Transitional Care Coordinator – Home Health

Role: Transitional Care Navigator Responsibilities Support patients and families during care transitions from hospital or facility to home or community-based services.Coordinate discharge plans and schedule follow-up appointments.Connect clients with personal care, home health, or hospice services to ensure safe, timely transitions and reduce readmissions.Collaborate with interdisciplinary teams to deliver comprehensive care.Educate patients on care plans and available resources.Advocate for patient dignity, respect, and independence. Qualifications And Skills Strong communication and interpersonal skills.Ability to coordinate multiple care activities effectively.Patient-centered approach with empathy and advocacy skills.Experience or knowledge in healthcare services, care planning, or case management is preferred.