clinical guidelines, preventative guidelines, protocols in development of transition plans that are patient-centered, promoting quality and efficiency in the delivery of post-acute care.
  • Promote adherence to post-acute plans and ensure ordered services are completed.
  • Represent Encompass in transitional care activities and strategic relationships with health systems, hospitals, inpatient facilities, and physician groups.
  • Monitor execution of transitional care services through ongoing quality assurance visits with referral sources.
  • Meeting and/or exceed referral and admission goals.
  • Clinical liaison responsible for care transitions program admission activity for territory, while positively impacting patient outcomes and referral source satisfaction.



The right person for this role will be a Registered Nurse (RN) or Physical Therapist (PT) that is goal driven, sales motivated, and has previous home health or hospice experience.


  • Must be a graduate of an approved school of nursing or therapy and be licensed in the state of employment.
  • Must have a minimum of 2-3 years field experience.
  • Strong understanding of customer and market dynamics, as well as transitional care best practices.
  • Good understanding of the Federal, State, and local laws and regulatory guidelines governing home health and hospice operations.
  • Excellent communication skills and the ability to interact well with diverse individuals.
  • Experience with territory management, strong presentation skills, performance management, building relationships, emphasizing excellence, negotiation, results driven, sales planning and execution.
  • Should be self-starter who requires minimal supervision.
  • Previous experience in home health or healthcare sales is preferred.

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